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1.
Article in English | MEDLINE | ID: mdl-38806750

ABSTRACT

This study aims to investigate the biomechanical behaviour and the stiffness impact of the breast internal components during running. To achieve this, a novel nonlinear multi-component dynamic finite element method (FEM) has been established, which uses experimental data obtained via 4D scanning technology and a motion capture system. The data are used to construct a geometric model that comprises the rigid body, layers of soft tissues, skin, pectoralis major muscle, fat, ligaments and glandular tissues. The traditional point-to-point method has a relative mean absolute error of less than 7.92% while the latest surface-to-surface method has an average Euclidean distance (d) of 7.05 mm, validating the simulated results. After simulating the motion of the different components of the breasts, the displacement analysis confirms that when the motion reaches the moment of largest displacement, the displacement of the breast components is proportional to their distance from the chest wall. A biomechanical analysis indicates that the stress sustained by the breast components in ascending order is the glandular tissues, pectoralis major muscle, adipose tissues, and ligaments. The ligaments provide the primary support during motion, followed by the pectoralis major muscle. In addition, specific stress points of the breast components are identified. The stiffness impact experiment indicates that compared with ligaments, the change of glandular tissue stiffness had a slightly more obvious effect on the breast surface. The findings serve as a valuable reference for the medical field and sports bra industry to enhance breast protection during motion.

2.
Materials (Basel) ; 17(6)2024 Mar 21.
Article in English | MEDLINE | ID: mdl-38541593

ABSTRACT

Conventional cushioning materials such as silicone sheets which have been recommended for resisting impact generally cause discomfort to the wearer from heat and perspiration. With the increasing need for personal protective equipment, textile-silicone composite structures are proposed in this study to reduce acute impact and moisture while enhancing thermal comfort. The influence of the composite structure and thickness on the mechanical and thermal properties of textile-silicone materials are systematically investigated. The results show that an additional knitted powernet fabric as a composite material can significantly improve the tensile properties of silicone rubber by up to 315%. However, only a slight improvement is found in the thermal conductivity (up to 16%), compression elasticity (up to 18%) and force reduction performance (up to 3.6%). As compared to inlaid spacer fabric, which has also been used for cushioning and preserving thermal comfort, the textile-silicone composites have higher tensile and compression elasticity, exhibit force reduction with the largest difference of 43% and are more thermally conductive, with increases more than 38%. The findings of this study introduced a cost-effective new silicone-textile composite for optimal impact protection and wear comfort for protective applications.

3.
PLoS One ; 19(2): e0299040, 2024.
Article in English | MEDLINE | ID: mdl-38408041

ABSTRACT

Understanding the dynamic deformation pattern and biomechanical properties of breasts is crucial in various fields, including designing ergonomic bras and customized prostheses, as well as in clinical practice. Previous studies have recorded and analyzed the dynamic behaviors of the breast surface using 4D scanning, which provides a sequence of 3D meshes during movement with high spatial and temporal resolutions. However, these studies are limited by the lack of robust and automated data processing methods which result in limited data coverage or error-prone analysis results. To address this issue, we identify revealing inter-frame dense correspondence as the core challenge towards conducting reliable and consistent analysis of the 4D scanning data. We proposed a fully-automatic approach named Ulta-dense Motion Capture (UdMC) using Thin-plate Spline (TPS) to augment the sparse landmarks recorded via motion capture (MoCap) as initial dense correspondence and then rectified it with a sophisticated post-alignment scheme. Two downstream tasks are demonstrated to validate its applicability: virtual landmark tracking and deformation intensity analysis. For evaluation, a dynamic 4D human breast anthropometric dataset DynaBreastLite was constructed. The results show that our approach can robustly capture the dynamic deformation characteristics of the breast surfaces, significantly outperforms baselines adapted from previous works in terms of accuracy, consistency, and efficiency. For 10 fps dataset, average error of 0.25 cm on control-landmarks and 0.33 cm on non-control (arbitrary) landmarks were achieved, with 17-70 times faster computation time. Evaluation was also carried out on 60 fps and 120 fps datasets, with consistent and large performance gaining being observed. The proposed method may contribute to advancing research in breast anthropometry, biomechanics, and ergonomics by enabling more accurate tracking of the breast surface deformation patterns and dynamic characteristics.


Subject(s)
Motion Capture , Movement , Humans , Motion , Thorax
4.
Bioengineering (Basel) ; 10(11)2023 Nov 10.
Article in English | MEDLINE | ID: mdl-38002430

ABSTRACT

The foot, as the foundation of the human body, bears the vast majority of the body's weight. Obese children bear more weight than healthy children in the process of walking and running. This study compared three footwear midsole structures (solid, lattice, and chiral) based on plantar pressure distribution and bone stress in obese and healthy children through numerical simulation. The preparation for the study included obtaining a thin-slice CT scan of a healthy 9-year-old boy's right foot, and this study distinguished between a healthy and an obese child by applying external loadings of 25 kg and 50 kg in the finite element models. The simulation results showed that the plantar pressure was mainly concentrated in the forefoot and heel due to the distribution of gravity (first metatarsal, fourth metatarsal, and heel bone, corresponding to plantar regions M1, M4, and HM and HL) on the foot in normal standing. Compared with the lattice and solid EVA structures, in both healthy and obese children, the percentage reduction in plantar pressure due to the chiral structure in the areas M1, M4, HM, and HL was the largest with values of 38.69%, 34.25%, 64.24%, and 54.03% for an obese child and 33.99%, 28.25%, 56.08%, and 56.96% for a healthy child. On the other hand, higher pressures (15.19 kPa for an obese child and 5.42 kPa for a healthy child) were observed in the MF area when using the chiral structure than when using the other two structures, which means that this structure can transfer an amount of pressure from the heel to the arch, resulting in a release in the pressure at the heel region and providing support at the arch. In addition, the study found that the chiral structure was not highly sensitive to the external application of body weight. This indicates that the chiral structure is more stable than the other two structures and is minimally affected by changes in external conditions. The findings in this research lay the groundwork for clinical prevention and intervention in foot disorders in obese children and provide new research ideas for shoe midsole manufacturers.

5.
Bioengineering (Basel) ; 10(10)2023 Sep 28.
Article in English | MEDLINE | ID: mdl-37892868

ABSTRACT

This study aims to highlight recent research work on topics around prosthetic feet through a scientometric analysis and historical review. The most cited publications from the Clarivate Analytics Web of Science Core Collection database were identified and analyzed from 1 January 2000 to 31 October 2022. Original articles, reviews with full manuscripts, conference proceedings, early access documents, and meeting abstracts were included. A scientometric visualization analysis of the bibliometric information related to the publications, including the countries, institutions, journals, references, and keywords, was conducted. A total of 1827 publications met the search criteria in this study. The related publications grouped by year show an overall trend of increase during the two decades from 2000 to 2022. The United States is ranked first in terms of overall influence in this field (n = 774). The Northwestern University has published the most papers on prosthetic feet (n = 84). Prosthetics and Orthotics International has published the largest number of studies on prosthetic feet (n = 151). During recent years, a number of studies with citation bursts and burst keywords (e.g., diabetes, gait, pain, and sensor) have provided clues on the hotspots of prosthetic feet and prosthetic foot trends. The findings of this study are based on a comprehensive analysis of the literature and highlight the research topics on prosthetic feet that have been primarily explored. The data provide guidance to clinicians and researchers to further studies in this field.

6.
Sensors (Basel) ; 23(11)2023 May 28.
Article in English | MEDLINE | ID: mdl-37299872

ABSTRACT

A number of textile-based fiber optic sensors have recently been proposed for the continuous monitoring of vital signs. However, some of these sensors are likely unsuitable for conducting direct measurements on the torso as they lack elasticity and are inconvenient. This project provides a novel method for creating a force-sensing smart textile by inlaying four silicone-embedded fiber Bragg grating sensors into a knitted undergarment. The applied force was determined within 3 N after transferring the Bragg wavelength. The results show that the sensors embedded in the silicone membranes achieved enhanced sensitivity to force, as well as flexibility and softness. Additionally, by assessing the degree of FBG response to a range of standardized forces, the linearity (R2) between the shift in the Bragg wavelength and force was found to be above 0.95, with an ICC of 0.97, when tested on a soft surface. Furthermore, the real-time data acquisition could facilitate the adjustment and monitoring of force during the fitting processes, such as in bracing treatment for adolescent idiopathic scoliosis patients. Nevertheless, the optimal bracing pressure has not yet been standardized. This proposed method could help orthotists to adjust the tightness of brace straps and the location of padding in a more scientific and straightforward way. The output of this project could be further extended to determine ideal bracing pressure levels.


Subject(s)
Textiles , Elasticity , Pressure , Silicones , Reproducibility of Results
7.
Sci Rep ; 13(1): 8628, 2023 05 27.
Article in English | MEDLINE | ID: mdl-37244970

ABSTRACT

Accurate and reliable foot measurements at different stances offer comprehensive geometrical information on foot, thus enabling a more comfortable insole/footwear for practical use and daily activities. However, there lacks investigations on continuous deformation of foot shape during the roll-over process. This study analyses the foot deformation of 19 female diabetic patients during half weight bearing standing and self-selected walking speed by using a novel 4D foot scanning system. The scanning system has good repeatability and accuracy in both static and dynamic scanning situations. Point cloud registration for scanned image reorientation and algorithms to automatically extract foot measurements is developed. During the foot roll-over process, maximum deformation of length and girth dimensions are found at first toe contact. Width dimensions have maximum deformation at heel take off. The findings provide a new understanding of foot shape changes in dynamic situations, thus providing an optimal solution for foot comfort, function and protection.


Subject(s)
Foot , Heel , Humans , Female , Foot/diagnostic imaging , Weight-Bearing , Shoes , Algorithms , Walking
8.
Article in English | MEDLINE | ID: mdl-36834384

ABSTRACT

Official guidelines state that suitable physical activity is recommended for patients with diabetes mellitus. However, since walking at a rapid pace could be associated with increased plantar pressure and potential foot pain, the footwear condition is particularly important for optimal foot protection in order to reduce the risk of tissue injury and ulceration of diabetic patients. This study aims to analyze foot deformation and plantar pressure distribution at three different walking speeds (slow, normal, and fast walking) in dynamic situations. The dynamic foot shape of 19 female diabetic patients at three walking speeds is obtained by using a novel 4D foot scanning system. Their plantar pressure distributions at the three walking speeds are also measured by using the Pedar in-shoe system. The pressure changes in the toes, metatarsal heads, medial and lateral midfoot, and heel areas are systematically investigated. Although a faster walking speed shows slightly larger foot measurements than the two other walking speeds, the difference is insignificant. The foot measurement changes at the forefoot and heel areas, such as the toe angles and heel width, are found to increase more readily than the measurements at the midfoot. The mean peak plantar pressure shows a significant increase at a faster walking speed with the exception of the midfoot, especially at the forefoot and heel areas. However, the pressure time integral decreases for all of the foot regions with an increase in walking speed. Suitable offloading devices are essential for diabetic patients, particularly during brisk walking. Design features such as medial arch support, wide toe box, and suitable insole material for specific area of the foot (such as polyurethane for forefoot area and ethylene-vinyl acetate for heel area) are essential for diabetic insole/footwear to provide optimal fit and offloading. The findings contribute to enhancing the understanding of foot shape deformation and plantar pressure changes during dynamic situations, thus facilitating the design of footwear/insoles with optimal fit, wear comfort, and foot protection for diabetic patients.


Subject(s)
Diabetes Mellitus , Diabetic Foot , Humans , Female , Walking Speed , Foot , Walking , Heel
9.
Article in English | MEDLINE | ID: mdl-36497840

ABSTRACT

Sports bras are an essential apparel for active women, but may exert excessive pressure that negatively affects thermoregulation, thermal comfort and wear sensation. This study measures skin temperature changes during short durations of exercise on a treadmill with different bra pressures. The results based on 21 female subjects (age: 27.2 ± 4.5 years old) show that bras with more pressure at the underband or shoulder straps do not cause statistically significant skin temperature changes during exercise (p > 0.05). Nevertheless, compared to the optimal bra fit, significant differences in bra-breast skin temperature are found during running, cooling down and sitting when the bra pressure is increased (p < 0.05), particularly under bra cup (T1) in this study. The FLIR thermal images can visualize the skin temperature changes at abdomen throughout the four activity stages. Subjective sensations of bra thermal comfort, pressure and breast support are assessed. Despite the increased pressure on the shoulders and chest wall, perceptions towards thermal comfort remain unchanged. The perceived pressure comfort and support sensation amongst the 4 bra conditions are comparable. Interestingly, positive sensations of pressure comfort and breast support are perceived with a tight-fitting sports bra during treadmill exercise. High pressures induced by sports bras (>4 kPa) that habitually considered harmful to the human body may not lead to wear discomfort but enhance bra support sensation and a sense of security to the wearers.


Subject(s)
Running , Skin Temperature , Female , Humans , Young Adult , Adult , Clothing , Running/physiology , Breast , Exercise Test , Body Temperature Regulation
10.
Article in English | MEDLINE | ID: mdl-36231798

ABSTRACT

BACKGROUND: Alterations in the lower limb kinematics and kinetics of diabetic patients have been reported in previous studies. Inappropriate choices of orthopedic insole materials, however, fail to prevent diabetic foot ulcers and modify abnormal gait. The aim of this study was to quantitatively compare the effects of contoured insoles with different materials on the kinematics of and kinetics changes in the diabetic elderly during gait. METHODS: There were 21 diabetic patients who participated in this study. Three-dimensional (3D) experimental contoured insoles constructed of soft (i.e., Nora Lunalastik EVA and PORON® Medical 4708) and rigid (i.e., Nora Lunalight A fresh and Pe-Lite) materials with Langer Biomechanics longitudinal PPT® arch pads were adopted. An eight-camera motion capture system (VICON), two force plates, and an insole measurement system-Pedar® with 99 sensors-were utilized to obtain the kinematics and kinetics data. The plug-in lower body gait model landmarks were used for dynamic data acquisition during gait. The corresponding data from five gait cycles were selected and calculated. RESULTS: The range of motions (ROMs) of the ankle joint (p = 0.001) and knee joint (p = 0.044) were significantly influenced when the contoured insoles were worn in comparison to the barefoot condition. The joint moments of the lower limbs with maximum ankle plantarflexion during the loading response and maximum knee and hip flexions were significantly influenced by the use of contoured insoles with different materials in the diabetic elderly. The peak plantar pressure (PPP) of the forefoot (p < 0.001), midfoot (p = 0.009), and rearfoot (p < 0.001) was significantly offloaded by the contoured insoles during the stance phase, whilst the PPP of the rearfoot (p < 0.001) was significantly offloaded during the swing phase. CONCLUSIONS: The contoured insoles, especially those constructed with soft materials, significantly offloaded the PPP during gait-hence accommodating certain abnormal gait patterns more effectively compared to going barefoot.


Subject(s)
Diabetes Mellitus , Diabetic Foot , Foot Orthoses , Aged , Biomechanical Phenomena/physiology , Diabetic Foot/prevention & control , Gait/physiology , Humans , Kinetics , Walking/physiology
11.
Sci Rep ; 12(1): 15395, 2022 09 13.
Article in English | MEDLINE | ID: mdl-36100637

ABSTRACT

To investigate the effect of contoured insoles constructed of different insole materials, including Nora Lunalastik EVA, Nora Lunalight A fresh, Pe-Lite, and PORON Medical 4708 with Langer Biomechanics longitudinal PPT arch pads on offloading plantar pressure on the foot of the elderly with Type 1 or 2 diabetes during gait. Twenty-two elderly with Type 1 or 2 diabetes participated in the study. Their plantar pressure was measured by using an insole measurement system, while the participants walked 10 m in their bare feet or used each experimental insole in random order. The plantar surface was divided into four specific regions including the toes, forefoot, midfoot, and rearfoot. The mean peak pressure (MPP) and pressure-time integral (PTI) of ten steps with or without wearing one of the four insoles were analyzed on the dominant foot and the four specific plantar regions. After completion of the activities, the participants scored each insole from 1 (the least comfortable) to 10 (the most comfortable). The analysis of variance (ANOVA) factor of the insoles had significant effects on the MPP (P < 0.001) and PTI (P = 0.004) in the dominant foot during gait. Pairwise comparison results showed that the MPP and PTI in the dominant foot were significantly lower (P < 0.001) with PORON Medical 4708 than barefoot, Nora Lunalight A fresh, and Pe-Lite. Additionally, the insole materials had a significant effect for the forefoot (P < 0.001) and rearfoot (P < 0.001) in terms of the MPP and PTI compared with the barefoot condition during gait. Regardless of the plantar region, the MPP and PTI values were the lowest when PORON Medical 4708 was used as the insole material among four insole materials. Meanwhile, a significantly lower MPP and PTI can be found in the forefoot and rearfoot with the use of the four experimental insoles when compared with barefoot. The soft insole materials (i.e., PORON medical 4708 and Nora Lunalastik EVA) had a better performance than the rigid insole materials (i.e., Nora Lunalight A fresh, and Pe-Lite) on plantar pressure offloading for diabetic elderly.


Subject(s)
Diabetes Mellitus , Shoes , Aged , Foot , Gait , Humans , Pressure
12.
Article in English | MEDLINE | ID: mdl-36078575

ABSTRACT

Studying the in-shoe microclimate of older individuals is important for enhancing their foot comfort and preventing foot diseases. However, there is a lack of scientific work that explores the thermo-physiological wear comfort of older individuals with different footwear. This study aims to examine the effects of upper footwear materials on changes and distributions in the foot skin temperature and relative humidity for older individuals. Forty older individuals are recruited to perform sitting and walking activities under four experimental conditions in a conditioning chamber. The findings indicate that footwear upper constructed of highly permeable mesh fabric with large air holes shows fewer changes in foot skin temperature (ranging from 1.3 to 3.3 °C) and relative humidity (ranging from -13.3 to 5.7%) throughout the entire foot during dynamic walking, as well as higher subjective ratings on perceived thermal comfort when compared to footwear made of synthetic leather and composite layers. The findings serve to enhance current understanding of designing footwear with optimum comfort for older adults.


Subject(s)
Foot , Skin Temperature , Aged , Foot/physiology , Humans , Humidity , Shoes , Temperature
13.
Appl Ergon ; 104: 103803, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35635942

ABSTRACT

Traditional insole materials which trap heat and moisture inside footwear cause discomfort to the wearer. Here, a novel textile-fabricated insole material with a 3D structure that offers good porosity and breathability for improving the footwear microclimate is proposed. Changes in foot skin temperature and humidity when wearing the textile-fabricated insole throughout treadmill walking are collected from 21 female subjects (age: 25.5 ± 4.5) and compared with traditional and 3D printed insoles. Subjective assessment of their perceived thermal comfort with various insole conditions is also conducted. In comparison to polyurethane, 3D printed thermoplastic polyurethane and leather insoles, textile-fabricated insoles show no significant changes in foot skin temperature. Nevertheless, a significant reduction of the relative humidity of the skin of the sole (3.21%) and heel (24.41%) is found. The findings are a valuable reference for the fabrication of insoles with higher wear comfort.


Subject(s)
Foot Orthoses , Skin Temperature , Adult , Equipment Design , Female , Humans , Humidity , Polyurethanes , Shoes , Textiles , Young Adult
14.
Comput Biol Med ; 146: 105582, 2022 07.
Article in English | MEDLINE | ID: mdl-35588678

ABSTRACT

More than 422 million people worldwide suffered from diabetes mellitus (DM) in 2021. Diabetic foot is one the most critical complications resultant of DM. Foot ulceration and infection are frequently arisen, which are associated with changes in the mechanical properties of the plantar soft tissues, peripheral arterial disease, and sensory neuropathy. Diabetic insoles are currently the mainstay in reducing the risk of foot ulcers by reducing the magnitude of the pressure on the plantar Here, we propose a novel pressure relieving heel pad based on a circular auxetic re-entrant honeycomb structure by using three-dimensional (3D) printing technology to minimize the pressure on the heel, thus reducing the occurrence of foot ulcers. Finite element models (FEMs) are developed to evaluate the structural changes of the developed circular auxetic structure upon exertion of compressive forces. Moreover, the effects of the internal angle of the re-entrant structure on the peak contact force and the mean pressure acting on the heel as well as the contact area between the heel and the pads are investigated through a finite element analysis (FEA). Based on the result from the validated FEMs, the proposed heel pad with an auxetic structure demonstrates a distinct reduction in the peak contact force (∼10%) and the mean pressure (∼14%) in comparison to a conventional diabetic insole (PU foam). The characterized result of the designed circular auxetic structure not only provides new insights into diabetic foot protection, but also the design and development of various impact resistance products.


Subject(s)
Diabetes Mellitus , Diabetic Foot , Diabetic Neuropathies , Diabetes Mellitus/therapy , Diabetic Foot/therapy , Finite Element Analysis , Heel , Humans , Printing, Three-Dimensional , Shoes
15.
PLoS One ; 17(3): e0264233, 2022.
Article in English | MEDLINE | ID: mdl-35320281

ABSTRACT

In-depth analyses of foot surface measurements upon weight bearing are crucial to understand how the dorsal and plantar surfaces of the foot deform during motion to enhance the fit of footwear, which is particularly important for diabetic patients with stringent fit requirements to redistribute the plantar weight forces. This study analyzes diabetic foot deformations under 3 different weight bearing conditions (no weight bearing, half weight bearing, and 80% weight bearing) by using a novel foot scanning method that enables efficient scanning of the dorsal and plantar surfaces of the foot simultaneously. The feet of 48 patients with diabetes mellitus (DM) are scanned. With increased load on the feet, the width of the forefoot increases by 9.7%-10.4%, height of the midfoot decreases by 15.1%-18.2%, forefoot and midfoot rotate to the medial side by 16.9%-23.9% while the rearfoot rotates to the lateral side by 15.2% simultaneously, and the plantar of the foot increases contact with the floor by 11.4%-23.0%. Gender differences in foot shape are also found between males and females, males have a broader foot than females for the same foot length. Precise anthropometric information of foot changes and deformation therefore enables adequate foot protection, fit and comfort when designing footwear. This research contributes to shoe design considerations that focus on the deformation of the foot under different loads.


Subject(s)
Diabetes Mellitus , Diabetic Foot , Biomechanical Phenomena , Female , Foot , Humans , Male , Shoes , Walking , Weight-Bearing
16.
Polymers (Basel) ; 14(3)2022 Feb 05.
Article in English | MEDLINE | ID: mdl-35160608

ABSTRACT

Insoles provide resistance to ground reaction forces and comfort during walking. In this study, a novel weft-knitted spacer fabric structure with inlays for insoles is proposed which not only absorbs shock and resists pressure, but also allows heat dissipation for enhanced thermal comfort. The results show that the inlay density and spacer yarn increase compression resistance and reduce impact forces. The increased spacer yarn density provides better air permeability but reduces thermal resistance, while a lower inlay density with a random orientation reduces the evaporative resistance. The proposed structure has significantly positive implications for insole applications.

17.
Gait Posture ; 90: 283-288, 2021 10.
Article in English | MEDLINE | ID: mdl-34537497

ABSTRACT

BACKGROUND: Hallux valgus orthoses are available in a wide range of designs and materials, but the effects of their design on functional performance have not been fully investigated. RESEARCH QUESTION: This present study aims to comprehensively analyze the immediate effects of soft and semi-rigid hallux valgus orthoses on balance, plantar pressure, hallux valgus angle, and subjective sensations. METHODS: Sixteen female subjects have participated in the study, including 10 subjects with healthy feet and 6 with hallux valgus. Three conditions are tested, including in the barefoot and using two types of commercially available hallux valgus orthoses. The subjects participate in static and dynamic (walking) tests with the use of the Novel Pedar® system. The peak pressure values in the hallux, lateral toes, first metatarsophalangeal joint, 2-4th metatarsal heads, 5th metatarsal head, medial midfoot, lateral midfoot and rearfoot in the various foot conditions are examined and compared. The hallux valgus angle of each subject is measured based on their footprint. Their subjective feelings towards the orthoses are also evaluated. A repeated-measures analysis of variance, and independent-sample t-test are performed. RESULTS: The correction of the hallux valgus angle is statistically significant when the subjects with hallux valgus use the orthoses. In comparing the two types of orthoses, the use of the orthosis made of soft materials results in correction in the hallux valgus angle and higher wear comfort, and lower plantar pressure in hallux area. SIGNIFICANCE: The results provide insights into the design of hallux valgus orthoses, thus offering practical reference for the selection of hallux valgus orthosis with compromise between functional performance and wear comfort.


Subject(s)
Hallux Valgus , Metatarsal Bones , Female , Foot , Humans , Orthotic Devices , Pressure
18.
BMJ Open ; 11(8): e047273, 2021 08 18.
Article in English | MEDLINE | ID: mdl-34408037

ABSTRACT

OBJECTIVE: The treatment effect of orthoses for hallux valgus (HV) is unclear with little interventional studies, the design involves multiple complex factors, and therefore a systematic analysis with meta-analysis is necessary. The objective of this systematic review and meta-analysis is to determine whether current foot orthoses are effective in treating HV. DESIGN: Systematic review with meta-analysis. DATA SOURCES: Electronic databases (PubMed, Scopus, Cinahl and Medline) are searched up to February 2020. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Interventional studies with content focus on HV orthosis design and any of the outcomes related to effectiveness for treating HV are included. The standardised mean differences are calculated. The risk of bias in included studies is assessed using the Cochrane Collaboration's risk of bias tools. RESULTS: In total, 2066 articles are identified. Among them, nine are selected and quality rated, and data are extracted and closely examined. A meta-analysis is conducted, where appropriate. The main causes of potential bias are missing outcome data and outcome measurement error. The results show that orthosis with a toe separator has the best effect of correcting the HV angle (standardised mean difference: 0.50, 95% CI: 0.189 to 0.803). CONCLUSION: The orthoses design with a toe separator or an element that allows for the foot anatomic alignment is critical for reducing the HV angle and relieving foot pain. The results contribute to a better selection of treatment for patients. PROSPERO REGISTRATION NUMBER: CRD42021260403.


Subject(s)
Foot Orthoses , Hallux Valgus , Braces , Foot , Hallux Valgus/therapy , Humans , Quality of Life
19.
PLoS One ; 16(4): e0250428, 2021.
Article in English | MEDLINE | ID: mdl-33891633

ABSTRACT

In this article, the impact of postural variations on hand anthropometry and distribution of skin strain ratios has been investigated. The literature suggests the glove fit directly affects hand functions. However, gloves currently manufactured based on a static posture failed to provide optimum fit. Workers often do not wear protective gloves due to discomfort caused by improper design, which increases the risk of hand injury. Full-color three-dimensional scans of the hands are captured with thirty healthy subjects (20 females, 10 males) to analyze the hand measurements and skin deformation with various postures. 42 of the 57 hand dimensions were found to have significant differences (p >0.05) related to hand posture. The skin strain ratios further suggest that the slant of the web space, dorsal-length and surface area should be increased, while the angles of the web space and length of the palm reduced to advance glove patterns. This research contributes to constructing gloves with optimum fit, performance, and comfort. Results show that in consideration of hand postures, the angle of the slant of web space between digits 2 and 5 and the finger length on the dorsal side should be increased, whilst the finger length on the palm side should be reduced in glove pattern design. Gloves currently constructed based on a splayed posture cannot provide a good fit. Consideration should be given to hand measurements in dynamic postures.


Subject(s)
Gloves, Protective , Hand/anatomy & histology , Adolescent , Adult , Anthropometry , Female , Hand Strength , Humans , Male , Posture , Young Adult
20.
Appl Ergon ; 94: 103409, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33740742

ABSTRACT

It is important to understand how the hand and fingers elongate and contract with hand posture for optimally fitting and comfortable gloves. Nevertheless, the measurement and analysis of the finger segments for glove designs remain largely neglected. Here, the length and proportion of the finger segments when splayed and during gripping, and between the dorsal and palm sides of 30 participants are 3D scanned and analysed. The full digit lengths change by 7.6-11.9% with hand posture, but the finger segment changes are not proportional. The ratios of the fingertip to distal interphalangeal joint/full digit, and fingertip to the proximal interphalangeal joint/full digit, are important variables. The results are validated with 10 more subjects based on ratings of a ready-to-wear sports glove. Inaccurate proportioning of the finger regions causes shifting which results in displacement and discomfort. This research contributes to glove pattern engineering, with a focus on the finger segments.


Subject(s)
Hand , Sports , Fingers , Hand Strength , Humans , Posture
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