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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Stability boots for the treatment of Achilles tendon injuries : gait analysis of healthy participants
Authors: Sommer, Bettina
Hollenstein, Andreas
Graf, Eveline
et. al: No
DOI: 10.1016/j.gaitpost.2021.10.009
Published in: Gait & Posture
Volume(Issue): 91
Page(s): 131
Pages to: 136
Issue Date: 2021
Publisher / Ed. Institution: Elsevier
ISSN: 0966-6362
Language: English
Subjects: Achilles tendon; Achilles tendon injury; Stability boot; Gait analysis
Subject (DDC): 610: Medicine and health
Abstract: Background: Achilles tendon injuries are commonly treated with stability boots that secure the ankle at a specific position and aim to reduce loading of the tendon. These boots allow full weight bearing by limiting the range of movement. It is, however, unknown, to what extent these boots can reduce tendon loading and if the biomechanics are altered during walking. Research question: How do orthopedic boots influence lower extremity biomechanics during walking? Methods: For this cross-sectional study, ten healthy participants walked with three orthopedic boots (Oped Vacoped, Kuenzli Ortho Rehab Absolut, Orthotech Variostabil) commonly used to treat Achilles tendon injuries. Kinematics and kinetics of the lower extremity of the booted leg and spatiotemporal parameters of both sides were collected using motion-capturing system and dynamometry. Each boot was tested in the maximally plantarflexed position. Group differences between boot conditions were analyzed by means of repeated-measures ANOVA and post-hoc paired t-test. Results: The boot dorsiflexion range of motion differed significantly between boots with Vacoped (1.8 ° (0.3)) showing the smallest range, followed by Kuenzli (5.0 ° (1.3)) and Orthotech (7.9 ° (1.7)). Orthotech displayed a higher peak plantarflexion moment (1.36 Nm/kg (0.09)) than both Kuenzli (1.06 Nm/kg (0.12)) and Vacoped (1.04 Nm/kg (0.14)). Concerning loading over time, significant differences in the plantarflexion impulse were found, with the highest impulse in Vacoped (0.42 Nms/kg (0.06)), followed by Orthotech (0.29 Nms/kg (0.03)) and Kuenzli (0.25 Nms/kg (0.05)). In addition, asymmetries were seen in stance and step length for the booted and contralateral sides. Significance: The lower extremity biomechanics were affected by the boots, with Kuenzli showing the lowest joint loading, Vacoped the smallest joint motion and Orthotech the most natural gait pattern. Future research is needed to determine the most relevant variable expressing the risk of re-rupture of the Achilles tendon in order to conclude which boot may be most favorable to use in clinical practice.
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Published as part of the ZHAW project: Künzli Rehab Absolut
Appears in collections:Publikationen Gesundheit

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