The aim of this systematic review was to examine the effects of foot orthoses on gait kinematics and low back pain (LBP) in individuals with leg length inequality (LLI). This review was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and has been undertaken in the PubMed-NCBI, EBSCO Host, Cochrane Library, and ScienceDirect databases. Inclusion criteria were the analysis of kinematic parameters during walking or LBP before and after foot orthosis use in patients with LLI. Ultimately, five studies were retained. We extracted the following information: study identity, patients, type of foot orthosis, duration of orthopedic treatment, protocols, methods, and data to assess gait kinematics and LBP. The results showed that insoles seem to reduce pelvic drop and active compensations of the spine when LLI is moderate/severe. However, insoles do not always seem to be efficient in improving gait kinematics in patients with low LLI. All of the studies noted a significant reduction of LBP with use of insoles. Consequently, although these studies revealed no consensus on whether and how insoles affect gait kinematics, the orthoses seemed helpful in relieving LBP.
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http://dx.doi.org/10.7547/21-004 | DOI Listing |
J Orthop Res
January 2025
1-7 Gait and Motion Analysis Center, Yueyang Hospital of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Flexible flatfoot is common among school-age children and significantly affects walking efficiency, balance stability, and joint-movement coordination in children. The demands on the skeletal structure and muscle function are increased during running; however, the impact of a flexible flatfoot on children's running capabilities is unclear. In this study, we aimed to investigate the effects of flexible flatfoot on the running function of school-age children.
View Article and Find Full Text PDFJ Orthop Surg Res
January 2025
Program of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.
Background: Ankle joint position sense (AJPS) accuracy and postural control are crucial for maintaining balance and stability, particularly in individuals with plantar fasciitis who may experience proprioceptive and functional impairments. Understanding how psychosocial factors, such as pain catastrophizing, and biomechanical measures, like muscle strength and gait parameters related to proprioception and postural control, can inform more effective treatment approaches. This study aimed to (1) examine the relationship between AJPS accuracy and biomechanical factors-including postural stability, lower limb muscle strength, and gait parameters-in individuals with plantar fasciitis d (2) analyze the impact of psychosocial factors, including pain catastrophizing, physical activity level, and quality of life, on AJPS accuracy and postural control in this population.
View Article and Find Full Text PDFGait Posture
January 2025
Laboratory of Biomechanics and Medical Imaging, Faculty of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon; Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers, Paris, France. Electronic address:
Background: Adult spinal deformity (ASD) is associated with muscles' degeneration that affects postural control and outcomes of an eventual corrective surgery. Evaluation of ASD is usually based on static radiographs and more recently on functional assessment. However, there has been limited exploration of muscle strength weakness in ASD.
View Article and Find Full Text PDFMult Scler Relat Disord
January 2025
Department of Neurology and Neurological Rehabilitation, Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai 201619, China. Electronic address:
Background: Three-dimensional (3D) gait analysis has the potential to assess dynamic spasticity (DS). However, little is known about which parameters can be utilized for assessment.
Objective: To evaluate the application of 3D gait analysis in assessing DS during walking and to identify the most relevant parameters for clinical practice.
Gait Posture
January 2025
The University of Tokyo, Department of Biological Sciences, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan. Electronic address:
Background: Several foot models have been developed to estimate the behaviors of the plantar aponeurosis (PA) during movements. However, these models did not consider the actual path of the PA, and their validity remains insufficiently investigated due to the absence of direct PA measurement during movements.
Research Question: Would developing a foot model that considers the actual path of the PA improve the accuracy of estimating the PA behavior during movements?
Methods: The foot model was developed based on the CT scans of the six feet with 20 markers attached.
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