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Effect of medial arch-heel support in inserts on reducing ankle eversion: a biomechanics study.pdf (942.35 kB)

Effect of medial arch-heel support in inserts on reducing ankle eversion: a biomechanics study

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posted on 2016-05-12, 08:39 authored by Daniel FongDaniel Fong, Mak-Ham Lam, Miko L.M. Lao, Chad W.N. Chan, Patrick Shu-Hang Yung, Kwai-Yau Fung, Po-Yee Pauline Lui, Kai-Ming Chan
Background. Excessive pronation (or eversion) at ankle joint in heel-toe running correlated with lower extremity overuse injuries. Orthotics and inserts are often prescribed to limit the pronation range to tackle the problem. Previous studies revealed that the effect is product-specific. This study investigated the effect of medial arch-heel support in inserts on reducing ankle eversion in standing, walking and running. Methods. Thirteen pronators and 13 normal subjects participated in standing, walking and running trials in each of the following conditions: (1) barefoot, and shod condition with insert with (2) no, (3) low, (4) medium, and (5) high medial arch-heel support. Motions were captured and processed by an eight-camera motion capture system. Maximum ankle eversion was calculated by incorporating the raw coordinates of 15 anatomical positions to a self-compiled Matlab program with kinematics equations. Analysis of variance with repeated measures with post-hoc Tukey pairwise comparisons was performed on the data among the five walking conditions and the five running conditions separately. Results. Results showed that the inserts with medial arch-heel support were effective in dynamics trials but not static trials. In walking, they successfully reduced the maximum eversion by 2.1 degrees in normal subjects and by 2.5-3.0 degrees in pronators. In running, the insert with low medial arch support significantly reduced maximum eversion angle by 3.6 and 3.1 degrees in normal subjects and pronators respectively. Conclusion. Medial arch-heel support in inserts is effective in reducing ankle eversion in walking and running, but not in standing. In walking, there is a trend to bring the over-pronated feet of the pronators back to the normal eversion range. In running, it shows an effect to restore normal eversion range in 84% of the pronators.

History

School

  • Sport, Exercise and Health Sciences

Published in

Journal of Orthopaedic Surgery and Research

Volume

3

Issue

1

Citation

FONG, D. ... et al., 2008. Effect of medial arch-heel support in inserts on reducing ankle eversion: a biomechanics study. Journal of Orthopaedic Surgery and Research, DOI: 10.1186/1749-799X-3-7.

Publisher

BioMed Central (© the authors)

Version

  • VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution 2.0 Unported (CC BY 2.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/by/2.0/

Publication date

2008

ISSN

1749-799X

eISSN

1749-799X

Language

  • en

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