Impact of foot modeling on the quantification of the effect of total ankle replacement: A pilot study
| العنوان: | Impact of foot modeling on the quantification of the effect of total ankle replacement: A pilot study |
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| المؤلفون: | Jean-Luc Besse, Raphaël Dumas, Laurence Chèze, Paul-André Deleu, Alexandre Naaim, Xavier Crevoisier, Bernhard Devos Bevernage, Thibaut Leemrijse |
| المساهمون: | Laboratoire de Biomécanique et Mécanique des Chocs (LBMC UMR T9406 ), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Gustave Eiffel, Hospices Civils de Lyon (HCL), Centre Hospitalier Universitaire Vaudois [Lausanne] (CHUV) |
| المصدر: | Gait and Posture Gait and Posture, Elsevier, 2021, 84, pp.308-314. ⟨10.1016/j.gaitpost.2020.12.027⟩ |
| بيانات النشر: | HAL CCSD, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, medicine.medical_treatment, Ankle replacement, CHEVILLE, Biophysics, JOINT POWER, Pilot Projects, Osteoarthritis, Kinematics, Prosthesis, 03 medical and health sciences, Arthroplasty, Replacement, Ankle, 0302 clinical medicine, Physical medicine and rehabilitation, Foot Joints, medicine, Humans, Orthopedics and Sports Medicine, RANGE OF MOTION, PROTHESE, business.industry, Rehabilitation, [SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph], 030229 sport sciences, Middle Aged, medicine.disease, Gait, Biomechanical Phenomena, medicine.anatomical_structure, OSTEOARTHRITIS, Female, Ankle, Range of motion, business, GAIT, 030217 neurology & neurosurgery, Foot (unit) |
| الوصف: | Background: Kinematic and kinetic foot models showed that computing ankle joint angles, moments and power with a one-segment foot modeling approach alters kinematics and tends to overestimate ankle joint power. Nevertheless, gait studies continue to implement one-segment foot models to assess the effect of total ankle replacement. Research question: The objective of this pilot study was to investigate the effect of the foot modeling approach (one-segment versus multi-segment) on how total ankle replacement is estimated to benefit or degrade the patient's biomechanical performance. Methods: Ten subjects with post-traumatic ankle osteoarthritis scheduled for total ankle replacement and 10 asymptomatic subjects were recruited. A one-segment and a multi-segment foot model were used to calculate intrinsic foot joints kinematics and kinetics during gait. A linear mixed model was used to investigate the effect of the foot model on ankle joint kinematic and kinetic analysis and the effect of total ankle replacement. Results: Differences in range of motion due to the foot model effect were significant for all the gait subphases of interest except for midstance. Peak power generation was significantly overestimated when computed with the one-segment foot model. Ankle and shank-calcaneus joint dorsi-/plantarflexion range of motion did not increase post-operatively except during the loading response phase. A significant 'group' effect was found for stance and pre-swing phase range of motion, with total ankle replacement patients showing lower range of motion values than controls for dorsi/plantarflexion. Significance: The outcome of this study showed that the 'foot model' had a significant effect on estimates of range of motion and power generation. The findings in our study therefore emphasize the clinical interest of multi-segment foot modeling when assessing the outcome of a therapeutic intervention. |
| اللغة: | English |
| تدمد: | 0966-6362 |
| DOI: | 10.1016/j.gaitpost.2020.12.027⟩ |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3f80cc730b7de00762df64870d6a3fae https://hal.archives-ouvertes.fr/hal-03108323/document |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3f80cc730b7de00762df64870d6a3fae |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09666362 |
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| DOI: | 10.1016/j.gaitpost.2020.12.027⟩ |