Evaluation of stability of the subjects with toe in gait due to increase in femoral head anteversion angle during quiet standing

Authors

  • Mohammad Karimi Shiraz University
  • Keyvan Sharifmoradi
  • Maziar Sharbafi Lauflabor Locomotion Lab, Institute of Sport Science, Centre for Cognitive Science, Technische Universität Darmstadt, Germany

DOI:

https://doi.org/10.47197/retos.v49.96838

Keywords:

toe in gait, stability, standing

Abstract

Background: Toe in gait may be due to metatarsus adductus, increase in tibia torsion and femoral anteversion. It is controversial that it influences on standing stability or not. Therefore, the aim of this study was to evaluate the effects of toe in gait, due to increase in femoral head anteversion, on standing stability. Method: 11 subjects with toe in gait due to increase in femoral head anteversion were recruited in this study. There was also a control group matched with the toe in gait group. A Kistler force plate was used to evaluate stability of the subjects during quiet standing based on center of pressure (COP) sways. Results: The mean values of center of pressure (COP) excursion in anteroposterior direction was 14.41±4.66 and 23.41± 8.17 mm in normal and those with toe in gait, respectively (p-value <0.05). The difference between COP excursion in mediolateral direction in both group was not significant (p-value=0.085). There was a significant difference between velocity and path length of COP in both planes between the groups (p-value<0.05). Conclusion: Based on the results of this study, the subjects with toe in gait due to increase in femoral head anteversion are more unstable in quiet standing than normal subjects.

Author Biographies

Keyvan Sharifmoradi

 

 

Maziar Sharbafi, Lauflabor Locomotion Lab, Institute of Sport Science, Centre for Cognitive Science, Technische Universität Darmstadt, Germany

Lauflabor Locomotion Lab, Institute of Sport Science, Centre for Cognitive Science, Technische Universität Darmstadt, Germany

 

References

Li YH, Leong JC. Intoeing gait in children. Hong Kong medical journal = Xianggang yi xue za zhi. 1999 Dec;5(4):360-6.

Kamegaya M, Shinohara Y. Gait disorders and leg deformities in children. Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association. 2002;7(1):154-9.

Cibulka MT. Determination and significance of femoral neck anteversion. Physical therapy. 2004 Jun;84(6):550-8.

Rethlefsen SA, Healy BS, Wren TA, Skaggs DL, Kay RM. Causes of intoeing gait in children with cerebral palsy. The Journal of bone and joint surgery American volume. 2006 Oct;88(10):2175-80.

Yue Zhou, Chen J-X, editors. Stress distribution on the femoral head at different anteversion angle: A finite element analysis. International Conference on Advanced Mechatronic Systems (ICAMechS); 2013; Luoyang, China: IEEE.

Zandi B, Hozhabri H. Correlation between Femoral Neck Anteversion in Patients with Osteoarthritis of the Hip and Normal Controls. Journal of Patient Safety & Quality Improvement. 2015;3(2):206-10.

Terjesen T, Benum P, Anda S, Svenningsen S. Increased Femoral Anteversion and Osteoarthritis of the Hip Joint. Acta orthopaedica Scandinavica. 1982 1982/01/01;53(4):571-5.

Steindl R, Ulmer H, Scholtz A. Standing stability in children- and young adults. Influence of proprioceptive, visual and vestibular systems in age- and sex dependent changes]. HNO. 2004 06/01;52:423-30.

Simic M, Wrigley TV, Hinman RS, Hunt MA, Bennell KL. Altering foot progression angle in people with medial knee osteoarthritis: the effects of varying toe-in and toe-out angles are mediated by pain and malalignment. Osteoarthritis and Cartilage. 2013 2013/09/01/;21(9):1272-80.

Khan SJ, Khan SS, Usman J. The effects of toe-out and toe-in postures on static & dynamic balance, risk of fall and TUG score in healthy adults. The Foot. 2019 2019/06/01/;39:122-8.

Karimi MT, Solomonidis S. The relationship between parameters of static and dynamic stability tests. J Res Med Sci. 2011;16(4):530-5.

Karimi M, Esrafilian A. Evaluation of the stability of normal subjects and patients with Perthes and spinal cord injury disorders during short and long periods of time. Prosthetics and Orthotics International. 2012 2013/02/01;37(1):22-9.

Karimi MT, Amiri P, Esrafilian A, Sedigh J, Fatoye F. Performance of spinal cord injury individuals while standing with the Mohammad Taghi Karimi reciprocal gait orthosis (MTK-RGO). Australasian physical & engineering sciences in medicine. 2013 Mar;36(1):35-42.

Downloads

Published

2023-06-28

How to Cite

Karimi, M., Sharifmoradi, K. ., & Sharbafi, M. . (2023). Evaluation of stability of the subjects with toe in gait due to increase in femoral head anteversion angle during quiet standing. Retos, 49, 782–785. https://doi.org/10.47197/retos.v49.96838

Issue

Section

Original Research Article