PMID- 16635635
OWN - NLM
STAT- MEDLINE
DCOM- 20060606
LR  - 20131121
IS  - 0003-9993 (Print)
IS  - 0003-9993 (Linking)
VI  - 87
IP  - 5
DP  - 2006 May
TI  - Effects of ankle-foot orthoses on ankle and foot kinematics in patient with ankle 
      osteoarthritis.
PG  - 710-6
AB  - OBJECTIVE: To determine if different foot orthoses have a similar effect on foot 
      kinematics in subjects with ankle osteoarthritis (OA) when walking on various 
      ground conditions. DESIGN: Within-subject comparisons study. SETTING: 
      Biomechanics research laboratory. PARTICIPANTS: Thirteen subjects with unilateral 
      ankle OA. INTERVENTIONS: Custom-made ankle-foot orthosis (AFO), rigid hindfoot 
      orthosis (HFO-R), and articulated hindfoot orthosis (HFO-A) were used by subjects 
      when walking on level, ascending and descending ramp, and side-slope conditions. 
      MAIN OUTCOME MEASURES: The range of motion of the hindfoot (calcaneus relative to 
      tibia) and forefoot (metatarsal relative to calcaneus) was measured using an 
      8-camera motion analysis system. RESULTS: The AFO and HFO-R provided the best 
      sagittal plane hindfoot motion restriction over all ground conditions (P<.001). 
      The HFO-R allowed the greatest sagittal plane forefoot motion when walking over 
      level (P=.01) and side-slope (P<.02) conditions, the greatest frontal plane 
      forefoot motion walking down the ramp (P=.003), and the greatest transverse plane 
      forefoot motion when walking over level (P=.011) and ramp-ascending conditions 
      (P=.005). The HFO-A restricted motion of the unaffected joint and did not 
      effectively restrict hindfoot motion. CONCLUSIONS: The HFO-R not only provides 
      selective restriction to the ankle-hindfoot motion, but also allows sufficient 
      forefoot motion compared with the AFO. We consider the HFO-R to be the best 
      option of all tested orthoses for treating patients with ankle OA pain arising 
      from ankle motion.
FAU - Huang, Yu-Chi
AU  - Huang YC
AD  - Orthopedic Motion Analysis Laboratory, Division of Orthopedic Research, Mayo 
      Clinic, Rochester, MN 55905, USA.
FAU - Harbst, Kimberly
AU  - Harbst K
FAU - Kotajarvi, Brian
AU  - Kotajarvi B
FAU - Hansen, Diana
AU  - Hansen D
FAU - Koff, Matthew F
AU  - Koff MF
FAU - Kitaoka, Harold B
AU  - Kitaoka HB
FAU - Kaufman, Kenton R
AU  - Kaufman KR
LA  - eng
GR  - AR 44513/AR/NIAMS NIH HHS/United States
PT  - Comparative Study
PT  - Controlled Clinical Trial
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Adult
MH  - Aged
MH  - Ankle Joint/*physiopathology
MH  - Biomechanical Phenomena
MH  - Equipment Design
MH  - Female
MH  - Foot/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Orthotic Devices
MH  - Osteoarthritis/*physiopathology
MH  - Range of Motion, Articular/*physiology
MH  - Walking/*physiology
EDAT- 2006/04/26 09:00
MHDA- 2006/06/07 09:00
CRDT- 2006/04/26 09:00
PHST- 2005/09/23 00:00 [received]
PHST- 2005/12/21 00:00 [accepted]
PHST- 2006/04/26 09:00 [pubmed]
PHST- 2006/06/07 09:00 [medline]
PHST- 2006/04/26 09:00 [entrez]
AID - S0003-9993(06)00050-5 [pii]
AID - 10.1016/j.apmr.2005.12.043 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2006 May;87(5):710-6. doi: 10.1016/j.apmr.2005.12.043.