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Kevin Deschamps - One of the best experts on this subject based on the ideXlab platform.
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paediatric patients with blood induced ankle Joint arthritis demonstrate physiological Foot Joint mechanics and energetics during walking
Haemophilia, 2020Co-Authors: Dorien Tijskens, Sebastien Lobet, Maarten Eerdekens, Kathelijne Peerlinck, Cedric Hermans, An Van Damme, Filip Staes, Kevin DeschampsAbstract:Aim To compare Foot Joint kinetics and energetics in male paediatric boys with and without blood-induced ankle Joint destruction to these of matched control groups. Methods A cross-sectional study was conducted in which 3D gait analysis data were collected from thirty-five male children (6-21 years) with severe or moderate haemophilia and twenty-six typically developing boys. Structural integrity of the tarsal Foot Joints of all haemophilic patients was assessed using the IPSG-MRI scale. All participants walked bareFoot while adopting a physiological gait pattern. Three subgroups were created based on the IPSG-MRI scores: a group with no Joint involvement (HealthyHaemo), with uni- or bilaterally involvement (PathoHaemo) and with only unilaterally involvement (Haemo_Unilateral_Patho). Results The PathoHaemo group presented a significant lower Lisfranc peak dorsiflexion angular velocity (34.7°/s vs 71.4°/s, P = .000, Cohen d = 1.31) and a significantly higher Lisfranc peak plantarflexion angular velocity (-130.5°/s vs -51.8°/s, P = .000, Cohen d = 0.98) compared to the control group. The Haemo_Unilateral_Patho side had a significant higher Chopart peak dorsiflexion angular velocity compared to the Haemo_Unilateral_Healthy side (41.7°/s vs 31.9°/s, P = .002, Cohen d = 1.16). Conclusion No evidence for mild and severe gait deviations could be demonstrated. Internal moments, used as a surrogate measure of Joint loading, quantified by the multi-segment Foot model were found to be similar within the three subanalyses. We suggest that the ongoing musculoskeletal development in children compensates for structural damage to the ankle Joint.
Thibaut Leemrijse - One of the best experts on this subject based on the ideXlab platform.
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Post-sprain versus post-fracture post-traumatic ankle osteoarthritis: Impact on Foot and ankle kinematics and kinetics
Gait and Posture, 2021Co-Authors: Paul-andré Deleu, Thibaut Leemrijse, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Ivan Birch, Jean-luc BesseAbstract:BACKGROUND: Common etiologies for post-traumatic ankle osteoarthritis are ankle fractures and chronic ankle instability. As the nature of trauma is different for these two etiologies, it might be expected that the two subtypes of post-traumatic ankle osteoarthritis would display different Foot mechanics during gait. RESEARCH QUESTION: The objective of this exploratory cross-sectional study was to compare the Foot kinematics and kinetics of patients suffering from post-fracture ankle osteoarthritis with those of patients suffering from post-sprain ankle osteoarthritis. METHODS: Twenty-nine subjects with end-stage post-traumatic ankle osteoarthritis and fifteen asymptomatic control subjects participated in this study. All patients suffered from post-traumatic ankle osteoarthritis secondary to ankle-related fracture (Group 1; n = 15) or to chronic ankle instability (Group 2; n = 14). A four-segment kinematic and kinetic Foot model was used to calculate intrinsic Foot Joint kinematics and kinetics during gait. Vector field statistical analysis MANOVA was used to assess differences between groups for the entire three-component intrinsic Foot Joint angles and moments. RESULTS: MANOVA showed significant differences between the groups. Post-hoc analyses suggested that the differences between post-fracture ankle osteoarthritis group and controls were caused by a combination of less adducted Shank-Calcaneus position and less plantarflexion at this Joint. Post-hoc analyses also suggested that both pathological groups exhibited a decreased plantarflexion moment for Shank-Calcaneus, Chopart, Lisfranc Joints compared to controls. Analyses of both pathological groups versus controls for power suggested lower Shank-Calcaneus and Lisfranc power generation during pre-swing phase. SIGNIFICANCE: No significant differences were found between the two pathological groups in this exploratory study. Alterations in Foot kinematics and kinetics were mainly found about the dorsi-/plantarflexion axis during the pre-swing phase of the stance phase for both pathological groups compared to controls. Observed differences were not limited to the painful ankle Joint, but seem also to have affected the kinetics of the neighbouring Foot Joints.
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The effect of ankle and hindFoot malalignment on Foot mechanics in patients suffering from post-traumatic ankle osteoarthritis
Clinical Biomechanics, 2021Co-Authors: Paul-andré Deleu, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Jean-luc Besse, Laurent Goubau, Thibaut LeemrijseAbstract:Background: Ankle and hindFoot malalignment is a common finding in patients suffering from post-traumatic ankle osteoarthritis. However, no studies have addressed the effect of concomitant Foot deformities on intrinsic Foot kinematics and kinetics. Therefore, the objective of this study was to investigate the effect of ankle and hindFoot malalignment on the kinematics and kinetics of multiple Joints in the Foot and ankle complex in patients suffering from post-traumatic ankle osteoarthritis. Methods: Twenty-nine subjects with post-traumatic ankle osteoarthritis participated in this study. Standardized weight-bearing radiographs were obtained preoperatively to categorize patients as having cavus, planus or neutral ankle and hindFoot alignment, based on 4 X-ray measurements. All patients underwent standard gait assessment. A 4-segment Foot model was used to estimate intrinsic Foot Joint kinematics and kinetics during gait. Statistical parametric mapping was used to compare Foot kinematics and kinetics between groups. Findings: There were 3 key findings regarding overall Foot function in the 3 groups of post-traumatic ankle osteoarthritis: (i) altered frontal and transverse plane inter-segmental angles and moments of the Shank-Calcaneus and Calcaneus-MidFoot Joints in the cavus compared to the planus group; (ii) in cavus OA group, MidFoot-Metatarsus Joint abduction sought to compensate the varus inclination of the ankle Joint; (iii) there were no significant differences in inter-segmental angles and moments between the planus and neutral OA groups. Interpretation: Future studies should integrate assessment of concomitant Foot and ankle deformities in post-traumatic ankle osteoarthritis, to provide additional insight into associated mechanical deficits and compensation mechanisms during gait.
Jean-luc Besse - One of the best experts on this subject based on the ideXlab platform.
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Post-sprain versus post-fracture post-traumatic ankle osteoarthritis: Impact on Foot and ankle kinematics and kinetics
Gait and Posture, 2021Co-Authors: Paul-andré Deleu, Thibaut Leemrijse, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Ivan Birch, Jean-luc BesseAbstract:BACKGROUND: Common etiologies for post-traumatic ankle osteoarthritis are ankle fractures and chronic ankle instability. As the nature of trauma is different for these two etiologies, it might be expected that the two subtypes of post-traumatic ankle osteoarthritis would display different Foot mechanics during gait. RESEARCH QUESTION: The objective of this exploratory cross-sectional study was to compare the Foot kinematics and kinetics of patients suffering from post-fracture ankle osteoarthritis with those of patients suffering from post-sprain ankle osteoarthritis. METHODS: Twenty-nine subjects with end-stage post-traumatic ankle osteoarthritis and fifteen asymptomatic control subjects participated in this study. All patients suffered from post-traumatic ankle osteoarthritis secondary to ankle-related fracture (Group 1; n = 15) or to chronic ankle instability (Group 2; n = 14). A four-segment kinematic and kinetic Foot model was used to calculate intrinsic Foot Joint kinematics and kinetics during gait. Vector field statistical analysis MANOVA was used to assess differences between groups for the entire three-component intrinsic Foot Joint angles and moments. RESULTS: MANOVA showed significant differences between the groups. Post-hoc analyses suggested that the differences between post-fracture ankle osteoarthritis group and controls were caused by a combination of less adducted Shank-Calcaneus position and less plantarflexion at this Joint. Post-hoc analyses also suggested that both pathological groups exhibited a decreased plantarflexion moment for Shank-Calcaneus, Chopart, Lisfranc Joints compared to controls. Analyses of both pathological groups versus controls for power suggested lower Shank-Calcaneus and Lisfranc power generation during pre-swing phase. SIGNIFICANCE: No significant differences were found between the two pathological groups in this exploratory study. Alterations in Foot kinematics and kinetics were mainly found about the dorsi-/plantarflexion axis during the pre-swing phase of the stance phase for both pathological groups compared to controls. Observed differences were not limited to the painful ankle Joint, but seem also to have affected the kinetics of the neighbouring Foot Joints.
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The effect of ankle and hindFoot malalignment on Foot mechanics in patients suffering from post-traumatic ankle osteoarthritis
Clinical Biomechanics, 2021Co-Authors: Paul-andré Deleu, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Jean-luc Besse, Laurent Goubau, Thibaut LeemrijseAbstract:Background: Ankle and hindFoot malalignment is a common finding in patients suffering from post-traumatic ankle osteoarthritis. However, no studies have addressed the effect of concomitant Foot deformities on intrinsic Foot kinematics and kinetics. Therefore, the objective of this study was to investigate the effect of ankle and hindFoot malalignment on the kinematics and kinetics of multiple Joints in the Foot and ankle complex in patients suffering from post-traumatic ankle osteoarthritis. Methods: Twenty-nine subjects with post-traumatic ankle osteoarthritis participated in this study. Standardized weight-bearing radiographs were obtained preoperatively to categorize patients as having cavus, planus or neutral ankle and hindFoot alignment, based on 4 X-ray measurements. All patients underwent standard gait assessment. A 4-segment Foot model was used to estimate intrinsic Foot Joint kinematics and kinetics during gait. Statistical parametric mapping was used to compare Foot kinematics and kinetics between groups. Findings: There were 3 key findings regarding overall Foot function in the 3 groups of post-traumatic ankle osteoarthritis: (i) altered frontal and transverse plane inter-segmental angles and moments of the Shank-Calcaneus and Calcaneus-MidFoot Joints in the cavus compared to the planus group; (ii) in cavus OA group, MidFoot-Metatarsus Joint abduction sought to compensate the varus inclination of the ankle Joint; (iii) there were no significant differences in inter-segmental angles and moments between the planus and neutral OA groups. Interpretation: Future studies should integrate assessment of concomitant Foot and ankle deformities in post-traumatic ankle osteoarthritis, to provide additional insight into associated mechanical deficits and compensation mechanisms during gait.
Paul-andré Deleu - One of the best experts on this subject based on the ideXlab platform.
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Post-sprain versus post-fracture post-traumatic ankle osteoarthritis: Impact on Foot and ankle kinematics and kinetics
Gait and Posture, 2021Co-Authors: Paul-andré Deleu, Thibaut Leemrijse, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Ivan Birch, Jean-luc BesseAbstract:BACKGROUND: Common etiologies for post-traumatic ankle osteoarthritis are ankle fractures and chronic ankle instability. As the nature of trauma is different for these two etiologies, it might be expected that the two subtypes of post-traumatic ankle osteoarthritis would display different Foot mechanics during gait. RESEARCH QUESTION: The objective of this exploratory cross-sectional study was to compare the Foot kinematics and kinetics of patients suffering from post-fracture ankle osteoarthritis with those of patients suffering from post-sprain ankle osteoarthritis. METHODS: Twenty-nine subjects with end-stage post-traumatic ankle osteoarthritis and fifteen asymptomatic control subjects participated in this study. All patients suffered from post-traumatic ankle osteoarthritis secondary to ankle-related fracture (Group 1; n = 15) or to chronic ankle instability (Group 2; n = 14). A four-segment kinematic and kinetic Foot model was used to calculate intrinsic Foot Joint kinematics and kinetics during gait. Vector field statistical analysis MANOVA was used to assess differences between groups for the entire three-component intrinsic Foot Joint angles and moments. RESULTS: MANOVA showed significant differences between the groups. Post-hoc analyses suggested that the differences between post-fracture ankle osteoarthritis group and controls were caused by a combination of less adducted Shank-Calcaneus position and less plantarflexion at this Joint. Post-hoc analyses also suggested that both pathological groups exhibited a decreased plantarflexion moment for Shank-Calcaneus, Chopart, Lisfranc Joints compared to controls. Analyses of both pathological groups versus controls for power suggested lower Shank-Calcaneus and Lisfranc power generation during pre-swing phase. SIGNIFICANCE: No significant differences were found between the two pathological groups in this exploratory study. Alterations in Foot kinematics and kinetics were mainly found about the dorsi-/plantarflexion axis during the pre-swing phase of the stance phase for both pathological groups compared to controls. Observed differences were not limited to the painful ankle Joint, but seem also to have affected the kinetics of the neighbouring Foot Joints.
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The effect of ankle and hindFoot malalignment on Foot mechanics in patients suffering from post-traumatic ankle osteoarthritis
Clinical Biomechanics, 2021Co-Authors: Paul-andré Deleu, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Jean-luc Besse, Laurent Goubau, Thibaut LeemrijseAbstract:Background: Ankle and hindFoot malalignment is a common finding in patients suffering from post-traumatic ankle osteoarthritis. However, no studies have addressed the effect of concomitant Foot deformities on intrinsic Foot kinematics and kinetics. Therefore, the objective of this study was to investigate the effect of ankle and hindFoot malalignment on the kinematics and kinetics of multiple Joints in the Foot and ankle complex in patients suffering from post-traumatic ankle osteoarthritis. Methods: Twenty-nine subjects with post-traumatic ankle osteoarthritis participated in this study. Standardized weight-bearing radiographs were obtained preoperatively to categorize patients as having cavus, planus or neutral ankle and hindFoot alignment, based on 4 X-ray measurements. All patients underwent standard gait assessment. A 4-segment Foot model was used to estimate intrinsic Foot Joint kinematics and kinetics during gait. Statistical parametric mapping was used to compare Foot kinematics and kinetics between groups. Findings: There were 3 key findings regarding overall Foot function in the 3 groups of post-traumatic ankle osteoarthritis: (i) altered frontal and transverse plane inter-segmental angles and moments of the Shank-Calcaneus and Calcaneus-MidFoot Joints in the cavus compared to the planus group; (ii) in cavus OA group, MidFoot-Metatarsus Joint abduction sought to compensate the varus inclination of the ankle Joint; (iii) there were no significant differences in inter-segmental angles and moments between the planus and neutral OA groups. Interpretation: Future studies should integrate assessment of concomitant Foot and ankle deformities in post-traumatic ankle osteoarthritis, to provide additional insight into associated mechanical deficits and compensation mechanisms during gait.
Bernhard Devos Bevernage - One of the best experts on this subject based on the ideXlab platform.
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Post-sprain versus post-fracture post-traumatic ankle osteoarthritis: Impact on Foot and ankle kinematics and kinetics
Gait and Posture, 2021Co-Authors: Paul-andré Deleu, Thibaut Leemrijse, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Ivan Birch, Jean-luc BesseAbstract:BACKGROUND: Common etiologies for post-traumatic ankle osteoarthritis are ankle fractures and chronic ankle instability. As the nature of trauma is different for these two etiologies, it might be expected that the two subtypes of post-traumatic ankle osteoarthritis would display different Foot mechanics during gait. RESEARCH QUESTION: The objective of this exploratory cross-sectional study was to compare the Foot kinematics and kinetics of patients suffering from post-fracture ankle osteoarthritis with those of patients suffering from post-sprain ankle osteoarthritis. METHODS: Twenty-nine subjects with end-stage post-traumatic ankle osteoarthritis and fifteen asymptomatic control subjects participated in this study. All patients suffered from post-traumatic ankle osteoarthritis secondary to ankle-related fracture (Group 1; n = 15) or to chronic ankle instability (Group 2; n = 14). A four-segment kinematic and kinetic Foot model was used to calculate intrinsic Foot Joint kinematics and kinetics during gait. Vector field statistical analysis MANOVA was used to assess differences between groups for the entire three-component intrinsic Foot Joint angles and moments. RESULTS: MANOVA showed significant differences between the groups. Post-hoc analyses suggested that the differences between post-fracture ankle osteoarthritis group and controls were caused by a combination of less adducted Shank-Calcaneus position and less plantarflexion at this Joint. Post-hoc analyses also suggested that both pathological groups exhibited a decreased plantarflexion moment for Shank-Calcaneus, Chopart, Lisfranc Joints compared to controls. Analyses of both pathological groups versus controls for power suggested lower Shank-Calcaneus and Lisfranc power generation during pre-swing phase. SIGNIFICANCE: No significant differences were found between the two pathological groups in this exploratory study. Alterations in Foot kinematics and kinetics were mainly found about the dorsi-/plantarflexion axis during the pre-swing phase of the stance phase for both pathological groups compared to controls. Observed differences were not limited to the painful ankle Joint, but seem also to have affected the kinetics of the neighbouring Foot Joints.
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The effect of ankle and hindFoot malalignment on Foot mechanics in patients suffering from post-traumatic ankle osteoarthritis
Clinical Biomechanics, 2021Co-Authors: Paul-andré Deleu, Laurence Cheze, Alexandre Naaim, Raphaël Dumas, Bernhard Devos Bevernage, Jean-luc Besse, Laurent Goubau, Thibaut LeemrijseAbstract:Background: Ankle and hindFoot malalignment is a common finding in patients suffering from post-traumatic ankle osteoarthritis. However, no studies have addressed the effect of concomitant Foot deformities on intrinsic Foot kinematics and kinetics. Therefore, the objective of this study was to investigate the effect of ankle and hindFoot malalignment on the kinematics and kinetics of multiple Joints in the Foot and ankle complex in patients suffering from post-traumatic ankle osteoarthritis. Methods: Twenty-nine subjects with post-traumatic ankle osteoarthritis participated in this study. Standardized weight-bearing radiographs were obtained preoperatively to categorize patients as having cavus, planus or neutral ankle and hindFoot alignment, based on 4 X-ray measurements. All patients underwent standard gait assessment. A 4-segment Foot model was used to estimate intrinsic Foot Joint kinematics and kinetics during gait. Statistical parametric mapping was used to compare Foot kinematics and kinetics between groups. Findings: There were 3 key findings regarding overall Foot function in the 3 groups of post-traumatic ankle osteoarthritis: (i) altered frontal and transverse plane inter-segmental angles and moments of the Shank-Calcaneus and Calcaneus-MidFoot Joints in the cavus compared to the planus group; (ii) in cavus OA group, MidFoot-Metatarsus Joint abduction sought to compensate the varus inclination of the ankle Joint; (iii) there were no significant differences in inter-segmental angles and moments between the planus and neutral OA groups. Interpretation: Future studies should integrate assessment of concomitant Foot and ankle deformities in post-traumatic ankle osteoarthritis, to provide additional insight into associated mechanical deficits and compensation mechanisms during gait.