Kinematics reduction applied to the comparison of highly-pronated, normal and highly-supinated feet during walking.

BACKGROUND

Kinematic analysis could help to study how variations in the static foot posture affect lower limb biomechanical function. The analysis of foot kinematics is complex because it involves managing the time-dependent joint angles in different joints and in all three planes of motion. But it could be simplified if joint angles are coordinated.

METHODS

The kinematics of the ankle, midtarsal and metatarsophalangeal joints were registered in 20 highly-pronated, 30 normal and 20 highly-supinated subjects (assessed by the Foot Posture Index - FPI) as they walked barefoot. Coordination for each sample was analysed through principal component analysis applied to the dorsiflexion, abduction and inversion angles measured. Finally, a systematic comparison among the samples was performed through a set of ANOVAs applied to the reduced variables corresponding to the factors found.

RESULTS

Three principal components (coordination patterns) accounted for about 70% of the variance of the joint angles, and were affected by the FPI. The main coordination in normal feet was the supination movement, while in highly-supinated and highly-pronated feet it was the flexion coordination of all foot joints, which could work against adaptation in cases of varying terrain. The original joint angles were reduced to three factors, and the ANOVAs applied to them showed that highly-pronated feet presented a delayed propulsion peak and smaller ranges of motion during propulsion regarding all factors, and that highly-supinated feet require more pronation time to fully support the foot during walking.

SIGNIFICANCE

The coordination patterns of normal feet might be considered the normal patterns used for an efficient gait, and may help in planning surgical procedures and designing foot prostheses or orthotics. Dimensional reduction makes it possible to perform more systematic kinematic analyses, which have revealed that highly-pronated feet are in poorer propulsive condition, and this in turn may make them more prone to injury.