Year 2021 / Volume 32 / Number 2

Original Papers

Kinematic analysis of ankle and midfoot joints in children with osteogenesis imperfecta

Rev. Esp. Pod. 2021; 32(2): 99-105 / DOI: 10.20986/revesppod.2021.1603/2021

Ester Sánchez Márquez, Jorge Gómez Triguero, María Teresa Arribas Cordero, Ignacio Martínez Caballero, Sergio Lerma Lara


ABSTRACT

Objectives: Osteogenesis imperfecta (OI) is a genetic disease affecting the synthesis of type I collagen molecules and is characterized by the existence of persistent bone fragility. The aim of this study was to assess objectively the kinematics of the ankle joint and foot of children with osteogenesis imperfecta by three-dimensional motion analysis.
Patients and methods: The gait of ten children with OI and nine typically developing children were compared. Three-dimensional motion analysis was performed using the Multisegment Foot Model to quantify kinematic differences in the sagittal and transverse planes of motion of the ankle joint and foot during walking.
Results: The dynamic range of motion in the sagittal plane while statistically significant was not clinically relevant. However, the midfoot joint (forefoot relative to hindfoot) dynamic range of motion in the sagittal and transverse plane showed hypermobility, with variables related to altered joint biomechanics of the foot and spatial and temporal variables of gait being clinically relevant.
Conclusions: The children with Osteogenesis Imperfecta studied had kinematic alterations at the level of the ankle and midfoot consisting of increased mobility in both the sagittal and transverse planes.



RESUMEN

Objetivos: La osteogénesis imperfecta (OI) es una enfermedad de origen genético que afecta a la síntesis del colágeno de tipo I y se caracteriza por la existencia de una fragilidad ósea persistente. El objetivo de este estudio fue evaluar objetivamente la cinemática de la articulación del tobillo y el pie de niños con osteogénesis imperfecta mediante un análisis tridimensional de movimiento.
Pacientes y métodos: Se comparó la marcha de diez niños con OI y nueve niños con desarrollo típico. Se realizó un análisis de movimiento tridimensional utilizando el modelo de pie de dos segmentos para cuantificar las diferencias cinemáticas en los planos sagital y transversal del movimiento de la articulación del tobillo y del pie durante la marcha.
Resultados: La amplitud de movimiento dinámico en el plano sagital, aunque estadísticamente significativa, no lo fue clínicamente. Sin embargo, la amplitud de movimiento dinámico de la articulación del mediopié (antepié en relación con el retropié) en el plano sagital y transversal mostró hipermovilidad, siendo clínicamente relevantes las variables relacionadas con la alteración de la biomecánica articular del pie y las variables espaciales y temporales de la marcha.
Conclusiones: Los niños con osteogénesis imperfecta estudiados presentan alteraciones cinemáticas a nivel del tobillo y el mediopié consistentes en un aumento de la movilidad tanto en el plano sagital como en el plano transverso.


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Instrucciones para citar

Sánchez Márquez E, Gómez Triguero J, Arribas Cordero M, Martínez Caballero I, Lerma Lara S. Kinematic analysis of ankle and midfoot joints in children with osteogenesis imperfecta. Rev Esp Pod 2021; 32(2): 99-105 / DOI: 1020986/revesppod20211603/2021


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Recibido: 29/04/2021

Aceptado: 17/06/2021

Prepublicado: 11/11/2021

Publicado: 28/12/2021

Tiempo de revisión del artículo: 47 días

Tiempo de prepublicación: 196 días

Tiempo de edición del artículo: 243 días


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2024 Revista Española de Podología
ISSN: 0210-1238   e-ISSN: 2695-463X

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