Abstract: Bipartite medial cuneiforms are relatively rare but may play a significant role in biomechanical and gait abnormalities. It is believed that a bipartite medial cuneiform may alter the available range of motion due to its larger morphological variant, thus limiting the metatarsal plantarflexion needed to achieve adequate hallux dorsiflexion for normal gait. Radiographic and clinical assessment were performed on two patients who reported with foot pain along the first ray. Both patients had visible bipartite medial cuneiforms on MRI. Using gait plate and Metascan ™ analysis, both were noted to have four measurements far beyond the expected range. Medial and lateral heel peak pressure, hallux peak pressure, and 1st metatarsal peak pressure were all noted to be increased. These measurements are believed to be increased due to the hindrance placed on the available ROM of the first ray by the increased size of the medial cuneiform. A larger patient population would be needed to fully understand this developmental anomaly.
Abstract: The purpose of this research is to analyze the gait
strategy between the normal and loaded gait. To this end, five male
participants satisfied two conditions: the normal and loaded gait
(backpack load 25.2 kg). As expected, results showed that additional
loads elicited not a proportional increase in vertical and shear ground
reaction force (GRF) parameters but also increase of the impulse,
momentum and mechanical work. However, in case of the loaded gait,
the time duration of the double support phase was increased
unexpectedly. It is because the double support phase which is more
stable than the single support phase can reduce instability of the
loaded gait. Also, the directions of the pre-collision and after-collision
were moved upward and downward compared to the normal gait. As a
result, regardless of the additional backpack load, the
impulse-momentum diagram during the step-to-step transition was
maintained such as the normal gait. It means that human walk
efficiently to keep stability and minimize total net works in case of the
loaded gait.