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Orthotic Insoles Improve Gait Symmetry and Reduce Immediate Pain in Subjects With Mild Leg Length Discrepancy

Bibliographic Data

ID13131631
AuthorsCharlotte Menez (0000-0002-7613-1467, Normandie Université, corresponding author), Maxime L’hermette (Normandie Université), Jeremy Coquart (0000-0001-6515-7736, Normandie Université)
Year2020
Volume2
Pages579152-579152
Publication date2020-12-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Sports and Active Living (JOURNAL)
Journal identifiersISSN: 2624-9367 • E-ISSN: 2624-9367
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fspor.2020.579152
PMID33367275
OpenAlexW3115473574
LanguageEN
References cited39

Background: Mild leg length discrepancy can lead to musculoskeletal disorders; however, the magnitude starting from which leg length discrepancy alters the biomechanics of gait or benefits from treatment interventions is not clear. Research question: The aim of the current study was to examine the immediate effects of orthotic insoles on gait symmetry and pain on mild leg length discrepancy according to two groups of the leg length discrepancy (i.e., LLD ≤ 1 cm vs. LLD > 1 cm). Methods: Forty-six adults with mild leg length discrepancy were retrospectively included and classified into two groups (G LLD≤1cm or G LLD>1cm ). All subjects underwent routine 3D gait analysis with and without orthotic insoles. The symmetry index was calculated to assess changes in gait symmetry between the right and left limbs. Pain was rated without (in standing) and with the orthotic insoles (after 30 min of use) on a visual analog scale. Results: There was a significant improvement in the symmetry index of the pelvis in the frontal plane ( p = 0.001) and the ankle in the sagittal plane ( p = 0.010) in the stance with the orthotic insoles independent from the group. Pain reduced significantly with the orthotic insoles independently from the group ( p 1 cm) suggesting that it may be appropriate to treat even mild leg length discrepancy

Ankle · Gait · Gait analysis · Geometry · Pelvis · Physical medicine and rehabilitation · Physical therapy · Sagittal plane · Symmetry (geometry · Visual analogue scale · Bone fractures and treatments · Hip disorders and treatments · Lower Extremity Biomechanics and Pathologies · Mathematics · Medicine · Anatomy · Surgery

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