Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report

The forefoot plays an important role in providing body support and propulsion during walking. We investigated the effect of forefoot dysfunction on the gait pattern of a young adult with partial bilateral amputation of the toes. We measured our participant’s gait kinematics during barefoot and shod...

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Autores principales:	Wanda Forczek-Karkosz, Simon Taylor, Anna Kicka, Germana Cappellini, Arthur H. Dewolf, Yury Ivanenko
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	locomotion forefoot function toe amputation humans Mathematics QA1-939
Acceso en línea:	https://doaj.org/article/4983a71973f64050924e5bf731d40aa6
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id	oai:doaj.org-article:4983a71973f64050924e5bf731d40aa6
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spelling	oai:doaj.org-article:4983a71973f64050924e5bf731d40aa62021-11-25T19:06:27ZAdjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report10.3390/sym131120652073-8994https://doaj.org/article/4983a71973f64050924e5bf731d40aa62021-11-01T00:00:00Zhttps://www.mdpi.com/2073-8994/13/11/2065https://doaj.org/toc/2073-8994The forefoot plays an important role in providing body support and propulsion during walking. We investigated the effect of forefoot dysfunction on the gait pattern of a young adult with partial bilateral amputation of the toes. We measured our participant’s gait kinematics during barefoot and shod overground walking and analysed time-distance and joint range of motion (RoM) parameters against a group of healthy adults. Forefoot dysfunction gait is improved by footwear and walking experience; however, this improvement was still remarkably different (exceeded 95% CI) when compared to healthy gait at matching walking speed. Compared to healthy gait, walking barefoot had a slower speed and a 30% reduction in ankle and knee joint RoM, but a larger hip RoM. Shod gait resulted in a remarkable increase in ankle RoM and walking speed compared to barefoot gait. These results are consistent with the important role of the forefoot (tarsals and metatarsophalangeal joints) and suggest that footwear can facilitate gait function following toe amputation.Wanda Forczek-KarkoszSimon TaylorAnna KickaGermana CappelliniArthur H. DewolfYury IvanenkoMDPI AGarticlelocomotionforefoot functiontoe amputationhumansMathematicsQA1-939ENSymmetry, Vol 13, Iss 2065, p 2065 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	locomotion forefoot function toe amputation humans Mathematics QA1-939
spellingShingle	locomotion forefoot function toe amputation humans Mathematics QA1-939 Wanda Forczek-Karkosz Simon Taylor Anna Kicka Germana Cappellini Arthur H. Dewolf Yury Ivanenko Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report
description	The forefoot plays an important role in providing body support and propulsion during walking. We investigated the effect of forefoot dysfunction on the gait pattern of a young adult with partial bilateral amputation of the toes. We measured our participant’s gait kinematics during barefoot and shod overground walking and analysed time-distance and joint range of motion (RoM) parameters against a group of healthy adults. Forefoot dysfunction gait is improved by footwear and walking experience; however, this improvement was still remarkably different (exceeded 95% CI) when compared to healthy gait at matching walking speed. Compared to healthy gait, walking barefoot had a slower speed and a 30% reduction in ankle and knee joint RoM, but a larger hip RoM. Shod gait resulted in a remarkable increase in ankle RoM and walking speed compared to barefoot gait. These results are consistent with the important role of the forefoot (tarsals and metatarsophalangeal joints) and suggest that footwear can facilitate gait function following toe amputation.
format	article
author	Wanda Forczek-Karkosz Simon Taylor Anna Kicka Germana Cappellini Arthur H. Dewolf Yury Ivanenko
author_facet	Wanda Forczek-Karkosz Simon Taylor Anna Kicka Germana Cappellini Arthur H. Dewolf Yury Ivanenko
author_sort	Wanda Forczek-Karkosz
title	Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report
title_short	Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report
title_full	Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report
title_fullStr	Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report
title_full_unstemmed	Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report
title_sort	adjustments in the range of angular motion during walking after amputation of the toes: a case report
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/4983a71973f64050924e5bf731d40aa6
work_keys_str_mv	AT wandaforczekkarkosz adjustmentsintherangeofangularmotionduringwalkingafteramputationofthetoesacasereport AT simontaylor adjustmentsintherangeofangularmotionduringwalkingafteramputationofthetoesacasereport AT annakicka adjustmentsintherangeofangularmotionduringwalkingafteramputationofthetoesacasereport AT germanacappellini adjustmentsintherangeofangularmotionduringwalkingafteramputationofthetoesacasereport AT arthurhdewolf adjustmentsintherangeofangularmotionduringwalkingafteramputationofthetoesacasereport AT yuryivanenko adjustmentsintherangeofangularmotionduringwalkingafteramputationofthetoesacasereport
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Adjustments in the Range of Angular Motion during Walking after Amputation of the Toes: A Case Report

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