Can positional MRI predict dynamic changes in the medial plantar arch? An exploratory pilot study
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Can positional MRI predict dynamic changes in the medial plantar arch? An exploratory pilot study. / Johannsen, Finn E; Hansen, Philip; Stallknecht, Sandra; Rathleff, Michael Skovdal; Hangaard, Stine; Nybing, Janus Damm; Boesen, Mikael.
I: Journal of Foot and Ankle Research, Bind 9, 35, 2016.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Can positional MRI predict dynamic changes in the medial plantar arch?
T2 - An exploratory pilot study
AU - Johannsen, Finn E
AU - Hansen, Philip
AU - Stallknecht, Sandra
AU - Rathleff, Michael Skovdal
AU - Hangaard, Stine
AU - Nybing, Janus Damm
AU - Boesen, Mikael
PY - 2016
Y1 - 2016
N2 - BACKGROUND: Positional MRI (pMRI) allows for three-dimensional visual assessment of navicular position. In this exploratory pilot study pMRI was validated against a stretch sensor device, which measures movement of the medial plantar arch. We hypothesized that a combined pMRI measure incorporating both vertical and medial displacement of the navicular bone induced by loading would be correlated with corresponding stretch sensor measurements.METHODS: 10 voluntary participants were included in the study. Both pMRI and subsequent stretch sensor measurements were performed in a) supine, b) standing and c) standing position with addition of 10 % body weight during static loading of the foot. Stretch sensor measurements were also performed during barefoot walking.RESULTS: The total change in navicular position measured by pMRI was 10.3 mm (CI: 7.0 to 13.5 mm). No further displacement occurred when adding 10 % bodyweight (mean difference: 0.7 mm (CI: -0.7 to 2.0 mm), P = 0.29). The total navicular displacement correlated with stretch sensor measurement under static loading conditions (Spearman's rho = 0.66, P = 0.04) but not with measurements during walking (Spearman's rho = 0.58, P = 0.08).CONCLUSIONS: Total navicular bone displacements determined by pMRI showed concurrent validity with stretch sensor measurements but only so under static loading conditions. Although assessment of total navicular displacement by combining concomitant vertical and medial navicular bone movements would appear advantageous compared to monoplanar measurement the combined measure did not seem to predict dynamic changes of the medial foot arch during walking, which are among several possible factors depending on different walking patterns.
AB - BACKGROUND: Positional MRI (pMRI) allows for three-dimensional visual assessment of navicular position. In this exploratory pilot study pMRI was validated against a stretch sensor device, which measures movement of the medial plantar arch. We hypothesized that a combined pMRI measure incorporating both vertical and medial displacement of the navicular bone induced by loading would be correlated with corresponding stretch sensor measurements.METHODS: 10 voluntary participants were included in the study. Both pMRI and subsequent stretch sensor measurements were performed in a) supine, b) standing and c) standing position with addition of 10 % body weight during static loading of the foot. Stretch sensor measurements were also performed during barefoot walking.RESULTS: The total change in navicular position measured by pMRI was 10.3 mm (CI: 7.0 to 13.5 mm). No further displacement occurred when adding 10 % bodyweight (mean difference: 0.7 mm (CI: -0.7 to 2.0 mm), P = 0.29). The total navicular displacement correlated with stretch sensor measurement under static loading conditions (Spearman's rho = 0.66, P = 0.04) but not with measurements during walking (Spearman's rho = 0.58, P = 0.08).CONCLUSIONS: Total navicular bone displacements determined by pMRI showed concurrent validity with stretch sensor measurements but only so under static loading conditions. Although assessment of total navicular displacement by combining concomitant vertical and medial navicular bone movements would appear advantageous compared to monoplanar measurement the combined measure did not seem to predict dynamic changes of the medial foot arch during walking, which are among several possible factors depending on different walking patterns.
KW - Adult
KW - Anthropometry
KW - Cross-Sectional Studies
KW - Female
KW - Foot
KW - Humans
KW - Magnetic Resonance Imaging
KW - Male
KW - Pilot Projects
KW - Posture
KW - Reproducibility of Results
KW - Single-Blind Method
KW - Supine Position
KW - Tarsal Bones
KW - Weight-Bearing
KW - Young Adult
KW - Journal Article
KW - Validation Studies
U2 - 10.1186/s13047-016-0168-z
DO - 10.1186/s13047-016-0168-z
M3 - Journal article
C2 - 27588043
VL - 9
JO - Journal of Foot and Ankle Research
JF - Journal of Foot and Ankle Research
SN - 1757-1146
M1 - 35
ER -
ID: 176961203