ArticleGait & posture2019
Effects of a corrective heel lift with an orthopaedic walking boot on joint mechanics and symmetry during gait.
Article in Gait & posture, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed.
- Measurement of plantar pressure differences in the contralateral limb when using offloading modalities for diabetic foot ulcerations.Journal of foot and ankle research · 2025Trial
- Impact of Contralateral Shoe Lifts on Gait Parameters and Mechanics When Wearing a Controlled Ankle Movement (CAM) Boot.Foot & ankle orthopaedics · 2025Article
- A Comprehensive Review of Vision-Based Sensor Systems for Human Gait Analysis.Sensors (Basel, Switzerland) · 2025Review
- Pedobarographic evaluation of five commonly used orthoses for the lower extremity.Archives of orthopaedic and trauma surgery · 2023Article
- Gait symmetry - A valid parameter for pre and post planning for total knee arthroplasty.Journal of musculoskeletal & neuronal interactions · 2022Article
- Effect of Leg Length-Evening Device on Perceived Balance in Patients Wearing a Controlled Ankle Motion Boot.Foot & ankle orthopaedics · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundOrthopaedic walking boots are commonly prescribed following injury and surgery. The boot creates a leg length discrepancy which is thought to affect limb symmetry and gait mechanics. This study aimed to examine the effects of a corrective heel lift for the contralateral limb on the mechanics and symmetry of walking with an orthopaedic walking boot. RESEARCH QUESTION: Does a corrective heel lift reduce biomechanical alterations and asymmetries caused by an orthopaedic boot during gait?
methodsHealthy males (n=17) walked with normal shoes (Shod), an orthopaedic boot (Boot), and a corrective heel lift on the contralateral limb to the boot (Lift). A 10-camera motion capture system (Vicon, 100Hz) and four force platforms (AMTI, 1000 Hz) recorded lower extremity biomechanics. Pairwise statistics tested for differences in hip and knee kinematics and kinetics, and a symmetry index quantified limb symmetry.
findingsThe Boot affected the sagittal and frontal plane hip mechanics and transverse plane knee mechanics (p<0.05), and increased the asymmetry compared to the Shod condition. The Lift improved the symmetry of some measures but increased the frontal plane hip asymmetry compared to the Boot. However, introducing the Lift did not change all kinematic variables affected by the boot. SIGNIFICANCE: The Lift reduced some of the asymmetries introduced by the Boot, but also introduced new asymmetry in the hip frontal plane motion. The leg length discrepancy caused by the boot is probably not the only cause of altered gait mechanics. Prescribing a heel lift to a patient with an orthopaedic walking boot should be based on the individual patient's needs.
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Registered trials
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