ABSTRACT
Since the end of the 1990s, several multisegment foot models (MSFMs) have been developed.
Several models were used to describe foot and ankle kinematics in patients with foot
and ankle pathologies; however, the diagnostic value for clinical practice of these
models is not known. This review searched in the literature for studies describing
kinematics in patients after foot and ankle trauma using an MSFM. The diagnostic value
of the MSFMs in patients after foot and ankle trauma was also investigated. A search
was performed on the databases PubMed/MEDLINE, Embase, and Cochrane Library. To investigate
the diagnostic value of MSFMs in patients after foot and ankle trauma, studies were
classified and analyzed following the diagnostic research questions formulated by
Knottnerus and Buntinx. This review was based on 7 articles. All studies were published
between 2010 and 2015. Five studies were retrospective studies, and 2 used an intervention.
Three studies described foot and ankle kinematics in patients after fractures. Four
studies described foot and ankle kinematics in patients after ankle sprain. In all
included studies, altered foot and ankle kinematics were found compared with healthy
subjects. No results on patient outcome using MSFMs and costs were found. Seven studies
were found reporting foot and ankle kinematics in patients after foot and ankle trauma
using an MSFM. Results show altered kinematics compared with healthy subjects, which
cannot be seen by other diagnostic tests and add valuable data to the present literature;
therefore, MSFMs seem to be promising diagnostic tools for evaluating foot and ankle
kinematics. More research is needed to find the additional value for MSFMs regarding
patient outcome and costs.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: April 20, 2019
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
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