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Title: The impact of excessive body mass on anthropometric characteristics of the peripubescent foot and spatio-temporal parameters of peripubescent gait
Author: Morrison, Stewart C.
ISNI:       0000 0001 3425 7718
Awarding Body: Glasgow Caledonian University
Current Institution: Glasgow Caledonian University
Date of Award: 2006
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There are indications in the relevant literature that excessive body mass has a detrimental impact upon the structure of the paediatric foot and the spatio-temporal parameters of gait. To date however the available literature is without scientific rigour and not of specific relevance from the podiatric perspective to the developing foot. The research conducted for this work was composed of three stages: (1) a pilot study to establish the intra- rater (and intra-subject) reliability of anthropometric paediatric foot assessment; (2) a population study to establish the influence of excessive body mass on anthropometric characteristics of the paediatric foot and; (3) a gait study to evaluate the influence of excessive body mass upon spatio-temporal parameters of peripubescent gait. For the pilot research thirteen subjects were measured during this stage of the research. The results indicated that the lead researcher (SM) was reliable at making repeated measures of forefoot width (weightbearing and non-weightbearing), navicular height and the Staheli Arch Index. The reliability of the measurement of navicular drop, chippaux-smirak index and valgus index is questioned. The results from stage 1 supported the inclusion of the reliable measures in stage 2 of the research where 200 peripubescent children (aged 9- 12 years) were recruited and foot assessment was conducted. It was concluded that excessive body mass led to increased foot length and foot width (p <_ 0.05). With regards to the spatio-temporal parameters of gait, 44 peripubescent children (aged 9 -11 years) were recruited in the study and this formed the 3td aspect of the research. This aspect of the research supported previous findings that obese children ambulated with increased duration of double support during gait and decreased single support during gait (p= <_ 0.05). The research also indicated that excessive body mass resulted in decreased cadence, stride length and velocity.The findings enhance indications that excessive body mass has a detrimental impact on paediatric foot structure and function. This research indicated that foot length and width are greater in children with excessive body mass and that - obese children specifically - ambulated during gait with increased double support phase and decreased single support phase. The results presented highlight a small aspect of the potential implication of excessive body mass on foot structure and function and therefore, further work is warranted
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available