Hastings, Clin Biomech (Bristol) 2013 - Kinetics and Kinematics after the Bridle Procedure for Treatment of Traumatic Foot Drop

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Kinetics and Kinematics after the Bridle Procedure for Treatment of Traumatic Foot Drop

Hastings, Johnson, et al.·Clin Biomech (Bristol)·2013·29 citations·Prospective cohort

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Background

The Bridle procedure restores active ankle dorsiflexion through a tri-tendon anastomosis of the tibialis posterior, transferred to the dorsum of the foot, with the peroneus longus and tibialis anterior tendon. Inter-segmental foot motion after the Bridle procedure has not been measured. The purpose of this study is to report kinetic and kinematic variables during walking and heel rise in patients after the Bridle procedure.

Methods

18 Bridle and 10 control participants were studied. Walking and heel rise kinetic and kinematic variables were collected and compared using an ANOVA.

Results

During walking the Bridle group, compared with controls, had reduced ankle power at push-off [2.3 (SD 0.7) W/kg, 3.4 (SD 0.6) W/kg, respectively, P<.01], less hallux extension during swing [-13 (SD 7) , 15 (SD 6) , respectively, P<.01] and slightly less ankle dorsiflexion during swing [6 (SD 4) , 9 (SD 2) , respectively, P=.03].
During heel rise the Bridle group had 4 (SD 6) of forefoot on hindfoot dorsiflexion compared to 8 (SD 3) of plantarflexion in the controls (P<.01).

Conclusions

This study provides evidence that the Bridle procedure restores the majority of dorsiflexion motion during swing. However, plantarflexor function during push-off and hallux extension during swing were reduced during walking in the Bridle group. Abnormal mid-tarsal joint motion, forefoot on hindfoot dorsiflexion instead of plantarflexion, was identified in the Bridle group during the more challenging heel rise task. Intervention after the Bridle procedure must maximize ankle plantarflexor function and midfoot motion should be examined during challenging tasks.

Copyright remains with the authors and publisher.

Kinetics and Kinematics after the Bridle Procedure for Treatment of Traumatic Foot Drop

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Kinetics and Kinematics after the Bridle Procedure for Treatment of Traumatic Foot Drop

Hastings, Johnson, et al.·Clin Biomech (Bristol)·2013·29 citations·Prospective cohort

Free Full Text·DOI·PubMed

|

Background

The Bridle procedure restores active ankle dorsiflexion through a tri-tendon anastomosis of the tibialis posterior, transferred to the dorsum of the foot, with the peroneus longus and tibialis anterior tendon. Inter-segmental foot motion after the Bridle procedure has not been measured. The purpose of this study is to report kinetic and kinematic variables during walking and heel rise in patients after the Bridle procedure.

Methods

18 Bridle and 10 control participants were studied. Walking and heel rise kinetic and kinematic variables were collected and compared using an ANOVA.

Results

During walking the Bridle group, compared with controls, had reduced ankle power at push-off [2.3 (SD 0.7) W/kg, 3.4 (SD 0.6) W/kg, respectively, P<.01], less hallux extension during swing [-13 (SD 7) , 15 (SD 6) , respectively, P<.01] and slightly less ankle dorsiflexion during swing [6 (SD 4) , 9 (SD 2) , respectively, P=.03].
During heel rise the Bridle group had 4 (SD 6) of forefoot on hindfoot dorsiflexion compared to 8 (SD 3) of plantarflexion in the controls (P<.01).

Conclusions

This study provides evidence that the Bridle procedure restores the majority of dorsiflexion motion during swing. However, plantarflexor function during push-off and hallux extension during swing were reduced during walking in the Bridle group. Abnormal mid-tarsal joint motion, forefoot on hindfoot dorsiflexion instead of plantarflexion, was identified in the Bridle group during the more challenging heel rise task. Intervention after the Bridle procedure must maximize ankle plantarflexor function and midfoot motion should be examined during challenging tasks.

Copyright remains with the authors and publisher.

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