Calders, Patrick

De Paepe, Anne

De Schepper, Joris

Malfait, Fransiska

Rombaut, Lies

Verschelde, Sabine

English

Ghent University Academic Bibliography

SYMMETRIE OF FOOTALIGNMENT AND ANKLE FLEXIBILITY  IN FEMALE PATIENTS WITH EHLERS DANLOS SYNDROME – HYPERMOBILE TYPE  INTRODUCTION METHODOLOGY    AIM OF THIS STUDY This study was conducted to assess whether female  patients with EDS-HT exhibit a symmetrical pattern at the level of  (1) static foot posture  and  (2) dynamic ankle flexibility.  RESULTS Campus Kantienberg Voetweg 66 9000 Gent joris.deschepper@arteveldehs.be Joris.deschepper@ugent.be www.arteveldehs.be  De Schepper J. (1,2), Verschelde S. (1), Malfait F. (3), De Paepe A. (3), Rombaut L. (2,1), Calders P.(2,1)   1, Department of Podiatry, Artevelde University College, Ghent, Belgium; 2, Department of Rehabilitation Sciences and Physiotherapy – Artevelde University College, Ghent University, Ghent, Belgium; 3, Center for Medical Genetics, Ghent University, Ghent, Belgium CONCLUSION Subjects :  Twenty-three  female  EDS-HT patients (age : 44.3±12.3; Beighton Scale  6.3±1.9) and 23 age matched healthy controls (age : 44.7±12.3; Beighton Scale  2.8±1.8) were recruited.  Materials :  - The ‘Foot Posture Index 6’  (FPI-6) was conducted regarding foot alignment.  This test contains 6 items which are scored from 0 (neutral)  to -2 (supination) and to +2 (pronation). A sum score will be reported. - The ‘Lunge Test’ was carried out for determining ankle dorsi flexion range of motion in a weight-bearing position.   For both test,  mean side-to-side differences (expressing symmetry) between both feet are expressed as the ‘foot symmetry index’ (%FSI).  Between-group analysis showed no significant differences (for static posture and dynamic ankle flexibility) despite their hypermobility background.  Female patients with EDS-HT exhibit symmetrical static foot alignment.  For dynamic ankle range of motion a significant asymmetry was observed for the EDS-HT group. As within the dynamic situation a significant asymmetry was observed, further research on kinematics and kinetics for this population should focus on both, left and right limb.  (1) Comparing  actual observed FPI-6 scores for the left and right foot in the EDS-HT group, a MEAN(SD) of 3,83(± 3,75) resp. 4,07(± 3,05), was recorded. This was not significantly different from the control FPI-6 scores 2,93(± 2,06) resp. 2,98(± 2,07). As the observed results are situated between 0 and 5 we can conclude that the feet are relatively ‘neutral’, not having a tendency towards pronated position nor supinated position. The calculated  %FSI for the mean FPI-6  was 94% for the EDS-HT group compared to 98% for the control indicating a slightly  larger left-right  variation for the EDS-HT group.  (2) The calculated %FSI for the Lunge test reported a 107% resp. 99% indicating a more asymmetric dynamic outcome for the EDS-HT group compared to the control group. The observed Lunge test data showed a significant different mean angle within the EDS-HT group for the left and right ankle joint of  47,8°(± 9,89°) resp. 44,79°(± 7,67°), (p=0.00) . For the control group no clear  significant differences were demonstrated ( 47,93°(± 7,41°) resp. 48,02°(± 7,86°).  EDS-HT has a large influence on the musculoskeletal system in general. Influences on lower limb, more specific on static foot alignment and dynamic ankle flexibility has not yet  been evaluated. Inter subject level in variation of symmetry of static foot alignment and dynamic  ankle flexibility,  across this clinical population is unknown.  

Symmetry of footalignment and ankle flexibility in female patients with Ehlers Danlos Syndrome-Hypermobile Type

https://biblio.ugent.be/publication/2999440/file/2999987.pdf

Symmetry of footalignment and ankle flexibility in female patients with Ehlers Danlos Syndrome-Hypermobile Type

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Ghent University Academic Bibliography