A comparative study between isolated gastrocnemius tightness patients and controls by quantitative Gait analysis and baropodometry

Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved..

BACKGROUND: Isolated gastrocnemius tightness (IGT) has been suggested as an etiologic factor in mechanical disorders of the foot and ankle without a clear pathophysiological mechanism in the literature. We hypothesized that restricted ankle dorsiflexion inducing increased forefoot pressure in IGT patients could be this pathophysiological mechanism.

METHODS: Case/control experimental observational investigation. Forty lower limbs in 20 asymptomatic IGT patients were included and compared to controls. Quantitative gait analyses coupled with dynamic baropodometry were used for comparison between groups. The primary outcome was maximum ankle dorsiflexion during stance phase. Secondary outcomes were knee flexion and forefoot pressure.

RESULTS: Maximum ankle dorsiflexion and maximum forefoot pressure were similar between groups. Increased knee flexion was found in the asymptomatic IGT group.

CONCLUSIONS: IGT induced compensatory knee flexion during stance phase, which probably prevents increased pressure on the forefoot by allowing ankle dorsiflexion.

LEVEL OF EVIDENCE: Level IV, Case/control experimental observational investigation.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons - 27(2021), 7 vom: 28. Okt., Seite 772-776

Sprache:

Englisch

Beteiligte Personen:

Lalevée, Matthieu [VerfasserIn]
Menez, Charlotte [VerfasserIn]
Roussignol, Xavier [VerfasserIn]
Hue, Antoine Guy [VerfasserIn]
Dujardin, Franck [VerfasserIn]
Dodelin, Damien [VerfasserIn]
Dechelotte, Benoit [VerfasserIn]
Lintz, François [VerfasserIn]

Links:

Volltext

Themen:

Ankle dorsiflexion
Foot pressure
Gait
Gastrocnemius
Journal Article
Knee flexion
Range of motion
Tightness

Anmerkungen:

Date Completed 29.09.2021

Date Revised 29.09.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.fas.2020.10.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317220454