Biomechanical maturation of foot joints in typically developing boys: Novel insight in mechanics and energetics from a cross-sectional study.

Abstract

BACKGROUND\nA growing body of quantitative evidence has been provided regarding age-related differences in plantar foot loading, multi-segment foot kinematics and muscle activity. Fundamental insight into the joint mechanics and energetics of the maturing foot has yet to be provided.\n\n\nRESEARCH QUESTION/HYPOTHESIS\nIt was hypothesized that so-called biomechancial maturation joint kinetics would be observed in children underneath the age of eight and that older age-groups would not differ from each other in these parameters.\n\n\nMETHODS\nFourty-three typically developing boys were recruited and allocated to three different age groups: 1) an early childhood group, 2) a middle childhood group, and 3) an early and late adolescence group. Multi-segment joint kinematics and kinetics of the Ankle-, Chopart-, Lisfranc- and Hallux joint were collected during barefoot walking. One-way Analysis of Covariance was conducted to examine differences among the outcome measures with group as a fixed factor and walking cadence as covariate.\n\n\nRESULTS\nThe youngest group differed significantly from the other two age groups with respect to their ankle and chopart joint peak plantarflexion moment (p < 0.05). Ankle and chopart joint peak power generation as well as the lisfranc peak plantarflexion moment was found to be significantly lower in the youngest age group compared to the oldest group (p < 0.05). At the lisfranc joint, the youngest age group demonstrated a significantly higher peak plantarflexion velocity compared to the two older age groups (p < 0.05).\n\n\nSIGNIFICANCE\nThis study provides novel insight into the biomechanical maturation of the developing foot which may guide clinical interventions in paediatric cohorts.