The relationship between foot arch measurements and walking parameters in children

BACKGROUND: Walking mechanics are influenced by body morphology. Foot arch height is one aspect of body morphology central to walking. However, generalizations about the relationship between arch height and walking are limited due to previous methodologies used for measuring the arch and the populations that have been studied. To gain the knowledge needed to support healthy gait in children and adults, we need to understand this relationship in unimpaired, typically developing children and adults using dynamic measures. The purpose of the current study was to examine the relationship between arch height and gait in a sample of healthy children and adults using dynamic measures. METHODS: Data were collected from 638 participants (n = 254 children and n = 384 adults) at the Museum of Science, Boston (MOS) and from 18 4- to 8-year-olds at the Motor Development and Motor Control Laboratories. Digital footprints were used to calculate two arch indices: the Chippaux-Smirak (CSI) and the Keimig Indices (KI). The height of the navicular bone was measured. Gait parameters were captured with a mechanized gait carpet at the MOS and three-dimensional motion analyses and in-ground force plates in the Motor Development and Motor Control Laboratories. RESULTS: Linear regression analyses on data from the MOS confirmed that as age increases, step length increases. With a linear mixed effect regression model, we found that individuals who took longer steps had higher arches as measured by the KI. However, this relationship was no longer significant when only adults were included in the model. A model restricted to children found that amongst this sample, those with higher CSI and higher KI values take longer relative step lengths. Data from the Motor Development and Motor Control Laboratories showed that both CSI and KI added to the prediction; children with lower anterior ground reaction forces had higher CSI and higher KI values. Arch height indices were correlated with navicular height. CONCLUSIONS: These results suggest that more than one measure of the arch may be needed elucidate the relationship between arch height and gait.K12 HD055931 - NICHD NIH HHS; K12HD055931 - NICHD NIH HH

Demographic, clinical and antibody characteristics of patients with digital ulcers in systemic sclerosis: data from the DUO Registry

OBJECTIVES: The Digital Ulcers Outcome (DUO) Registry was designed to describe the clinical and antibody characteristics, disease course and outcomes of patients with digital ulcers associated with systemic sclerosis (SSc). METHODS: The DUO Registry is a European, prospective, multicentre, observational, registry of SSc patients with ongoing digital ulcer disease, irrespective of treatment regimen. Data collected included demographics, SSc duration, SSc subset, internal organ manifestations, autoantibodies, previous and ongoing interventions and complications related to digital ulcers. RESULTS: Up to 19 November 2010 a total of 2439 patients had enrolled into the registry. Most were classified as either limited cutaneous SSc (lcSSc; 52.2%) or diffuse cutaneous SSc (dcSSc; 36.9%). Digital ulcers developed earlier in patients with dcSSc compared with lcSSc. Almost all patients (95.7%) tested positive for antinuclear antibodies, 45.2% for anti-scleroderma-70 and 43.6% for anticentromere antibodies (ACA). The first digital ulcer in the anti-scleroderma-70-positive patient cohort occurred approximately 5 years earlier than the ACA-positive patient group. CONCLUSIONS: This study provides data from a large cohort of SSc patients with a history of digital ulcers. The early occurrence and high frequency of digital ulcer complications are especially seen in patients with dcSSc and/or anti-scleroderma-70 antibodies

Electrocardiograma: interpretación básica en podología

Few diagnostic procedures in medicine have presented throughout the years so significant help for the doctor as the electrocardiograma. The facility for its realitation, the absence of secundary effects for being a bloodless procedure and its reliability in the diagnosis of cardiac patology, they do that of it one of the most used complementary diagnostic tests. These advantages it has led the podiatrist to raise its use to as complementary test in preoperatory of chardiacal desease patients, where the preparation of the surgery is more careful. Nevertheless the interpretation of the electrocardiograma is not easy, not all the podiatrist have the basic knowledges necessary for its good interpretation. Because of it this article tries to show some basic notions, in order that the professional (podiatrist in this case), to be able of interpreting these test and to separate the principal signs of the secondary signs, as well as the normal signs of the pathological signs.Pocos procedimientos diagnósticos en medicina han presentado a lo largo de los años una ayuda tan significativa para el médico como el electrocardiograma. La facilidad para su realización, la ausencia de efectos secundarios por tratarse de un procedimiento incruento y su fiabilidad en el diagnóstico de patologías cardiacas, hacen de él una de las pruebas complementarias diagnósticas más utilizadas. Estas ventajas han llevado al podólogo a plantearse su uso como prueba complementaria en preoperatorios de pacientes cardiópatas, donde el planteamiento de la cirugía es más cuidadoso. Sin embargo, la interpretación del electrocardiograma no es fácil, no todos los podólogos poseen los conocimientos básicos necesarios para su buena interpretación. Por eso este artículo pretende dar a conocer unas nociones básicas, para que el profesional sanitario, (podólogo en este caso), sea capaz de interpretar estos trazos por sí mismo y diferenciar lo principal de lo secundario, así como lo normal de lo patológico

Fricción transversa profunda y podología deportiva

It can be asserted that when planning the treatment of sports injuries, the chiropodist has a wide range of therapeutic choices available. Our goal in this essay is to widen a bit more that choice by presenting a technique, that, when properly used and conveniently combined, not only can prove more effective but also, and more importantly, can heal the injury faster, thus reducing considerably the recovery time for the sportsman.A la hora de planificar el tratamiento de las lesiones deportivas, el abanico terapéutico del que dispone el podólogo se puede catalogar como amplio. En este artículo pretendemos ampliar un poco más dicho abanico presentando una técnica que bien utilizada y combinada convenientemente con otras opciones terapéuticas, nos va a proporcionar mayor eficacia y, sobre todo, una mayor rapidez en la recuperación de la lesión, reduciendo, de manera importante el período de inactividad del deportista

Estiramientos miotendinosos en el corredor de fondo

In the last few years the interest about sport activities has increased in parallel with the development of the physical abilities of the sportsmen/women, the equipments and the technical resorts. Perhaps the stress and the sedentary work have had an influence in making the sport a daily necessary way out. As a direct consequence of sporting life and of inappropriate position habits, the muscles may suffer from daily tension. Thereby it is necessary to release the muscles from their tension in order to improve the joints mobility. To this effect, it would be very profitable to incorporate stretching exercise to the daily routine. We usually consider the use of sport shoes, bandaging, sport orthoses, adequate and suitable equipment... Very important to prevent sport injuries. The principal aim of this article will be to gain insights in the importance of stretching in order to avoid sport in juries and its incorporation as a therapy for improving technical running and for the healing of preexisting injuries.El interés por las actividades deportivas ha aumentado en los últimos años paralelamente al mayor desarrollo de las capacidades físicas de los deportistas, de los equipamientos y de los recursos técnicos. Quizás el estrés y el trabajo sedentario han influido para que el deporte constituya una necesidad diaria como vía de escape. Los músculos sufren una tensión cotidiana, tanto por la práctica deportiva como por los hábitos posturales inadecuados. Es necesario así para mejorar la movilidad articular, liberar a los músculos de esta tensión, siendo importante la incorporación de ejercicios de estiramientos miotendinosos como rutina. Generalmente, consideramos importante para prevenir lesiones deportivas, el uso de calzado deportivo específico, vendajes funcionales, ortesis deportivas, equipamiento adecuado y adaptado... El obetivo de este artículo será entender la importancia del estiramiento como piedra clave para prevenir lesiones deportivas y la incorporación del mismo, tanto como terapéutica para mejorar la técnica de la carrera o de cualquier otro gesto deportivo, como para favorecer la curación de posibles lesiones ya instauradas

Ayudas técnicas para la marcha en el paciente geriátrico

The technical assistances for walking are devices that provide additional supports from the body to the ground during gait development. Their functions lie in allowing the displacement and the mobility of the body. The senile walking could be considered as an amount of events that can have all-embracing and psychosocial negative effects on the geriatric patient. In the present study we have developed a technical assitances classification that defines several devices as walkers, a modified cane, an unipodal cane, an English cane and a crutch. All these new definitions have been made following stability criteria.Las ayudas técnicas para la marcha son dispositivos que proporcionan durante el desarrollo de la marcha, un apoyo adicional del cuerpo al suelo. Su misión consiste en permitir el desplazamiento y la movilidad. La marcha senil puede considerarse como un conjunto de acontecimientos que pueden afectar negativamente al paciente geriátrico desde una perspectiva integral, biopsicosocial. La clasificación sobre ayudas técnicas que desarrollamos en este artículo definen dispositivos como los andadores, bastón modificado, bastón unipodal, bastón inglés y muletas, encuadrándolos según criterios de estabilidad

Elucidating the burden of recurrent and chronic digital ulcers in systemic sclerosis: long-term results from the DUO Registry

Objectives Digital ulcers (DUs) occur in up to half of patients with systemic sclerosis (SSc) and may lead to infection, gangrene and amputation with functional disability and reduced quality of life. This study has elucidated the burden of SSc-associated DUs through identification of four patient categories based on the pattern of DU recurrence over a 2-year observation period.Methods Patients with SSc-associated DUs enrolled in the Digital Ulcers Outcome Registry between 1 April 2008 and 19 November 2013, and with 2years of observation and 3 follow-up visits during the observation period were analysed. Incident DU-associated complications were recorded during follow-up. Work and daily activity impairment were measured using a functional assessment questionnaire completed by patients after the observation period. Potential factors that could predict incident complications were identified in patients with chronic DUs.Results From 1459 patients, four DU occurrence categories were identified: 33.2% no-DU; 9.4% episodic; 46.2% recurrent; 11.2% chronic. During the observation period, patients from the chronic category had the highest rate of incident complications, highest work impairment and greatest need for help compared with the other categories. Independent factors associated with incident complications included gastrointestinal manifestations (OR 3.73, p=0.03) and previous soft tissue infection (OR 5.86, p=0.01).Conclusions This proposed novel categorisation of patients with SSc-associated DUs based on the occurrence of DUs over time may help to identify patients in the clinic with a heavier DU burden who could benefit from more complex management to improve their functioning and quality of life

ESICM LIVES 2016: part two : Milan, Italy. 1-5 October 2016.

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