• 1

    Vaughan CL: Theories of bipedal walking: an odyssey. .J Biomech 36::513. ,2003. .

  • 2

    Waters R, Mulroy A: The energy expenditure of normal and pathologic gait. .Gait Posture 9::207. ,1999. .

  • 3

    Perry JE: Gait Analysis: Normal and Abnormal Pathological Function, Slack, Thorofare, NJ. ,1992. .

    • Crossref
    • Export Citation
  • 4

    Sutherland DH, Olshen R, Biden E, et al: The Development of Mature Walking, Cambridge University Press, London. ,1988. .

  • 5

    Valmassy R: Clinical Biomechanics of the Lower Extremities, CV Mosby, St Louis. ,1996. .

  • 6

    D’Amico J: Lower extremity functional dynamics. .Clin Podiatr Med Surg 5::521. ,1988. .

  • 7

    Donatelli D: The Biomechanics of the Foot and Ankle, 2nd Ed, FA Davis, Philadelphia. ,1996. .

  • 8

    Oatis CA: Kinesiology: The Mechanics and the Pathomechanics of Human Movement, Lippincott Williams & Wilkins, Philadelphia. ,2003. .

  • 9

    Steindler A: A historical review of the studies and investigations made in relation to human gait. .J Bone Joint Surg Am 35::540. ,1953. .

  • 10

    Trimble MH, Bishop MD, Buckley BD, et al: The relationship between clinical measurements of lower extremity posture and tibial translation. .Clin Biomech 17::286. ,2002. .

    • Search Google Scholar
    • Export Citation
  • 11

    Louden JK, Jenkins W, Louden KL: The relationship between static posture and ACL injury in female athletes. .J Orthop Sports Phys Ther 24::91. ,1996. .

  • 12

    Beckett ME, Massie DL, Bowers KD, et al: Incidence of hyperpronation in the ACL injured knee: a clinical perspective. .J Athl Train 27::58. ,1992. .

  • 13

    Bonci C: Assessment and evaluation of predisposing factors to anterior cruciate ligament injury. .J Athl Train 34::155. ,1999. .

  • 14

    McGee P, Ashford R: Nurses’ perceptions of roles in multidisciplinary teams. .Nurs Standard 10::34. ,1996. .

  • 15

    Orpaz R, Korenblit M: Family nursing in community-oriented primary health care. .Int Nurs Rev 41::155. ,1994. .

  • 16

    Sackett DL, Rosenberg WM, Gray JA, et al: Evidence based medicine: what it is and what it isn’t. .BMJ 312::71. ,1996. .

  • 17

    NHS Executive: A First Class Service: Quality in the New NHS, Department of Health, Leeds, England. ,1998. .

  • 18

    Baumann JU: Clinical experience in gait analysis in the management of cerebral palsy. .Prosthet Orthot Int 8::29. ,1984. .

  • 19

    DeLuca PA: The use of gait analysis and dynamic electromyogram in the assessment of the child with cerebral palsy. .Semin Orthop 4::256. ,1989. .

    • Search Google Scholar
    • Export Citation
  • 20

    Gage JR, Ounpuu S: Gait analysis in clinical practice. .Semin Orthop 4::72. ,1989. .

  • 21

    Lee EH, Goh JC, Bose K: Value of gait analysis in the assessment of surgery in cerebral palsy. .Arch Phys Med Rehabil 73::642. ,1992. .

  • 22

    Gage JR, DeLuca PA, Renshaw TS: Gait analysis: principles and applications: emphasis on cerebral palsy. .J Bone Joint Surg Am 77::1607. ,1995. .

    • Search Google Scholar
    • Export Citation
  • 23

    Ounpuu S, Davis RB, DeLuca PA: Joint kinetics: methods, interpretation and treatment decision-making in children with cerebral palsy and myelomeningocele. .Gait Posture 4::62. ,1996. .

    • Search Google Scholar
    • Export Citation
  • 24

    Holzreiter SH, Kóhle ME: Assessment of gait patterns using neural networks. .J Biomech 26::645. ,1993. .

  • 25

    Saleh M, Murdoch G: Defence of gait analysis. .J Bone Joint Surg Br 67::237. ,1985. .

  • 26

    Dorland NW, Novak PD: Dorland’s Pocket Medical Dictionary, 25th Ed, WB Saunders, Philadelphia. ,1995. .

  • 27

    Vaughan CL, Davis BL, O’Connor JC: Dynamics of Human Gait, 2nd Ed, Kiboho Publishers, Cape Town. ,1999. .

  • 28

    Andriacchi TP, Alexander EJ: Studies of human locomotion: past, present and future. .J Biomech 33::1217. ,2000. .

  • 29

    Keele KD: Leonardo da Vinci’s Elements of the Science of Man, Academic Press, New York. ,1983. .

  • 30

    Novacheck TF: The biomechanics of running. .Gait Posture 7::77. ,1998. .

  • 31

    Cavanagh PR, Henley JD: The computer era in gait analysis. .Clin Podiatr Med Surg 10::471. ,1993. .

  • 32

    Solomon C: Enchanted Drawings: The History of Animation, Knopf, New York. ,1989. .

  • 33

    Inman VT, Ralston HJ, Todd F: Human Walking, Williams & Wilkins, Baltimore. ,1981. .

  • 34

    Saunders JB, Inman VT, Eberhart HB: The major determinants in normal and pathological gait. .J Bone Joint Surg Am 35::543. ,1953. .

  • 35

    Rose J, Gamble JG: Human Walking, 2nd Ed, Williams & Wilkins, Baltimore. ,1994. .

  • 36

    Sutherland DH: The development of mature gait. .J Bone Joint Surg Am 62::336. ,1980. .

  • 37

    Whittle MW: Gait Analysis: An Introduction, 3rd Ed, Butterworth-Heineman, Oxford. ,2002. .

  • 38

    Landorf KB, Keenan AM: Efficacy of foot orthoses: what does the literature tell us?. Australas J Podiatr Med 32::105. ,1998. .

  • 39

    Sutherland DH: The evolution of clinical gait analysis: part I. Kinesiological EMG. .Gait Posture 14::61. ,2001. .

  • 40

    Whittle MW: Clinical gait analysis: a review. .Hum Movement Sci 15::369. ,1996. .

  • 41

    Donaghy M: Neurology, Oxford University Press, Oxford. ,1997. .

  • 42

    Rash GS: Electromyography fundamentals. Available at: http://www.gcmas.org/EMGfundamentals.pdf. Accessed July 24. ,2003. .

  • 43

    Norris FH: The EMG: A Guide and Atlas for Practical EMG, Grune & Stratton, New York. ,1963. .

  • 44

    Johnson EW: Practical Electromyography, 2nd Ed, Williams & Wilkins, Baltimore. ,1988. .

  • 45

    Perotto AO: Anatomical Guide for the Electromyographer: The Limbs and Trunk, 3rd Ed, Charles C Thomas, Springfield, IL. ,1996. .

  • 46

    Tomaro J, Burdett RG: The effects of foot orthotics on the EMG activity of selected leg muscles during gait. .J Orthop Sports Phys Ther 18::532. ,1993. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 47

    Abbound RJ: Mini-symposium: the elective foot: relevant foot biomechanics. .Curr Orthop 16::165. ,2002. .

  • 48

    Davis R, Ounpuu S, Tyburski D, et al: “A Comparison of Two Dimensional and Three Dimensional Techniques for the Determination of Joint Angles,” in Proceedings of the First International Symposium on 3-D Analysis of Human Movement, International Society of Biomechanics. ,1991. .

  • 49

    Lafortune MA, Lake MJ: “Errors in 3-D Analysis of Human Movement,” in Proceedings of the First International Symposium on 3-D Analysis of Human Movement, International Society of Biomechanics. ,1991. .

  • 50

    Lamoreaux LW: “Errors in Thigh Axial Rotation Measurements Using Skin Mounted Markers,” in Abstracts of the XIII International Congress on Biomechanics, Department of Human Movement Studies, University of Western Australia, Perth. ,1991. .

    • Crossref
    • Export Citation
  • 51

    Karlsson D, Lundberg A: “Accuracy Estimation of Kinematic Data Derived from Bone Anchored External Markers,” in Proceedings of the Third International Symposium on 3-D Analysis of Human Movement, International Society of Biomechanics. ,1994. .

  • 52

    Reinschmidt C, van der Bogart AJ, Lundberg A, et al: “Tibiofemoral and Calcaneus-Tibia Motion During Running: Skin vs. Bone Markers,” in Proceedings of the 19th Annual Meeting of the American Society of Biomechanics, American Society of Biomechanics. ,1995. .

  • 53

    Fuller J, Liu L-J, Murphy MC, et al: A comparison of lower extremity skeletal kinematics measured using skin- and pin-mounted markers. .Hum Movement Sci 16::219. ,1997. .

    • Search Google Scholar
    • Export Citation
  • 54

    Holden JP, Orsini JA, Lohmann Siegel K, et al: Surface movement errors in shank kinematics and knee kinetics during gait. .Gait Posture 5::217. ,1997. .

    • Search Google Scholar
    • Export Citation
  • 55

    Finch PM: Technology in biomedicine: the EMED Pedar pressure measurement system. .The Foot 9.:1999. .

  • 56

    Cavanagh PR, Hewitt FG, Perry JE: In-shoe plantar pressure measurement: a review. .The Foot 2::185. ,1992. .

  • 57

    Hennig EM, Cavanagh PR, Albert HT, et al: A piezoelectric method of measuring the vertical contact stress beneath the human foot. .J Biomed Eng 4::213. ,1982. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 58

    Dananberg HJ, Guiliano M: Chronic low-back pain and its response to custom-made foot orthoses. .JAPMA 89::109. ,1999. .

  • 59

    Dananberg HJ: Gait style as an etiology to chronic postural pain: part I. Functional hallux limitus. .JAPMA 83::433. ,1993. .

  • 60

    Dananberg HJ: Gait style as an etiology to chronic postural pain: part II. Postural compensatory process. .JAPMA 83::615. ,1993. .

  • 61

    Payne CP, Dananberg HJ: Sagittal plane facilitation of the foot. .Australas J Podiatr Med 31::7. ,1997. .

  • 62

    Dananberg HJ: “Sagittal Plane Biomechanics,” in Sports Medicine of the Lower Extremity, ed by S Subotnick, p 137, Churchill Livingstone, New York. ,1999. .

  • 63

    Dananberg HJ: Human gait pathology: a new philosophy. .Podiatry Today 5::65. ,1993. .

  • 64

    Dananberg HJ: Sagittal plane biomechanics. .JAPMA 90::47. ,2000. .

  • 65

    Gage JR: Gait Analysis in Cerebral Palsy, MacKeith Press, New York. ,1991. .

  • 66

    Stuberg WA, Colerick VL, Blanke DJ, et al: Comparison of a clinical gait analysis method using videography and temporal-distance measures with 16mm cinematography. .Phys Ther 68::1221. ,1988. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 67

    Kirkpatrick M, Wytch R, Cole G: Is the objective assessment of cerebral palsy gait reproducible?. J Pediatr Orthop 14::705. ,1994. .

  • 68

    Stillman B, MacMeeken J: Use of a video time display in determining gait measures. .Aust J Physiother 42::213. ,1996. .

  • 69

    Corry IS, Duffy CM, Cosgrave AP: Measurement of oxygen consumption in disabled children by the Cosmed K2 portable telemetry system. .Dev Med Child Neurol 38::585. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 70

    Drouin LM, Malouin F, Richards CL: Correlation between the gross motor function measures scores and gait spatiotemporal measures in children with neurological impairments. .Dev Med Child Neurol 38::1007. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 71

    DeLuca PA: Gait analysis in the treatment of the ambulatory child with cerebral palsy. .Clin Orthop 264::65. ,1991. .

  • 72

    Harris GF, Wertsch JJ: Procedures for gait analysis. .Arch Phys Med Rehabil 75::216. ,1994. .

  • 73

    Boyce WF, Gowland C, Hardy S: Development of a quality of movement measure for children with cerebral palsy. .Phys Ther 71::820. ,1991. .

  • 74

    Bose K, Goh JC: Gait analysis in clinical practice. .J West Pacific Orthop Assoc 21::57. ,1984. .

  • 75

    Perry JE, Hoffer MM: Pre-operative and post-operative dynamic electromyography as an aid in planning tendon transfers in children with cerebral palsy. .J Bone Joint Surg Am 59::531. ,1977. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 76

    Cornwall MW, McPoil TG: Comparison of 2-dimensional and 3-dimensional rearfoot motion during walking. .Clin Biomech 10::36. ,1995. .

  • 77

    Cornwall MW, McPoil TG: Three-dimensional movement of the foot during the stance phase of walking. .JAPMA 89::56. ,1999. .

  • 78

    Cornwall MW, McPoil TG: Effect of ankle dorsiflexion range of motion on rearfoot motion during walking. .JAPMA 89::272. ,1999. .

  • 79

    Cornwall MW, McPoil TG: Motion of the calcaneus, navicular, and first metatarsal during the stance phase of walking. .JAPMA 92::67. ,2002. .

    • Search Google Scholar
    • Export Citation
  • 80

    Cornwall MW, McPoil TG: Reliability and validity of center-of-pressure quantification. .JAPMA 93::142. ,2003. .

  • 81

    Woodburn J, Helliwell PS, Barker S: Three-dimensional kinematics at the ankle joint complex in rheumatoid arthritis patients with painful valgus deformity of the rearfoot. .Rheumatology 41::1406. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 82

    Woodburn J, Turner DE, Helliwell PS, et al: A preliminary study determining the feasibility of electromagnetic tracking for kinematics at the ankle joint complex. .Rheumatology 38::1260. ,1999. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 83

    Gage JR: Gait analysis: an essential tool in the treatment of cerebral palsy. .Clin Orthop 288::126. ,1994. .

  • 84

    Ray NM, Minch RP: Computer anxiety and alienation: towards a definition and parsimonious measure. .Hum Factors Am 32::477. ,1990. .

  • 85

    Kidd MR, McPhee W: The “lost generation”: IT education for health professionals. .Med J Aust 171::510. ,1999. .

  • 86

    Toffler A: Future Shock, Pan Books, London. ,1985. .

  • 87

    Watts HG: Gait laboratory analysis for preoperative decision making in spastic cerebral palsy: is it all it’s cracked up to be?. J Pediatr Orthop 14::703. ,1994. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 88

    McCoy A, Rodda J: The gateway to gait analysis for children in Australia. .Aust J Physiother 42::331. ,1996. .

  • 89

    Rose SA, Ounpuu S, DeLuca PA: Strategies for the assessment of pediatric gait in the clinical setting. .Phys Ther 71::961. ,1991. .

  • 90

    Krebs DE, Edelstein JE, Fishman S: Reliability of observational kinematic analysis. .Phys Ther 65::1027. ,1985. .

  • 91

    Durward BR, Baer GD, Rowe PJ: “Measurement Issues in Functional Human Movement,” in Functional Human Movement: Measurement and Analysis, ed by BR Durward, GD Baer, PJ Rowe, p 1, Butterworth-Heinemann, Oxford. ,2001. .

  • 92

    Meyers-Rice B, Sugars L, McPoil TG, et al: Comparison of three methods for obtaining plantar pressures in nonpathologic subjects. .JAPMA 84::499. ,1994. .

    • Search Google Scholar
    • Export Citation
  • 93

    Bryant A, Singer K, Tinley P: Comparison of the reliability of plantar pressure measurements using the two-step and midgait methods of data collection. .Foot Ankle Int 20::646. ,1999. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 94

    McPoil TG, Cornwall MW, Dupuis L, et al: Variability of plantar pressure data: a comparison of the two-step and midgait methods. .JAPMA 89::495. ,1999. .

    • Search Google Scholar
    • Export Citation
  • 95

    Kralj A, Jaeger RJ, Munih ML: Analysis of standing up and sitting down in humans: definitions and normative data presentation. .J Biomech 23::1123. ,1990. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 96

    Kerr KM, White JA, Barr DA, et al: Standardisation and definitions of the sit-to-stand movement cycle. .Gait Posture 2::182. ,1994. .

  • 97

    Doorenbosch CA, Harlaar J, Roebroeck ME, et al: Two strategies of transferring from sit-to-stand: the activation of monoarticular and biarticular muscles. .J Biomech 27::1299. ,1994. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 98

    Barnett S: International protocol guidelines for plantar pressure measurement. .Diabetic Foot 1::137. ,1998. .

  • 99

    Bellamy N, Buchanan WW, Goldsmith GH, et al: Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes following total hip or knee arthroplasty in osteoarthritis. .J Orthop Rheumatol 1::95. ,1988. .

    • Search Google Scholar
    • Export Citation
  • 100

    Kitaoka HB, Alexander IJ, Adelaar RS, et al: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. .Foot Ankle Int 15::349. ,1994. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 101

    Budiman-Mak E, Conrad KJ, Roach KJ: The Foot Function Index: a measure of foot pain and disability. .J Clin Epidemiol 44::561. ,1991. .

  • 102

    Rowan C: The development and validation of a multidimensional measure of chronic foot pain: Rowan Foot Pain Assessment Questionnaire (ROFPAQ). .Foot Ankle Int 22::795. ,2001. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 103

    Beaton D, Schemitsch E: Measures of health-related quality of life and physical function. .Clin Orthop 413::90. ,2003. .

  • 104

    Brazier JE, Harper R, Jones NM, et al: Validating the SF-36 health survey questionnaire: new outcome measure for primary care. .BMJ 305::160. ,1992. .

  • 105

    Roos E, Lohmander L: The Knee Injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. .Health Qual Life Outcomes 3::64. ,2003. .

    • Search Google Scholar
    • Export Citation
  • 106

    Pascoe GC, Attkisson CC: The evaluation ranking scale: a new methodology for assessing satisfaction. .Eval Program Plan 6::335. ,1983. .

    • Search Google Scholar
    • Export Citation
  • 107

    Bonney G, McNab I: Hallux valgus and rigidus. .J Bone Joint Surg Br 34::366. ,1952. .

  • 108

    Cavanagh PR, Rodgers M: The arch index: a useful measure from footprints. .J Biomech 20::547. ,1987. .

  • 109

    Hawes MR, Nachbauer W, Sovak D, et al: Footprint parameters as a measure of arch height. .Foot Ankle Int 13::22. ,1992. .

  • 110

    Song J, Hillstrom HJ, Secord D, et al: Foot type biomechanics: comparison of planus and rectus foot types. .JAPMA 86::16. ,1996. .

  • 111

    Lee WE: Podiatric biomechanics: an historical appraisal and discussion of the Root model as a clinical system of approach in the present context of theoretical uncertainty. .Clin Podiatr Med Surg 18::555. ,2001. .

    • PubMed
    • Search Google Scholar
    • Export Citation

Future of Gait Analysis

A Podiatric Medical Perspective

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  • 1 Wales Centre for Podiatric Studies, University of Wales Institute, Cardiff.
  • | 2 Bedford Podiatry Group, Bedford, NH.
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Despite the plethora of information on human gait analysis, its continued use as a clinical tool remains uncertain. Analysis of gait dysfunction has become integral to podiatric medical practice, and, like many specialized fields, it is rapidly changing to meet the needs of the future. Practice in the 21st century is predicated on the concept of multidisciplinary working approaches and a growing trend toward evidence-based practice, in which gait analysis could play a prominent role. This article provides a historical synopsis of instrumented gait analysis and its associated subcomponents and discusses the salient issues concerning its future role in podiatric medicine. (J Am Podiatr Med Assoc 95(2): 130–142, 2005)

Corresponding author: Sarah A. Curran, BSc(Hons), Wales Centre for Podiatric Studies, University of Wales Institute, Western Ave, Cardiff CF5 2YB, Wales.