Exploring the Effect of Ankle Braces on Foot Posture

dc.contributor.authorDickerson, Laura Carrollen
dc.contributor.committeechairQueen, Robin M.en
dc.contributor.committeememberWilliams, Christopher B.en
dc.contributor.committeememberLeonessa, Alexanderen
dc.contributor.departmentMechanical Engineeringen
dc.date.accessioned2021-10-21T06:00:06Zen
dc.date.available2021-10-21T06:00:06Zen
dc.date.issued2020-04-28en
dc.description.abstractFoot posture is an important characteristic that can affect kinematics, plantar loading, and injury risk. Arch height is one common aspect of foot posture, and it is estimated that about 60% of the population has normal arches while 40% of the population is either pes planus or pes cavus. It is important to be able to accurately and reliably assess foot posture characteristics in order to propose interventions that could prevent injuries due to abnormal foot alignment. However, despite multiple classification metrics, many of the devices that are commonly used for foot posture measurements are not economically feasible for smaller clinics or research labs. Therefore, the first purpose of this study was to develop an affordable device to measure different foot posture characteristics. The Foot Posture Measurement System was developed and can measure total foot length, truncated foot length, foot width, dorsum height, and navicular height. This system was shown to have good to excellent validity (ICC = 0.908-0.994) and repeatability (ICC = 0.867-0.996) when compared to a 3D scanner. This device was then used in the second portion of this study, which evaluated the effects of ankle braces on plantar loading patterns in individuals with different foot postures. Contact area, peak force, force-time integral, and center of pressure were evaluated during a walk, run, and cut while the participant was unbraced, wearing a lace-up stabilizer brace, and wearing a semi-rigid brace. It was demonstrated that arch height did affect the maximum plantar forces during all tasks (p=0.001-0.047), as hypothesized based on previous studies. Additionally, this study found that ankle braces affected contact area (p=0.001-0.0014), maximum force (p<0.001 – p=0.043), and force-time integral (p<0.001 – p=0.015) during the walk, run, and cut. This is a novel finding and points to the potential for an impact of ankle braces on plantar loading during athletic activities, independent of foot type.en
dc.description.abstractgeneralFoot posture is an important characteristic that can affect daily life and contribute to the risk of injury. Arch height is one common aspect of foot posture, and it is estimated that about 60% of the population has normal arches while 40% of the population is either high arched or low arched/flat footed. It is important to be able to accurately and reliably assess foot posture characteristics in order to propose interventions that could prevent injuries due to abnormal foot alignment. However, despite multiple classification metrics, many of the devices that are commonly used for foot posture measurements are not economically feasible for smaller clinics or research labs. Therefore, the first purpose of this study was to develop an affordable device to measure different foot posture characteristics. The Foot Posture Measurement System was developed and can measure five different length, width, and height characteristics of the foot. This system was shown to be valid when compared to a 3D scanner and repeatable between days. This device was then used in the second portion of this study, which evaluated the effects of ankle braces on individuals with different foot postures. Four different force and pressure variables were examined within the foot during a walk, run, and cut while the participant was unbraced, wearing a lace-up stabilizer brace, and wearing a semi-rigid brace. It was shown that arch height did alter plantar loading measures during all tasks, as hypothesized based on previous studies. Additionally, this study found that ankle braces affected all variables during the walk, run, and cut. This is a novel finding and points to the potential for an impact of ankle braces on plantar loading during athletic activities, independent of foot type.en
dc.description.degreeMaster of Scienceen
dc.format.mediumETDen
dc.identifier.othervt_gsexam:25227en
dc.identifier.urihttp://hdl.handle.net/10919/105618en
dc.publisherVirginia Techen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectfoot measurementen
dc.subjectankle braceen
dc.subjectarch heighten
dc.subjectplantar loadingen
dc.titleExploring the Effect of Ankle Braces on Foot Postureen
dc.typeThesisen
thesis.degree.disciplineMechanical Engineeringen
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.levelmastersen
thesis.degree.nameMaster of Scienceen

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