Shoes that restrict metatarsophalangeal dorsiflexion cause proximal joint compensations

Thewlis, Dominic, Paul, Gunther, & Bishop, Chris (2012) Shoes that restrict metatarsophalangeal dorsiflexion cause proximal joint compensations. Journal of Foot and Ankle Research, 5(S1), P28.

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To describe barefoot, shod and in-shoe kinematics during stance phase of walking gait in a normal arched adult population.

An equal sample of males and females (n = 24) was recruited. In order to quantify the effect of footwear independent of technical design features, an ASICS shoe (Onitsuka Tiger-Mexico 66, Japan) was used in this study. Markers were applied to three conditions; barefoot, shod, and in-shoe. The calibration markers were used to define static pose. The order of testing was randomised.

Participants completed five trials in each condition. Kinematic data were captured using a 12 camera VICON MX40 motion capture system at 100 Hz and processed in Visual3D. A previously developed model was used to describe joint angles [1]. A univariate two-way ANOVA was used to identify any differences between the pairs of conditions. Post-hoc Sheffé tests were used to further interrogate the data for differences.

At peak hallux dorsiflexion (Figure 1), during propulsion, the metatarsophalangeal joint (MPTJ) was significantly more dorsiflexed in the barefoot condition compared to the shod condition (p = 0.004). At the same gait event, the tibiocalcaneal joint (TCJ) was significantly more plantarflexed than both the shod and in-shoe conditions (p < 0.001), and the tarsometatarsal joint (TMTJ) was significantly less dorsiflexed in the barefoot condition compared to the shod and in-shoe conditions (p < 0.001).

The findings of the current study demonstrate that footwear has significant effects on sagittal plane MPTJ joint dorsiflexion at peak hallux dorsiflexion, which results in compensations at proximal foot joints.

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ID Code: 64801
Item Type: Journal Article
Refereed: Yes
Additional Information: This article is part of the supplement: 3rd Congress of the International Foot and Ankle Biomechanics Community
Keywords: Footwear, Gait Analysis, Shod Foot Motion
DOI: 10.1186/1757-1146-5-S1-P28
ISSN: 1757-1146
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > HUMAN MOVEMENT AND SPORTS SCIENCE (110600) > Biomechanics (110601)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2012 Thewlis et al; licensee BioMed Central Ltd.
Copyright Statement: This is an Open Access article distributed under the terms of the Creative Commons
Attribution License (, which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.
Deposited On: 26 Nov 2013 22:46
Last Modified: 18 Dec 2013 03:47

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