The biomechanical behaviour of ankle and foot joints during walking with shoes in patients with haemophilia.
Adult
Ankle Joint
/ diagnostic imaging
Biomechanical Phenomena
/ physiology
Case-Control Studies
Cross-Sectional Studies
Foot Joints
/ diagnostic imaging
Gait Analysis
/ methods
Hemophilia A
/ complications
Humans
Joint Diseases
/ diagnostic imaging
Magnetic Resonance Imaging
/ methods
Middle Aged
Shoes
/ adverse effects
Walking
/ physiology
ankle
biomechanical phenomena
foot
gait analysis
haemophilia
shoes
Journal
Haemophilia : the official journal of the World Federation of Hemophilia
ISSN: 1365-2516
Titre abrégé: Haemophilia
Pays: England
ID NLM: 9442916
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
17
02
2020
revised:
07
04
2020
accepted:
08
04
2020
pubmed:
5
5
2020
medline:
20
5
2021
entrez:
5
5
2020
Statut:
ppublish
Résumé
Patients with haemophilia (PwH) often prefer shod walking over barefoot walking as footwear offers ankle joint stability and comfort during gait. Yet, the biomechanical mechanisms contributing to the latter remain poorly understood. To explore the effect of shoes on the biomechanical functioning of the ankle and foot complex in PwH with and without haemophilic ankle arthropathy and to determine the amount of ankle joint loading during shod walking. We analysed data of PwH without haemophilic ankle arthropathy (n = 5) and PwH with severe haemophilic ankle arthropathy (n = 17) and a control group (n = 17). During 3D gait analysis, a four-segment kinetic foot model was used to calculate kinematic and kinetic parameters of the ankle, Chopart, Lisfranc and first metatarsophalangeal (MTP 1) joints during both barefoot and shod walking. We found a significantly greater ankle joint power generation during shod walking compared to barefoot walking in PwH with severe haemophilic ankle arthropathy (P < .001). Chopart joint biomechanics were significantly lowered in all three groups during shod walking compared to barefoot walking. During shod walking, the ankle joint load was significantly lowered in both PwH groups (P = .039 and P = .002), but not in the control group (P = .952). Explorations in this study uncover a tendency that shoes alter the biomechanical functioning of the ankle and foot complex in PwH and simultaneously lower the ankle joint load during walking.
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
726-734Subventions
Organisme : Pfizer
ID : WI199899
Organisme : Novo Nordisk
Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Oldenburg J. Optimal treatment strategies for hemophilia: achievements and limitations of current prophylactic regimens. Blood. 2015;125:2038-2044.
Rodriguez-Merchan EC. Cartilage damage in the haemophilic joints: pathophysiology, diagnosis and management. Blood Coagul Fibrinolysis. 2012;23:179-183.
Konkle BA, Kessler C, Aledort L, et al. Emerging clinical concerns in the ageing haemophilia patient. Haemophilia. 2009;15:1197-1209.
Lobet S, Detrembleur C, Lantin AC, Haenecour L, Hermans C. Functional impact of custom-made foot orthoses in patients with haemophilic ankle arthropathy. Haemophilia. 2012;18:227-235.
Rodriguez-Merchan EC. The haemophilic ankle. Haemophilia. 2006;12:337-344.
Querol F, Aznar JA, Haya S, Cid A. Orthoses in haemophilia. Haemophilia. 2002;8:407-412.
Dunn SL, Olmedo ML. Mechanotransduction : relevance to physical therapist practice - understanding our ability to affect genetic expression through mechanical forces. Phys Ther. 2016;96:712-721.
Khan KM, Scott A. Mechanotherapy: how physical therapists' prescription of exercise promotes tissue repair. Br J Sports Med. 2009;43:247-251.
Lobet S, Hermans C, Lambert C. Optimal management of hemophilic arthropathy and hematomas. J Blood Med. 2014;5:207.
McLaughlin P, Chowdary P, Woledge R, McCarthy A, Mayagoitia R. The effect of neutral-cushioned running shoes on the intra-articular force in the haemophilic ankle. Clin Biomech. 2013;28:672-678.
Eerdekens M, Staes F, Pilkington T, Deschamps K. A novel magnet based 3D printed marker wand as basis for repeated in-shoe multi segment foot analysis: a proof of concept. J Foot Ankle Res. 2017;10:38.
Eerdekens M, Staes F, Matricali GA, Wuite S, Peerlinck K, Deschamps K. Quantifying clinical misinterpretations associated to one-segment kinetic foot modelling in both a healthy and patient population. Clin Biomech. 2019;67:160-165.
Pothrat C, Authier G, Viehweger E, Berton E, Rao G. One- and multi-segment foot models lead to opposite results on ankle joint kinematics during gait: Implications for clinical assessment. Clin Biomech. 2015;30:493-499.
Deleu P-A, Besse J-L, Naaim A, et al. Change in gait biomechanics after total ankle replacement and ankle arthrodesis: a systematic review and meta-analysis. Clin Biomech. 2020;73:213-225.
Saraswat P, MacWilliams BA, Davis RB, D'Astous JL. Kinematics and kinetics of normal and planovalgus feet during walking. Gait Posture. 2014;39:339-345.
Eerdekens M, Deschamps K, Staes F. The impact of walking speed on the kinetic behaviour of different foot joints. Gait Posture. 2019;68:375-381.
Bishop C, Paul G, Thewlis D. The reliability, accuracy and minimal detectable difference of a multi-segment kinematic model of the foot-shoe complex. Gait Posture. 2013;37:552-557.
Eerdekens M, Peerlinck K, Jean- FS, et al. Clinical gait features are associated with MRI findings in patients with haemophilic ankle arthropathy. Haemophilia. 2020;26:333-339.
Lundin B, Manco-Johnson ML, Ignas DM, et al. An MRI scale for assessment of haemophilic arthropathy from the International Prophylaxis Study Group. Haemophilia. 2012;18:962-970.
Leardini A, Benedetti MG, Berti L, Bettinelli D, Nativo R, Giannini S. Rear-foot, mid-foot and fore-foot motion during the stance phase of gait. Gait Posture. 2007;25:453-462.
Goss DL, Gross MT. A comparison of negative joint work and vertical ground reaction force loading rates in chi runners and rearfoot-striking runners. J Orthop Sports Phys Ther. 2013;43:685-692.
Greenhouse S, Geisser S. On methods in the analysis of profile data. Psychometrika. 1959;24:95-112.
Ellis P.D. Thresholds for interpreting effect sizes. 2009. https://www.polyu.edu.hk/mm/effectsizefaqs/thresholds_for_interpreting_effect_sizes2.html. Accessed April 02, 2020.
Pataky TC. One-dimensional statistical parametric mapping in Python. Comput Methods Biomech Biomed Engin. 2012;15:295-301.
Barton CJ, Bonanno D, Menz HB. Development and evaluation of a tool for the assessment of footwear characteristics. J Foot Ankle Res. 2009;2:1-12.
Deschamps K, Staes F, Eerdekens M, et al. Postural control during a transition task in haemophilic children, adolescents and young adults with haemophilic ankle arthropathy. Haemophilia. 2018;24:667-674.