Reliability of three foot models to examine paediatric gait

Abstract

Background A variety of multi-segmental foot models have been produced to examine patterns of foot segmental movement during gait cycle to identify biomechanical differences between normal and pathological foot function[1-3]. The reliability of foot models to accurately describe motion of the foot joints is dependent on the ability of the examiner to repeatedly apply markers to specific landmarks and the relevance of models’ segmental descriptions to underlying anatomy. The aim of this study was to test the reliability of segmental angles measured by three published foot models during paediatric gait. Materials and methods Sixteen children, aged 6 to 12 years old, were recruited to the study. Marker sets for three foot models 3DFoot [1], Oxford Foot Model (OFM)[2], and Kinfoot[3] were applied to their right feet simultaneously which to the authors knowledge, is the first direct comparison of the three models during gait. Each foot model was assessed for repeatability of maximal joint angle and range of motion during the gait cycle between two testing occasions. Absolute angular differences and standard error of measurement (SEM) are reported. Results Repeatability of all maximal segmental angles and range of motions were higher in 3DFoot compared to OFM and Kinfoot (Table 1)

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