Background

Stroke patients often face difficulties with walking due to an equinovarus, which leads to the inability to walk barefoot and an increased risk of falling. A 3D gait analysis is a common diagnostic tool within rehabilitation to determine the cause of the equinovarus in order to provide targeted treatment (e.g. surgical correction of the foot). With VICON's standard Plug-in Gait model, varus between the different segments of the foot cannot be objectified. Several multi-segmental foot models have been developed over time that detail the kinematics in the different segments of the foot to support clinical decision-making. The disadvantage of these foot models is that they are time-consuming in patient preparation and afterwards time-consuming in data analysis for the clinician. As a result, a multi-segmental foot model is hardly used in clinical gait analysis. The development of a new simplified foot model to identify foot problems between forefoot and hindfoot might cope with these disadvantages to support clinical decision-making in patients after stroke.

Objective

To validate “simplified foot-model” in stroke patients with equinovarus

Assignment

We are looking for a student with interest in data-analyses and –comparison of different 3D multi-segment foot models focusing on clinically relevant outcome measures. Data collection of overground walking with various 3D foot models in stroke patients with equinovarus pre/post-surgical intervention has already taken place.

Specific aspects:

• Literature study on the various existing foot models (Ghent, Heidelberg, Oxford).
• Validation study by comparing the outcomes of the simplified foot model with the outcomes of 1 or more multi-segment foot models in stroke patients. The data has already been collected.
• Write a report

Roessingh Research & development

The assignment will be carried out at Roessingh Research & Development (RRD) in Enschede, one of the largest scientific research centres in the field of rehabilitation. RRD focuses its scientific research on rehabilitation, sports and health management. In cooperation with Roessingh Centre for Rehabilitation and University of Twente, it contributes to the implementation of knowledge, innovations and products in daily clinical practice. This study has a strong collaborative relationship with Roessingh Diagnostic Centre for Walking Disorders.

Reaction

For further information or questions, please contact Mr. L. Schaake or Ms. R. Huurneman l.schaake@rrd.nl; r.huurneman@roessingh.nl; 088-0875711.