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Journal of Foot and Ankle Research

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Open Access 01-12-2018 | Methodology

A minimal markerset for three-dimensional foot function assessment: measuring navicular drop and drift under dynamic conditions

Authors: Patric Eichelberger, Angela Blasimann, Nicole Lutz, Fabian Krause, Heiner Baur

Published in: Journal of Foot and Ankle Research | Issue 1/2018

Abstract

Background

The validity of predicting foot pronation occurring mainly at the midfoot by surrogate measures from the rearfoot, like eversion excursion, is limited. The dynamic navicular mobility in terms of vertical navicular drop (dNDrop) and medial navicular drift (dNDrift) may be regarded as meaningful clinical indicators to represent overall foot function. This study aimed to develop a minimal approach to measure the two parameters and to examine their intra- and interday reliability during walking.

Methods

The minimal markerset uses markers at the lateral and medial caput of the 1^st and 5^th metatarsals, respectively, at the dorsal calcaneus and at the tuberosity of the navicular bone. Dynamic navicular drop and drift were assessed with three-dimensional motion capture in 21 healthy individuals using a single-examiner test-retest study design.

Results

Intra- and interday repeatability were 1.1 mm (ICC₂₁ 0.97) and 2.3 mm (ICC₂₁ 0.87) for dynamic navicular drop and 1.5 mm (ICC₂₁ 0.96) and 5.3 mm (ICC₂₁ 0.46) for dynamic navicular drift. The contribution of instrumental errors was estimated to 0.25 mm for dynamic navicular drop and 0.86 mm for dynamic navicular drift.

Conclusions

Interday reliability was generally worse than intraday reliability primary due to day-to-day variations in movement patterns and the contribution of instrumental errors was below 23% for dynamic navicular drop but reached 57% for dynamic navicular drift. The minimal markerset allows to simply transfer the known concepts of navicular drop and drift from quasi-static clinical test conditions to functional tasks, which is recommended to more closely relate assessments to the functional behavior of the foot.

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Mootanah R, Song J, Lenhoff MW, Hafer JF, Backus SI, Gagnon D, Deland RJT, Hillstrom HJ. Foot type biomechanics part 2: Are structure and anthropometrics related to function?Gait Posture. 2013; 37:452–6.CrossRefPubMed

Kirby KA. Biomechanics of the normal and abnormal foot. J Am Podiatr Med Assoc. 2000; 90(1):30–4. https://doi.org/10.7547/87507315-90-1-30.CrossRefPubMed

Blasimann A, Eichelberger P, Brulhart Y, El-Masri I, Fluckiger G, Frauchiger L, Huber M, Weber M, Krause F, Baur H. Non-surgical treatment of pain associated with posterior tibial tendon dysfunction: study protocol for a randomised clinical trial. J Foot Ankle Res. 2015; 8:37. https://doi.org/10.1186/s13047-015-0095-4.CrossRefPubMedPubMedCentral

Buldt AK, Murley GS, Butterworth P, Levinger P, Menz HB, Landorf KB. The relationship between foot posture and lower limb kinematics during walking: A systematic review. Gait Posture. 2013; 38(3):363–72. https://doi.org/10.1016/j.gaitpost.2013.01.010.CrossRefPubMed

Chuter VH. Relationships between foot type and dynamic rearfoot frontal plane motion. J Foot Ankle Res. 2010; 3:9. https://doi.org/10.1186/1757-1146-3-9.CrossRefPubMedPubMedCentral

Menz HB. Alternative techniques for the clinical assessment of foot pronation. J Am Podiatr Med Assoc. 1998; 88(3):119–29.CrossRefPubMed

Tong JWK, Kong PW. Association between foot type and lower extremity injuries: systematic literature review with meta-analysis. J Orthop Sports Phys Ther. 2013; 43:700–14. https://doi.org/10.2519/jospt.2013.4225.CrossRefPubMed

Razeghi M, Batt ME. Foot type classification: a critical review of current methods. Gait Posture. 2002; 15(3):282–91.CrossRefPubMed

Hoffman SE, Peltz CD, Haladik JA, Divine G, Nurse MA, Bey MJ. Dynamic in-vivo assessment of navicular drop while running in barefoot, minimalist, and motion control footwear conditions. Gait Posture. 2015; 41(3):825–9. https://doi.org/10.1016/j.gaitpost.2015.02.017.CrossRefPubMed

10.

Deschamps K, Staes F, Roosen P, Nobels F, Desloovere K, Bruyninckx H, Matricali GA. Body of evidence supporting the clinical use of 3d multisegment foot models: a systematic review. Gait Posture. 2011; 33(3):338–49. https://doi.org/10.1016/j.gaitpost.2010.12.018.CrossRefPubMed

11.

McPoil TG, Vicenzino B, Cornwall MW, Collins N, Warren M. Reliability and normative values for the foot mobility magnitude: a composite measure of vertical and medial-lateral mobility of the midfoot. J Foot Ankle Res. 2009; 2:6. https://doi.org/10.1186/1757-1146-2-6.CrossRefPubMedPubMedCentral

12.

Simon J, Doederlein L, McIntosh AS, Metaxiotis D, Bock HG, Wolf SI. The heidelberg foot measurement method: development, description and assessment. Gait Posture. 2006; 23(4):411–24. https://doi.org/10.1016/j.gaitpost.2005.07.003.CrossRefPubMed

13.

Brody DM. Techniques in the evaluation and treatment of the injured runner. Orthop Clin North Am. 1982; 13(3):541–58.PubMed

14.

Deng J, Joseph R, Wong CK. Reliability and validity of the sit-to-stand navicular drop test: Do static measures of navicular height relate to the dynamic navicular motion during gait?J Stud Phys Ther Res. 2010; 2(1):21–8.

15.

Dicharry JM, Franz JR, Della Croce U, Wilder RP, Riley PO, Kerrigan DC. Differences in static and dynamic measures in evaluation of talonavicular mobility in gait. J Orthop Sports Phys Ther. 2009; 39(8):628–34. https://doi.org/10.2519/jospt.2009.2968.CrossRefPubMed

16.

Rathleff MS, Nielsen RG, Kersting UG. Navicula drop test ad modum brody: does it show how the foot moves under dynamic conditions?J Am Podiatr Med Assoc. 2012; 102(1):34–8.CrossRefPubMed

17.

Nielsen RG, Rathleff MS, Moelgaard CM, Simonsen O, Kaalund S, Olesen CG, Christensen FB, Kersting UG. Video based analysis of dynamic midfoot function and its relationship with foot posture index scores. Gait Posture. 2010; 31(1):126–30. https://doi.org/10.1016/j.gaitpost.2009.09.012.CrossRefPubMed

18.

Nielsen RG, Rathleff MS, Simonsen O, Langberg H. Determination of normal values for navicular drop during walking: a new model correcting for foot length and gender. J Foot Ankle Res. 2009; 2:12. https://doi.org/10.1186/1757-1146-2-12.CrossRefPubMedPubMedCentral

19.

Rathleff MS, Nielsen RG, Simonsen O, Olesen CG, Kersting UG. Perspectives for clinical measures of dynamic foot function-reference data and methodological considerations. Gait Posture. 2010; 31(2):191–6. https://doi.org/10.1016/j.gaitpost.2009.10.004.CrossRefPubMed

20.

Rathleff MS, Olesen CG, Moelgaard CM, Jensen K, Madeleine P, Olesen JL. Non-linear analysis of the structure of variability in midfoot kinematics. Gait Posture. 2010; 31(3):385–90. https://doi.org/10.1016/j.gaitpost.2010.01.008.CrossRefPubMed

21.

Graham ME, Jawrani NT, Chikka A. Radiographic evaluation of navicular position in the sagittal plane-correction following an extraosseous talotarsal stabilization procedure. J Foot Ankle Surg. 2011; 50:551–7. https://doi.org/10.1053/j.jfas.2011.04.027.CrossRefPubMed

22.

Barton CJ, Kappel SL, Ahrendt P, Simonsen O, Rathleff MS. Dynamic navicular motion measured using a stretch sensor is different between walking and running, and between over-ground and treadmill conditions. J Foot Ankle Res. 2015; 8:5. https://doi.org/10.1186/s13047-015-0063-z.CrossRefPubMedPubMedCentral

23.

Christensen BH, Andersen KS, Pedersen KS, Bengtsen BS, Simonsen O, Kappel SL, Rathleff MS. Reliability and concurrent validity of a novel method allowing for in-shoe measurement of navicular drop. J Foot Ankle Res. 2014; 7(1):12. https://doi.org/10.1186/1757-1146-7-12.CrossRefPubMedPubMedCentral

24.

Cornwall MW, McPoil TG. Relative movement of the navicular bone during normal walking. Foot Ankle Int. 1999; 20:507–12.CrossRefPubMed

25.

Eichelberger P, Lutz N, Blasimann A, Krause F, Baur H. A marker set for clinically focused 3d dynamic foot function assessment. Foot Ankle Surg. 2016; 22(2):108. https://doi.org/10.1016/j.fas.2016.05.286.CrossRef

26.

Keijsers NL, Stolwijk NM, Nienhuis B, Duysens J. A new method to normalize plantar pressure measurements for foot size and foot progression angle. J Biomech. 2009; 42(1):87–90. https://doi.org/10.1016/j.jbiomech.2008.09.038.CrossRefPubMed

27.

Bland JM, Altman DG. Applying the right statistics: analyses of measurement studies. Ultrasound Obstet Gynecol. 2003; 22(1):85–93. https://doi.org/10.1002/uog.122.CrossRefPubMed

28.

Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the sem. J Strength Cond Res. 2005; 19(1):231–40.PubMed

29.

Telfer S, Woodburn J, Turner DE. An ultrasound based non-invasive method for the measurement of intrinsic foot kinematics during gait. J Biomech. 2014; 47(5):1225–8. https://doi.org/10.1016/j.jbiomech.2013.12.014.CrossRefPubMed

30.

Eichelberger P, Ferraro M, Minder U, Denton T, Blasimann A, Krause F, Baur H. Analysis of accuracy in optical motion capture – a protocol for laboratory setup evaluation. J Biomech. 2016; 49:2085–8. https://doi.org/10.1016/j.jbiomech.2016.05.007.CrossRefPubMed

31.

Schwartz MH, Trost JP, Wervey RA. Measurement and management of errors in quantitative gait data. Gait Posture. 2004; 20(2):196–203.CrossRefPubMed

Title: A minimal markerset for three-dimensional foot function assessment: measuring navicular drop and drift under dynamic conditions
Authors: Patric Eichelberger
Angela Blasimann
Nicole Lutz
Fabian Krause
Heiner Baur
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Foot and Ankle Research / Issue 1/2018
Electronic ISSN: 1757-1146
DOI: https://doi.org/10.1186/s13047-018-0257-2

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A minimal markerset for three-dimensional foot function assessment: measuring navicular drop and drift under dynamic conditions

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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