Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-23311
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dc.contributor.authorSommer, Bettina-
dc.contributor.authorHollenstein, Andreas-
dc.contributor.authorGraf, Eveline-
dc.date.accessioned2021-10-15T12:41:50Z-
dc.date.available2021-10-15T12:41:50Z-
dc.date.issued2021-
dc.identifier.issn0966-6362de_CH
dc.identifier.issn1879-2219de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/23311-
dc.description.abstractBackground: 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.de_CH
dc.language.isoende_CH
dc.publisherElsevierde_CH
dc.relation.ispartofGait & Posturede_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectAchilles tendonde_CH
dc.subjectAchilles tendon injuryde_CH
dc.subjectStability bootde_CH
dc.subjectGait analysisde_CH
dc.subject.ddc610: Medizin und Gesundheitde_CH
dc.titleStability boots for the treatment of Achilles tendon injuries : gait analysis of healthy participantsde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
dc.identifier.doi10.1016/j.gaitpost.2021.10.009de_CH
dc.identifier.doi10.21256/zhaw-23311-
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end136de_CH
zhaw.pages.start131de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume91de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedG: IPT: Interventionde_CH
zhaw.funding.zhawKünzli Rehab Absolutde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Sommer, B., Hollenstein, A., & Graf, E. (2021). Stability boots for the treatment of Achilles tendon injuries : gait analysis of healthy participants. Gait & Posture, 91, 131–136. https://doi.org/10.1016/j.gaitpost.2021.10.009
Sommer, B., Hollenstein, A. and Graf, E. (2021) ‘Stability boots for the treatment of Achilles tendon injuries : gait analysis of healthy participants’, Gait & Posture, 91, pp. 131–136. Available at: https://doi.org/10.1016/j.gaitpost.2021.10.009.
B. Sommer, A. Hollenstein, and E. Graf, “Stability boots for the treatment of Achilles tendon injuries : gait analysis of healthy participants,” Gait & Posture, vol. 91, pp. 131–136, 2021, doi: 10.1016/j.gaitpost.2021.10.009.
SOMMER, Bettina, Andreas HOLLENSTEIN und Eveline GRAF, 2021. Stability boots for the treatment of Achilles tendon injuries : gait analysis of healthy participants. Gait & Posture. 2021. Bd. 91, S. 131–136. DOI 10.1016/j.gaitpost.2021.10.009
Sommer, Bettina, Andreas Hollenstein, and Eveline Graf. 2021. “Stability Boots for the Treatment of Achilles Tendon Injuries : Gait Analysis of Healthy Participants.” Gait & Posture 91: 131–36. https://doi.org/10.1016/j.gaitpost.2021.10.009.
Sommer, Bettina, et al. “Stability Boots for the Treatment of Achilles Tendon Injuries : Gait Analysis of Healthy Participants.” Gait & Posture, vol. 91, 2021, pp. 131–36, https://doi.org/10.1016/j.gaitpost.2021.10.009.


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