Determination of relationship between foot arch, hindfoot, and hallux motion using Oxford foot model: Comparison between walking and running.

BACKGROUND: The foot arch plays an important role in propulsion and shock absorption during walking and running; however, the relationship among the foot arch, metatarsal locking theory, and nature of the windlass mechanism (WM) remain unclear. RESEARCH QUESTION: What are the differences in the kinematic relationship between the foot arch, hindfoot, and hallux during walking and running? METHODS: Relative angles within the foot were measured in 18 healthy men using the Oxford foot model (OFM). Data for barefoot walking at a comfortable speed and rearfoot running at 2.0 m/s were collected. Angles of the forefoot relative to the hindfoot (OFM-arch), hallux relative to the forefoot (Hallux) on the sagittal plane, and hindfoot relative to the shank (Hindfoot) on three anatomical planes were obtained. The medial longitudinal arch (MLA) angle was calculated to verify that OFM-arch can substitute the MLA angle. Each parameter was subjected to cross-correlation analysis and Wilcoxon signed-rank tests to examine the relationship with OFM-arch and compare them during walking and running. RESULT: OFM-arch was similar to the conventional MLA projection angle in both trials (gait: 0.79, running: 0.96 p < 0.01). Synchronization of the OFM-arch and Hallux angles was higher in running than in walking (gait: -0.09, running: -0.75 p < 0.01). Hindfoot supination was unrelated to OFM-arch. Hindfoot angle on the transverse plane exhibited a moderate relationship with OFM-arch, indicating different correlations in walking and running (gait: 0.63, running: -0.68 p < 0.01). SIGNIFICANCE: The elevation of the foot arch due to hallux dorsiflexion differed during walking and running; hence, other factors besides WM (such as intrinsic muscles) may affect the foot arch elevation during running. The hindfoot in the frontal plane does not contribute to arch raising and foot stability during running; it features different relationships with OFM-arch during walking and running.

Evaluation of the Validity, Reliability, and Kinematic Characteristics of Multi-Segment Foot Models in Motion Capture.

This study aimed to evaluate the validity and reliability of our new multi-segment foot model by measuring a dummy foot, and examine the kinematic characteristics of our new multi-segment foot model by measuring the living body. Using our new model and the Rizzoli model, we conducted two experiments with a dummy foot that was moved within a range from -90 to 90 degrees in all planes; for the living body, 24 participants performed calf raises, gait, and drop jumps. Most three-dimensional (3D) rotation angles calculated according to our new models were strongly positively correlated with true values (r > 0.8, p < 0.01). Most 3D rotation angles had fixed biases; however, most of them were in the range of the limits of agreement. Temporal patterns of foot motion, such as those in the Rizzoli model, were observed in our new model during all dynamic tasks. We concluded that our new multi-segment foot model was valid for motion analysis and was useful for analyzing the foot motion using 3D motion capture during dynamic tasks.

The effect of particle structure of chitosan-coated liposomes and type of chitosan on oral delivery of calcitonin.

To optimize the properties of chitosan-coated liposomes for oral administration of peptide drugs, we examined the effect of type of chitosan and the structure of liposomal systems on the mucoadhesiveness of liposomes and resultant pharmacological effects of the liposomal peptide drug. A low-molecular weight chitosan (LCS) and a high-molecular weight chitosan (CS) were used as coating polymers of liposomes containing elcatonin (eCT). The muco-penetrative behaviors across the mucous gel layer covering the intestinal epithelial cells and the pharmacological effect after intragastric administration were determined in rats. The results showed that both LCS-coated liposomes (LCS-Lips) and CS-coated liposomes (CS-Lips) could permeate the mucous layer in the small intestine. The most interesting result was that LCS-Lips containing eCT showed remarkably more prolonged effectiveness in decreasing the blood calcium concentration than did CS-Lips containing eCT, moreover, it was also found that LCS had more efficiency to protect eCT from the enzymatic degradation than CS. In comparing the area above the plasma calcium concentration time curves (AAC) values among eCT-containing liposomes with different structures, i.e. eCT adsorbed on coated liposomes (eCT-ad-CS-Lip, eCT-ad-LCS-Lips) and eCT encapsulated in coated liposomes (eCT-encap-CS-Lips, eCT-encap-LCS-Lips), eCT-encap-CS-Lip showed much higher effectiveness than eCT-ad-CS-Lip. However, the AAC value for eCT-ad-LCS-Lip was comparable to that for eCT-encap-CS-Lip, while the value for eCT-ad-CS-Lip was nearly zero. These results suggested that LCS is a good mucoadhesive polymer candidate for enhancing the bioavailability of orally administered peptide containing liposomes, while encapsulation of eCT within the liposomal particles is important to protect eCT against enzymatic degradation in the gastrointestinal (GI) tract.