PMID- 16876560
OWN - NLM
STAT- MEDLINE
DCOM- 20060912
LR  - 20131121
IS  - 0003-9993 (Print)
IS  - 0003-9993 (Linking)
VI  - 87
IP  - 8
DP  - 2006 Aug
TI  - Effects of ankle-foot orthoses on ankle and foot kinematics in patients with 
      subtalar osteoarthritis.
PG  - 1131-6
AB  - OBJECTIVE: To determine whether different foot orthoses have a similar effect on 
      foot kinematics in subjects with subtalar osteoarthritis (OA) when walking on 
      various ground conditions. DESIGN: Within-subject comparison study. SETTING: 
      Biomechanics research laboratory. PARTICIPANTS: Ten subjects with unilateral 
      subtalar OA. INTERVENTIONS: Custom-made ankle foot orthosis (AFO), rigid hindfoot 
      orthosis (HFO-R), and articulated hindfoot orthosis (HFO-A) were used by subjects 
      walking on level, ascending, and descending ramp, and side slope conditions. MAIN 
      OUTCOME MEASURES: The triplanar range of motion of the calcaneus relative to 
      tibia (hindfoot) and metatarsal relative to calcaneus (forefoot) was measured 
      using an 8-camera motion analysis system when subjects with subtalar OA wore 
      different foot orthoses. RESULTS: Braces tended to perform similarly in reducing 
      motion of the forefoot and hindfoot for all ground conditions when compared with 
      unbraced but wearing shoes. The AFO significantly restricted frontal plane 
      hindfoot motion during ramp descent (P<.01) and on a side slope when the 
      arthritic subtalar joint was higher than the unaffected side (P=.02). The HFO-A 
      provided significant frontal plane hindfoot motion restriction during ramp 
      descent (P<.01) and on a side slope when the arthritic subtalar joint was lower 
      than the unaffected side (P=.03). The HFO-R significantly restricted frontal 
      plane hindfoot motion in all ground conditions except ramp ascent (P<.05). 
      CONCLUSIONS: The HFO-R provides significant subtalar joint motion restriction 
      while walking. The HFO-R may be considered an optimal orthosis for patients with 
      subtalar OA pain arising from subtalar 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  - 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  - Analysis of Variance
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  - Subtalar Joint/*physiopathology
MH  - Walking/*physiology
EDAT- 2006/08/01 09:00
MHDA- 2006/09/13 09:00
CRDT- 2006/08/01 09:00
PHST- 2005/09/23 00:00 [received]
PHST- 2006/03/28 00:00 [accepted]
PHST- 2006/08/01 09:00 [pubmed]
PHST- 2006/09/13 09:00 [medline]
PHST- 2006/08/01 09:00 [entrez]
AID - S0003-9993(06)00403-5 [pii]
AID - 10.1016/j.apmr.2006.03.021 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2006 Aug;87(8):1131-6. doi: 10.1016/j.apmr.2006.03.021.