Orthotic intervention in forefoot and rearfoot strike running patterns
Objective. To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. Design. Fifteen subjects ran with both a forefoot and a rearfoot strike pattern with and without orthoses. Lower extremity kinematic and kinetic variables were...
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Published in | Clinical biomechanics (Bristol) Vol. 19; no. 1; pp. 64 - 70 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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England
Elsevier Ltd
2004
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Abstract | Objective. To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern.
Design. Fifteen subjects ran with both a forefoot and a rearfoot strike pattern with and without orthoses. Lower extremity kinematic and kinetic variables were compared between strike pattern and orthotic conditions.
Background. Foot orthoses have been shown to be effective in controlling excessive rearfoot motion in rearfoot strikers. The effect of orthotic intervention on rearfoot motion in forefoot strikers has not been previously reported.
Methods. Five trials were collected for each condition. Peak rearfoot eversion, eversion excursion, eversion velocity, peak inversion moment, and inversion work were compared between conditions. Kinematic variables in the sagittal plane of the rearfoot and in the frontal and sagittal plane of the knee were also determined.
Results. Increased rearfoot excursions and velocities and decreased peak eversion were noted in the forefoot strike pattern compared to the rearfoot strike pattern. Orthotic intervention, however,did not significantly change rearfoot motion in either strike pattern. Reductions in internal rotation and abduction of the knee were noted with orthotic intervention.
Conclusions. Foot orthoses do not differentially effect rearfoot motion of a rearfoot strike and a forefoot strike running pattern. Orthotic intervention has a larger and more systematic effect on rearfoot kinetics compared to rearfoot kinematics.
Relevance
Due to the similarity in response to orthotic intervention, foot strike pattern should not be a factor when prescribing a foot orthoses for controlling rearfoot motion. |
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AbstractList | Objective. To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. Design. Fifteen subjects ran with both a forefoot and a rearfoot strike pattern with and without orthoses. Lower extremity kinematic and kinetic variables were compared between strike pattern and orthotic conditions. Background. Foot orthoses have been shown to be effective in controlling excessive rearfoot motion in rearfoot strikers. The effect of orthotic intervention on rearfoot motion in forefoot strikers has not been previously reported. Methods. Five trials were collected for each condition. Peak rearfoot eversion, eversion excursion, eversion velocity, peak inversion moment, and inversion work were compared between conditions. Kinematic variables in the sagittal plane of the rearfoot and in the frontal and sagittal plane of the knee were also determined. Results. Increased rearfoot excursions and velocities and decreased peak eversion were noted in the forefoot strike pattern compared to the rearfoot strike pattern. Orthotic intervention, however, did not significantly change rearfoot motion in either strike pattern. Reductions in internal rotation and abduction of the knee were noted with orthotic intervention. Conclusions. Foot orthoses do not differentially effect rearfoot motion of a rearfoot strike and a forefoot strike running pattern. Orthotic intervention has a larger and more systematic effect on rearfoot kinetics compared to rearfoot kinematics. OBJECTIVETo compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. DESIGNFifteen subjects ran with both a forefoot and a rearfoot strike pattern with and without orthoses. Lower extremity kinematic and kinetic variables were compared between strike pattern and orthotic conditions. BACKGROUNDFoot orthoses have been shown to be effective in controlling excessive rearfoot motion in rearfoot strikers. The effect of orthotic intervention on rearfoot motion in forefoot strikers has not been previously reported. METHODSFive trials were collected for each condition. Peak rearfoot eversion, eversion excursion, eversion velocity, peak inversion moment, and inversion work were compared between conditions. Kinematic variables in the sagittal plane of the rearfoot and in the frontal and sagittal plane of the knee were also determined. RESULTSIncreased rearfoot excursions and velocities and decreased peak eversion were noted in the forefoot strike pattern compared to the rearfoot strike pattern. Orthotic intervention, however,did not significantly change rearfoot motion in either strike pattern. Reductions in internal rotation and abduction of the knee were noted with orthotic intervention. CONCLUSIONSFoot orthoses do not differentially effect rearfoot motion of a rearfoot strike and a forefoot strike running pattern. Orthotic intervention has a larger and more systematic effect on rearfoot kinetics compared to rearfoot kinematics. To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. Fifteen subjects ran with both a forefoot and a rearfoot strike pattern with and without orthoses. Lower extremity kinematic and kinetic variables were compared between strike pattern and orthotic conditions. Foot orthoses have been shown to be effective in controlling excessive rearfoot motion in rearfoot strikers. The effect of orthotic intervention on rearfoot motion in forefoot strikers has not been previously reported. Five trials were collected for each condition. Peak rearfoot eversion, eversion excursion, eversion velocity, peak inversion moment, and inversion work were compared between conditions. Kinematic variables in the sagittal plane of the rearfoot and in the frontal and sagittal plane of the knee were also determined. Increased rearfoot excursions and velocities and decreased peak eversion were noted in the forefoot strike pattern compared to the rearfoot strike pattern. Orthotic intervention, however,did not significantly change rearfoot motion in either strike pattern. Reductions in internal rotation and abduction of the knee were noted with orthotic intervention. Foot orthoses do not differentially effect rearfoot motion of a rearfoot strike and a forefoot strike running pattern. Orthotic intervention has a larger and more systematic effect on rearfoot kinetics compared to rearfoot kinematics. Objective. To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. Design. Fifteen subjects ran with both a forefoot and a rearfoot strike pattern with and without orthoses. Lower extremity kinematic and kinetic variables were compared between strike pattern and orthotic conditions. Background. Foot orthoses have been shown to be effective in controlling excessive rearfoot motion in rearfoot strikers. The effect of orthotic intervention on rearfoot motion in forefoot strikers has not been previously reported. Methods. Five trials were collected for each condition. Peak rearfoot eversion, eversion excursion, eversion velocity, peak inversion moment, and inversion work were compared between conditions. Kinematic variables in the sagittal plane of the rearfoot and in the frontal and sagittal plane of the knee were also determined. Results. Increased rearfoot excursions and velocities and decreased peak eversion were noted in the forefoot strike pattern compared to the rearfoot strike pattern. Orthotic intervention, however,did not significantly change rearfoot motion in either strike pattern. Reductions in internal rotation and abduction of the knee were noted with orthotic intervention. Conclusions. Foot orthoses do not differentially effect rearfoot motion of a rearfoot strike and a forefoot strike running pattern. Orthotic intervention has a larger and more systematic effect on rearfoot kinetics compared to rearfoot kinematics. Relevance Due to the similarity in response to orthotic intervention, foot strike pattern should not be a factor when prescribing a foot orthoses for controlling rearfoot motion. |
Author | Stackhouse, Carrie Laughton Hamill, Joseph Davis, Irene McClay |
Author_xml | – sequence: 1 givenname: Carrie Laughton surname: Stackhouse fullname: Stackhouse, Carrie Laughton email: claughton@shrinenet.org organization: Motion Analysis Laboratory, Shriners Hospitals for Children, 3551 North Broad Street, Philadelphia, PA 19140, USA – sequence: 2 givenname: Irene McClay surname: Davis fullname: Davis, Irene McClay organization: Joyner Sportsmedicine Institute, Mechanicsburg, PA 17055, USA – sequence: 3 givenname: Joseph surname: Hamill fullname: Hamill, Joseph organization: Department of Exercise Science, University of Massachusetts, Amherst, MA 01003, USA |
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Keywords | Lower extremity mechanics Orthotic intervention Forefoot strike pattern |
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Snippet | Objective. To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern.
Design. Fifteen... To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. Fifteen subjects ran with... Objective. To compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. Design. Fifteen... OBJECTIVETo compare the differential effect of custom orthoses on the lower extremity mechanics of a forefoot and rearfoot strike pattern. DESIGNFifteen... |
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StartPage | 64 |
SubjectTerms | Adolescent Adult Biomechanical Phenomena Foot - physiology Forefoot strike pattern Humans Lower extremity mechanics Middle Aged Orthotic Devices Orthotic intervention Running - physiology |
Title | Orthotic intervention in forefoot and rearfoot strike running patterns |
URI | https://dx.doi.org/10.1016/j.clinbiomech.2003.09.002 https://www.ncbi.nlm.nih.gov/pubmed/14659932 https://search.proquest.com/docview/17946116 https://search.proquest.com/docview/71559076 |
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