Foot biomechanics in patients with advanced subtalar- and mid-tarsal joint osteoarthritis and poorly responding to conservative treatment.
Kinematics
Kinetics
Mid-tarsal joint
Osteoarthritis
Subtalar joint
Journal
Journal of foot and ankle research
ISSN: 1757-1146
Titre abrégé: J Foot Ankle Res
Pays: England
ID NLM: 101471610
Informations de publication
Date de publication:
28 Nov 2023
28 Nov 2023
Historique:
received:
25
08
2023
accepted:
21
11
2023
medline:
30
11
2023
pubmed:
29
11
2023
entrez:
29
11
2023
Statut:
epublish
Résumé
A comprehensive insight into the effects of subtalar- and mid-tarsal joint osteoarthritis on lower limb's biomechanical characteristics during walking is lacking. Our goal was to assess joint kinematics and kinetics and compensatory mechanisms in patients with subtalar and mid-tarsal joint osteoarthritis. Patients with symptomatic and radiographically confirmed osteoarthritis of the subtalar and mid-tarsal (n = 10) and an asymptomatic control group (n = 10) were compared. Foot joint kinematics and kinetics during the stance phase of walking were quantified using a four-segment foot model. During pre-swing phase, the tibio-talar range of motion in the sagittal plane of the patient group decreased significantly (P = 0.001), whereas the tarso-metatarsal joint range of motion in the sagittal plane was greater in the pre-swing phase (P = 0.003). The mid-tarsal joint showed lower transverse plane range of motion in the patient group during the loading response and pre-swing phase (P < 0.001 resp. P = 0.002). The patient group showed a lower Tibio-talar joint peak plantarflexion moment (P = 0.004), peak plantarflexion velocity (P < 0.001) and peak power generation in the sagittal plane (P < 0.001), and a lower mid-tarsal joint peak adduction and abduction velocity (P < 0.001 resp. P < 0.001) and peak power absorption (P < 0.001). These findings suggest that patients with subtalar and mid-tarsal joint osteoarthritis adopt a cautious walking strategy potentially dictated by pain, muscle weakness, kinesiophobia and stiffness. Since this poorly responding population faces surgical intervention on the short term, we recommend careful follow-up after fusion surgery since biomechanical outcome measures associated to this post-surgical stage is lacking.
Sections du résumé
BACKGROUND
BACKGROUND
A comprehensive insight into the effects of subtalar- and mid-tarsal joint osteoarthritis on lower limb's biomechanical characteristics during walking is lacking. Our goal was to assess joint kinematics and kinetics and compensatory mechanisms in patients with subtalar and mid-tarsal joint osteoarthritis.
METHODS
METHODS
Patients with symptomatic and radiographically confirmed osteoarthritis of the subtalar and mid-tarsal (n = 10) and an asymptomatic control group (n = 10) were compared. Foot joint kinematics and kinetics during the stance phase of walking were quantified using a four-segment foot model.
RESULTS
RESULTS
During pre-swing phase, the tibio-talar range of motion in the sagittal plane of the patient group decreased significantly (P = 0.001), whereas the tarso-metatarsal joint range of motion in the sagittal plane was greater in the pre-swing phase (P = 0.003). The mid-tarsal joint showed lower transverse plane range of motion in the patient group during the loading response and pre-swing phase (P < 0.001 resp. P = 0.002). The patient group showed a lower Tibio-talar joint peak plantarflexion moment (P = 0.004), peak plantarflexion velocity (P < 0.001) and peak power generation in the sagittal plane (P < 0.001), and a lower mid-tarsal joint peak adduction and abduction velocity (P < 0.001 resp. P < 0.001) and peak power absorption (P < 0.001).
CONCLUSIONS
CONCLUSIONS
These findings suggest that patients with subtalar and mid-tarsal joint osteoarthritis adopt a cautious walking strategy potentially dictated by pain, muscle weakness, kinesiophobia and stiffness. Since this poorly responding population faces surgical intervention on the short term, we recommend careful follow-up after fusion surgery since biomechanical outcome measures associated to this post-surgical stage is lacking.
Identifiants
pubmed: 38017488
doi: 10.1186/s13047-023-00689-x
pii: 10.1186/s13047-023-00689-x
pmc: PMC10683126
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
85Informations de copyright
© 2023. The Author(s).
Références
Foot Ankle Int. 2004 May;25(5):357-64
pubmed: 15134619
Knee. 2014 Dec;21(6):1101-6
pubmed: 25199449
Foot Ankle Clin. 2005 Sep;10(3):425-42, v
pubmed: 16081013
J Biomech. 2019 Oct 11;95:109287
pubmed: 31431345
J Clin Epidemiol. 1991;44(6):561-70
pubmed: 2037861
J Biomech. 2021 Aug 26;125:110581
pubmed: 34217032
Clin Podiatr Med Surg. 2020 Jan;37(1):117-123
pubmed: 31735263
Med Care. 1992 Jun;30(6):473-83
pubmed: 1593914
EFORT Open Rev. 2017 Jul 6;2(7):309-316
pubmed: 28828179
Clin Biomech (Bristol, Avon). 2007 Oct;22(8):894-904
pubmed: 17604886
PLoS One. 2018 Apr 30;13(4):e0193662
pubmed: 29708977
Int J Rheum Dis. 2013 Feb;16(1):14-8
pubmed: 23441767
Clin Orthop Relat Res. 2021 Jan 1;479(1):105-115
pubmed: 32947288
J Biomech. 2017 Aug 16;61:168-175
pubmed: 28784464
Med Sci Sports Exerc. 2001 Apr;33(4):605-11
pubmed: 11283437
Ann Biomed Eng. 2020 Jan;48(1):247-257
pubmed: 31432286
Gait Posture. 2007 Feb;25(2):295-302
pubmed: 16759862
J Electromyogr Kinesiol. 1999 Dec;9(6):385-9
pubmed: 10597051
Osteoarthritis Cartilage. 2020 Dec;28(12):1514-1524
pubmed: 32889086
Clin Biomech (Bristol, Avon). 2006 Feb;21(2):175-83
pubmed: 16269207
J Bone Joint Surg Am. 2008 Mar;90(3):499-505
pubmed: 18310699
Gait Posture. 2007 Mar;25(3):453-62
pubmed: 16965916
Ann Rheum Dis. 2015 Jan;74(1):156-63
pubmed: 24255544
Foot (Edinb). 2014 Sep;24(3):128-34
pubmed: 25022694
Ann Rheum Dis. 1957 Dec;16(4):494-502
pubmed: 13498604
Arthritis Care Res (Hoboken). 2011 Nov;63(11):1592-8
pubmed: 22034121
J Rheumatol. 2002 May;29(5):1023-8
pubmed: 12022318
Clin Biomech (Bristol, Avon). 2021 Jan;81:105239
pubmed: 33246795
Comput Biol Med. 2018 Jan 1;92:118-127
pubmed: 29175098
Dental Press J Orthod. 2014 Jul-Aug;19(4):27-9
pubmed: 25279518
Osteoarthritis Cartilage. 2019 Apr;27(4):659-666
pubmed: 30660723
Foot Ankle Int. 2014 Jan;35(1):80-90
pubmed: 24220612
Curr Opin Rheumatol. 2011 Mar;23(2):148-55
pubmed: 21150623
Orthop Trauma. 2016 Jun;30(3):232-238
pubmed: 27594929