Feasibility of mitigating out-toeing gait using compression tights with inward-directing taping lines
Out-toeing gait may cause alterations in lower limb biomechanics that could lead to an increased risk of overuse injuries. Surgery and physical therapy are conventional methods for mitigating such gait, but they are costly and time-consuming. Wearable devices like braces and orthoses are used as aff...
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description | Out-toeing gait may cause alterations in lower limb biomechanics that could lead to an increased risk of overuse injuries. Surgery and physical therapy are conventional methods for mitigating such gait, but they are costly and time-consuming. Wearable devices like braces and orthoses are used as affordable alternatives, but they apply non-negligible stress on the skin. Haptic feedback-delivering shoes were also recently developed, but they require actuators and power sources. The purpose of our study is to develop compression tights with inward directing taping lines that apply compression to lower limb muscles and segments to facilitate inward rotation of the foot, overcoming the drawbacks of previous methods. These compression tights were manufactured to fit the average height, leg length, hip girth, and waist girth of South Korean females in their twenties. The efficacy of these compression tights was evaluated by comparing walking kinematics and user satisfaction of 12 female dancers with an out-toeing gait under three conditions: wearing tights with taping lines, tights without taping lines, and basic bicycle shorts. The foot rotation angles and joint kinematics were recorded using a pressure-pad treadmill and motion capture system, respectively. Multiple pairwise comparisons revealed that the compression tights with inward-directing lines significantly reduced foot rotation angles (up to an average of 20.1%) compared with the bicycle shorts (p = 0.002 and 0.001 for dominant and non-dominant foot, respectively) or the compression tights without taping lines (p = 0.005 and p = 0.001 for dominant and non-dominant foot, respectively). Statistical parametric mapping revealed significant main effects of the tight type on joint kinematics. Also, t-tests revealed that the participants reported significantly higher ratings of perceived functionality and usability on the compression tights with inward-directing taping lines. In conclusion, we developed a comfortable and practical apparel-type wearable and demonstrated its short-term efficacy in mitigating out-toeing gait. |
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Surgery and physical therapy are conventional methods for mitigating such gait, but they are costly and time-consuming. Wearable devices like braces and orthoses are used as affordable alternatives, but they apply non-negligible stress on the skin. Haptic feedback-delivering shoes were also recently developed, but they require actuators and power sources. The purpose of our study is to develop compression tights with inward directing taping lines that apply compression to lower limb muscles and segments to facilitate inward rotation of the foot, overcoming the drawbacks of previous methods. These compression tights were manufactured to fit the average height, leg length, hip girth, and waist girth of South Korean females in their twenties. The efficacy of these compression tights was evaluated by comparing walking kinematics and user satisfaction of 12 female dancers with an out-toeing gait under three conditions: wearing tights with taping lines, tights without taping lines, and basic bicycle shorts. The foot rotation angles and joint kinematics were recorded using a pressure-pad treadmill and motion capture system, respectively. Multiple pairwise comparisons revealed that the compression tights with inward-directing lines significantly reduced foot rotation angles (up to an average of 20.1%) compared with the bicycle shorts (p = 0.002 and 0.001 for dominant and non-dominant foot, respectively) or the compression tights without taping lines (p = 0.005 and p = 0.001 for dominant and non-dominant foot, respectively). Statistical parametric mapping revealed significant main effects of the tight type on joint kinematics. Also, t-tests revealed that the participants reported significantly higher ratings of perceived functionality and usability on the compression tights with inward-directing taping lines. In conclusion, we developed a comfortable and practical apparel-type wearable and demonstrated its short-term efficacy in mitigating out-toeing gait.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0291914</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Actuators ; Analysis ; Ankle ; Athletic taping ; Bicycles ; Biology and Life Sciences ; Biomechanics ; Body measurements ; Complications and side effects ; Compression ; Compression therapy ; Effectiveness ; Feet ; Females ; Fitness equipment ; Footwear ; Gait ; Health risks ; Injuries ; Joints (anatomy) ; Kinematics ; Medical equipment ; Medicine and Health Sciences ; Motion capture ; Muscles ; Orthopedic equipment and supplies ; Orthopedics ; Overuse injuries ; Patient outcomes ; Physical therapy ; Polyesters ; Power sources ; Questionnaires ; Range of motion ; Rotation ; Shoes ; Skin ; Statistical analysis ; Taping ; Therapeutics, Physiological ; Usability ; User satisfaction ; Walking ; Wearable technology</subject><ispartof>PloS one, 2023-09, Vol.18 (9), p.e0291914-e0291914</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Pathak et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Pathak et al 2023 Pathak et al</rights><rights>2023 Pathak et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c619t-97b17fbdebd5b9911aa8771b770eb789660921f0648f2a35864c9ba26292490e3</cites><orcidid>0000-0001-8031-949X ; 0000-0001-9262-3800 ; 0000-0002-7964-5148</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513335/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513335/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2101,2927,23865,27923,27924,53790,53792,79371,79372</link.rule.ids></links><search><contributor>Vallery, Heike</contributor><creatorcontrib>Pathak, Prabhat</creatorcontrib><creatorcontrib>Kim, Hye Suk</creatorcontrib><creatorcontrib>Kim, Hyunji</creatorcontrib><creatorcontrib>Park, Juyeon</creatorcontrib><creatorcontrib>Lee, Giuk</creatorcontrib><creatorcontrib>Ahn, Jooeun</creatorcontrib><title>Feasibility of mitigating out-toeing gait using compression tights with inward-directing taping lines</title><title>PloS one</title><description>Out-toeing gait may cause alterations in lower limb biomechanics that could lead to an increased risk of overuse injuries. Surgery and physical therapy are conventional methods for mitigating such gait, but they are costly and time-consuming. Wearable devices like braces and orthoses are used as affordable alternatives, but they apply non-negligible stress on the skin. Haptic feedback-delivering shoes were also recently developed, but they require actuators and power sources. The purpose of our study is to develop compression tights with inward directing taping lines that apply compression to lower limb muscles and segments to facilitate inward rotation of the foot, overcoming the drawbacks of previous methods. These compression tights were manufactured to fit the average height, leg length, hip girth, and waist girth of South Korean females in their twenties. The efficacy of these compression tights was evaluated by comparing walking kinematics and user satisfaction of 12 female dancers with an out-toeing gait under three conditions: wearing tights with taping lines, tights without taping lines, and basic bicycle shorts. The foot rotation angles and joint kinematics were recorded using a pressure-pad treadmill and motion capture system, respectively. Multiple pairwise comparisons revealed that the compression tights with inward-directing lines significantly reduced foot rotation angles (up to an average of 20.1%) compared with the bicycle shorts (p = 0.002 and 0.001 for dominant and non-dominant foot, respectively) or the compression tights without taping lines (p = 0.005 and p = 0.001 for dominant and non-dominant foot, respectively). Statistical parametric mapping revealed significant main effects of the tight type on joint kinematics. Also, t-tests revealed that the participants reported significantly higher ratings of perceived functionality and usability on the compression tights with inward-directing taping lines. In conclusion, we developed a comfortable and practical apparel-type wearable and demonstrated its short-term efficacy in mitigating out-toeing gait.</description><subject>Actuators</subject><subject>Analysis</subject><subject>Ankle</subject><subject>Athletic taping</subject><subject>Bicycles</subject><subject>Biology and Life Sciences</subject><subject>Biomechanics</subject><subject>Body measurements</subject><subject>Complications and side effects</subject><subject>Compression</subject><subject>Compression therapy</subject><subject>Effectiveness</subject><subject>Feet</subject><subject>Females</subject><subject>Fitness equipment</subject><subject>Footwear</subject><subject>Gait</subject><subject>Health risks</subject><subject>Injuries</subject><subject>Joints (anatomy)</subject><subject>Kinematics</subject><subject>Medical equipment</subject><subject>Medicine and Health Sciences</subject><subject>Motion capture</subject><subject>Muscles</subject><subject>Orthopedic equipment and supplies</subject><subject>Orthopedics</subject><subject>Overuse injuries</subject><subject>Patient outcomes</subject><subject>Physical therapy</subject><subject>Polyesters</subject><subject>Power sources</subject><subject>Questionnaires</subject><subject>Range of motion</subject><subject>Rotation</subject><subject>Shoes</subject><subject>Skin</subject><subject>Statistical analysis</subject><subject>Taping</subject><subject>Therapeutics, Physiological</subject><subject>Usability</subject><subject>User satisfaction</subject><subject>Walking</subject><subject>Wearable 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of mitigating out-toeing gait using compression tights with inward-directing taping lines</title><author>Pathak, Prabhat ; Kim, Hye Suk ; Kim, Hyunji ; Park, Juyeon ; Lee, Giuk ; Ahn, Jooeun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c619t-97b17fbdebd5b9911aa8771b770eb789660921f0648f2a35864c9ba26292490e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Actuators</topic><topic>Analysis</topic><topic>Ankle</topic><topic>Athletic taping</topic><topic>Bicycles</topic><topic>Biology and Life Sciences</topic><topic>Biomechanics</topic><topic>Body measurements</topic><topic>Complications and side effects</topic><topic>Compression</topic><topic>Compression therapy</topic><topic>Effectiveness</topic><topic>Feet</topic><topic>Females</topic><topic>Fitness equipment</topic><topic>Footwear</topic><topic>Gait</topic><topic>Health risks</topic><topic>Injuries</topic><topic>Joints (anatomy)</topic><topic>Kinematics</topic><topic>Medical equipment</topic><topic>Medicine and Health Sciences</topic><topic>Motion capture</topic><topic>Muscles</topic><topic>Orthopedic equipment and supplies</topic><topic>Orthopedics</topic><topic>Overuse injuries</topic><topic>Patient outcomes</topic><topic>Physical therapy</topic><topic>Polyesters</topic><topic>Power sources</topic><topic>Questionnaires</topic><topic>Range of motion</topic><topic>Rotation</topic><topic>Shoes</topic><topic>Skin</topic><topic>Statistical analysis</topic><topic>Taping</topic><topic>Therapeutics, Physiological</topic><topic>Usability</topic><topic>User satisfaction</topic><topic>Walking</topic><topic>Wearable technology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pathak, Prabhat</creatorcontrib><creatorcontrib>Kim, Hye Suk</creatorcontrib><creatorcontrib>Kim, Hyunji</creatorcontrib><creatorcontrib>Park, Juyeon</creatorcontrib><creatorcontrib>Lee, 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one</jtitle><date>2023-09-21</date><risdate>2023</risdate><volume>18</volume><issue>9</issue><spage>e0291914</spage><epage>e0291914</epage><pages>e0291914-e0291914</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Out-toeing gait may cause alterations in lower limb biomechanics that could lead to an increased risk of overuse injuries. Surgery and physical therapy are conventional methods for mitigating such gait, but they are costly and time-consuming. Wearable devices like braces and orthoses are used as affordable alternatives, but they apply non-negligible stress on the skin. Haptic feedback-delivering shoes were also recently developed, but they require actuators and power sources. The purpose of our study is to develop compression tights with inward directing taping lines that apply compression to lower limb muscles and segments to facilitate inward rotation of the foot, overcoming the drawbacks of previous methods. These compression tights were manufactured to fit the average height, leg length, hip girth, and waist girth of South Korean females in their twenties. The efficacy of these compression tights was evaluated by comparing walking kinematics and user satisfaction of 12 female dancers with an out-toeing gait under three conditions: wearing tights with taping lines, tights without taping lines, and basic bicycle shorts. The foot rotation angles and joint kinematics were recorded using a pressure-pad treadmill and motion capture system, respectively. Multiple pairwise comparisons revealed that the compression tights with inward-directing lines significantly reduced foot rotation angles (up to an average of 20.1%) compared with the bicycle shorts (p = 0.002 and 0.001 for dominant and non-dominant foot, respectively) or the compression tights without taping lines (p = 0.005 and p = 0.001 for dominant and non-dominant foot, respectively). Statistical parametric mapping revealed significant main effects of the tight type on joint kinematics. Also, t-tests revealed that the participants reported significantly higher ratings of perceived functionality and usability on the compression tights with inward-directing taping lines. In conclusion, we developed a comfortable and practical apparel-type wearable and demonstrated its short-term efficacy in mitigating out-toeing gait.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0291914</doi><tpages>e0291914</tpages><orcidid>https://orcid.org/0000-0001-8031-949X</orcidid><orcidid>https://orcid.org/0000-0001-9262-3800</orcidid><orcidid>https://orcid.org/0000-0002-7964-5148</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Actuators Analysis Ankle Athletic taping Bicycles Biology and Life Sciences Biomechanics Body measurements Complications and side effects Compression Compression therapy Effectiveness Feet Females Fitness equipment Footwear Gait Health risks Injuries Joints (anatomy) Kinematics Medical equipment Medicine and Health Sciences Motion capture Muscles Orthopedic equipment and supplies Orthopedics Overuse injuries Patient outcomes Physical therapy Polyesters Power sources Questionnaires Range of motion Rotation Shoes Skin Statistical analysis Taping Therapeutics, Physiological Usability User satisfaction Walking Wearable technology |
title | Feasibility of mitigating out-toeing gait using compression tights with inward-directing taping lines |
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