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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-9133

Wolf, P; Stacoff, A; Liu, A; Nester, C; Arndt, A; Lundberg, A; Stuessi, E (2008). Functional units of the human foot. Gait & Posture, 28(3):434-441.

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Abstract

Functional units in the human foot provide a meaningful basis for subdivisions of the entire foot during gait analysis as well as justified simplifications of foot models. The present study aimed to identify such functional units during walking and slow running. An invasive method based upon reflective marker arrays mounted on intracortical pins was used to register motion of seven foot bones. Six healthy subjects were assessed during walking and four of them during slow running. Angle-angle diagrams of corresponding planar bone rotations were plotted against each other and used to establish functional units. Individual functional units were accepted when the joints rotated temporally in phase and either (i) in the same direction, (ii) in the opposite direction, or (iii) when one of the two joints showed no rotation. A functional unit was generalized if all available angle-angle diagrams showed a consistent pattern. A medial array from the navicular to the first metatarsal was found to perform as a functional unit with parts rotating in the same direction and larger rotations occurring proximally. A rigid functional unit comprised the navicular and cuboid. No other functional units were identified. It was concluded that the talus, navicular, and medial cuneiform should neither be regarded as one rigid unit nor as one segment during gait analysis. The first and fifth metatarsals should also be considered separately. It was further concluded that a marker setup for gait analysis should consist of the following four segments: calcaneus, navicular-cuboid, medial cuneiform-first metatarsal, fifth metatarsal.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
DDC:610 Medicine & health
Language:English
Date:2008
Deposited On:30 Dec 2008 08:50
Last Modified:27 Nov 2013 16:21
Publisher:Elsevier
ISSN:0966-6362
Publisher DOI:10.1016/j.gaitpost.2008.02.004
PubMed ID:18378454
Citations:Web of Science®. Times Cited: 20
Google Scholar™
Scopus®. Citation Count: 21

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