Multi-segment Kinematics Research Articles

Current Issues Related to Biomechanics in Engineering

Motion capture was employed by Eadweard Muybridge and Etienne-Jules Marey. Industry standard for computing joint kinematics is motion capture. Kinematic analysis is a technique used in biomechanics and mechanical engineering to quantify stiff body motion. A joint moment can be computed in one of two ways: bottom-up or top-down. Joint moments measure muscle and joint tension indirectly. Researchers predicted joint moments using kinematic-based characteristics and machine learning outside of the biomechanics lab.Ankle osteoarthritis causes significant biomechanical issues in the foot and lower leg. Patients' 3D multi-segment kinematic foot models were studied. The technique used is Openpose, which recognises the human body from a single photograph.Falling fear is linked to decreased activity, despondency, and anxiety in the elderly. They adopt a hip approach to manage their GRFs and balance. The lateral ankle technique corrects minor foot placement problems by swiftly moving the pressure point. Angular momentum is affected by foot placement and ground reaction forces. Changing the body's centre of mass along a curved trajectory implies large changes in both ground reaction force impulses and ground reaction force.Lens stiffness and a ciliary muscle anterior/inward displacement produce presbyopia. By 55, the majority of folks have lost their ability to accommodate. Cataracts become common around this time, reaching over 70% by 75. The circumferential and meridional stiffnesses rose with anisotropy from pole to equator, but dropped with distance. The Holzapfel model accurately fits the data from inflation and uniaxial mechanical tests.Anatomical motions of the femur during knee flexion were examined. The data revealed morphological and physiological knee kinematic characteristics. The data led to several hypotheses about axial femoral condyle rotation. This review discusses lower limbs, foot positioning, lens capsule, femoral condyle, muscle activation, collagen fibre, knee joint, and walking speed. The purpose is to provide a general overview on the subject matter.

Multi-segment foot kinematics during gait in children with spastic cerebral palsy

BackgroundFoot deformities (e.g. planovalgus and cavovarus) are very common in children with spastic cerebral palsy (CP), with the midfoot often being involved. Dynamic foot function can be assessed with 3D gait analysis including a multi-segment foot model. Incorporating a midfoot segment in such a model, allows quantification of separate Chopart and Lisfranc joint kinematics. Yet, midfoot kinematics have not previously been reported in CP. Research questionsWhat is the difference in multi-segment kinematics including midfoot joints between common foot deformities in CP and typically-developing feet? Methods103 feet of 57 children with spastic CP and related conditions were retrospectively included and compared with 15 typically-developing children. All children underwent clinical gait analysis with the Amsterdam Foot Model marker set. Multi-segment foot kinematics were calculated for three strides per foot and averaged. A k-means cluster analysis was performed to identify foot deformity groups that were present within CP data. The deformity type represented by each cluster was based on the foot posture index. Kinematic output of the clusters was compared to typically-developing data for a static standing trial and for the range of motion and kinematic waveforms during walking, using regular and SPM independent t-tests respectively. ResultsA neutral, planovalgus and varus cluster were identified. Neutral feet showed mostly similar kinematics as typically-developing data. Planovalgus feet showed increased ankle valgus and Chopart dorsiflexion, eversion and abduction. Varus feet showed increased ankle varus and Chopart inversion and adduction. SignificanceThis study is the first to describe Chopart and Lisfranc joint kinematics in different foot deformities of children with CP. It shows that adding a midfoot segment can provide additional clinical and kinematic information. It highlights joint angles that are more distinctive between deformities, which could be helpful to optimize the use of multi-segment foot kinematics in the clinical decision making process.

Post-Stroke Hemiplegic Rodent Evaluation: A Framework for Assessing Forelimb Movement Quality Using Kinematics.

Kinematics is the gold-standard method for measuring detailed joint motions. Recent research demonstrates that post-stroke kinematic analysis in rats reveals reaching abnormalities similar to those seen in humans after stroke. Nonetheless, behavioral neuroscientists have failed to incorporate kinematic methods for assessing movement quality in stroke models. The availability of a user-friendly method to assess multi-segment forelimb kinematics models should greatly increase uptake of this approach. Here, we present a framework for multi-segment forelimb analysis in rodents after stroke. This method greatly enhances the understanding of post-stroke forelimb motor recovery by including several movement quality metrics often used in human clinical work, such as upper-limb linear and angular kinematics, movement smoothness and kinetics, abnormal synergies, and compensations. These metrics may constitute a preclinical surrogate for the Fugl-Meyer assessment of hemiplegic patients. The data obtained using this method are 83 outputs of linear and angular kinematics and kinetics. The outputs also include 24 time series of continuous data, which afford a graphical representation of the kinematics and kinetics of the reaching cycle. We show that post-stroke rodents displayed many features resembling those seen in humans after stroke that are evident only when multi-segment kinematics models are considered. This method expands the knowledge derived from methods constrained to paw movements to a multi-segment forelimb movement quality framework. Moreover, it highlights the need for preclinical work to consider more sensitive measures of sensorimotor impairment and recovery as a means to enhance the interpretation of true recovery and compensation. © 2022 Wiley Periodicals LLC. Basic Protocol: Recording and data analysis of rodents performing the Montoya staircase task.

Children's school footwear: The impact of fit on foot function, comfort and jump performance in children aged 8 to 12 years.

There is a common perception that poorly fitting footwear will negatively impact a child's foot, however, there is limited evidence to support this. To determine the effect of shoe size on foot motion, perceived footwear comfort and fit during walking, maximal vertical jump height and maximal standing broad jump distance in children aged 8-12 years. Fourteen participants completed 3D walking gait analysis and jumping tasks in three different sizes of school shoes (one size bigger, fitted for size, one size smaller). In-shoe motion of the hindfoot, midfoot and 1st metatarsophalangeal joint (1st MTPJ) were calculated using a multi-segment kinematic foot model. Physical performance measures were calculated via maximal vertical jump and maximal standing broad jump. Perceived footwear comfort and fit (heel, toes and overall) was assessed using a 100 mm visual analog scale (VAS). Differences were compared between shoe sizes using repeated measures ANOVA, post-hoc tests and effect sizes (Cohen's d). Compared to the fitted footwear, the smaller sizing restricted hindfoot eversion (-2.5°, p = 0.021, d = 0.82), 1st MTPJ dorsiflexion (-3.9°, p = 0.012, d = 0.54), and compared to the bigger footwear, smaller sizing restricted sagittal plane midfoot range-of-motion during walking (-2.5°, p = 0.047, d = 0.59). The fitted footwear was rated as more comfortable overall with the smaller size rated as too tight in both the heel (mean difference 11.5 mm, p = 0.042, d = 0.58) and toes (mean difference 12.1 mm, p = 0.022, d = 0.59), compared to the fitted size. Vertical and standing broad jump distance were not impacted by footwear size (p = 0.218-0.836). Footwear that is too small restricts foot motion during walking in children aged 8-12 years. Jump performance was not affected. Children were able to recognise shoes that were not correctly matched to their foot length, reinforcing that comfort is an important part of the fitting process.

Multi-segment foot kinematics during running and its association with striking patterns

ABSTRACT There is an ongoing debate regarding the advantages and harms of different running striking patterns. The purpose of this study was to explore the kinematic differences between running with a midfoot- and rearfoot striking (RFS) pattern. Multi-segment foot kinematics of 12 students were assessed while running barefoot at 3.3 m/s (±10%) using a passive optoelectronic motion analysis system. Participants performed multiple running trials while landing on the rearfoot and midfoot. Comparison of the kinematic waveforms was performed using one-dimensional statistical parametric mapping (1DSPM) (paired t-test). The inter-segment angle between the shank and calcaneus was found to be significantly more plantar-flexed, more inverted and more adducted in the midfoot striking (MFS) condition compared to the RFS pattern. The calcaneus-midfoot inter-segment angle was found to be more plantar-flexed in the MFS condition. The downward angulation of the metatarsals and the medial longitudinal arch angle in the late swing phase was found to be more pronounced during MFS. Differences between midfoot and RFS patterns occur in the first sub-phase of stance (0–50% of the stance phase). These findings may be of interest for the kinesiopathological or pathokinesiological reasoning processes when facing foot- and lower limb-related running injuries.

The Midfoot Contributes to Power and Work During Single-limb Heel Rise

Category: Midfoot/Forefoot Introduction/Purpose: Single-limb heel rise (HR) is used to evaluate muscle performance and clinical outcomes in people with foot and ankle pathology. While the midfoot contributes 13% of total foot/ankle work to forward propulsion during gait, healthy HR performance remains primarily characterized by ankle function. Similar to its function during gait, the midfoot may also generate power during HR to provide the stability needed for ankle push-off power. Further characterization of HR performance by evaluating midfoot kinetics may advance understanding of foot function in the clinical application of the HR task. The purpose of this study was to examine ankle and midfoot power and work during single-limb HR in healthy adults. Methods: Twelve healthy adults [Mean (SD): Age 31.3 (4.9) years; BMI 25.2 (3.3) Kg/m2; 50% male] performed twenty barefoot single-limb heel rises. Multi-segment kinematic and ground reaction force data were recorded with an electromagnetic motion capture system and force plate. Subject-specific, three segment foot models (tibia, rearfoot, forefoot) were derived. Inverse dynamic calculations were performed to obtain ankle and midfoot peak positive and negative powers (joint torque x segmental velocity), as well as the timing of peak powers (% of the heel rise). Midfoot work (integral of power with respect to time), reflecting energy production, was examined as a percentage of the entire work performed at the ankle and midfoot during HR. Group descriptive data were examined as mean (standard deviation) [95% confidence interval]. Results: Ankle peak positive power was 2.8 (0.8) [2.2 - 3.3] W/Kg and occurred during the ascent phase at 7% HR (Figure 1). Midfoot peak positive power was 0.5 (0.2) [0.3 - 0.6] W/Kg occurring at 6%. Ankle peak negative power was 2.1 (0.6) [1.7 - 2.4] W/Kg and occurred during the descent phase at 84% HR. Midfoot peak negative power was 0.4 (0.2) [0.2 - 0.5] W/Kg occurring at 83%. The proportion of midfoot work to total work performed was 13.5 (5.7) [9.8 - 17.1] %. Conclusion: Study findings advance understanding of foot function by demonstrating the contribution of midfoot power and work during HR in healthy adults. Midfoot peak powers were approximately 18% of ankle powers and occurred at similar times during HR. Further, midfoot energy production appears to be an important aspect of healthy HR performance because approximately 14% of the total foot/ankle work occurs at the midfoot. Since active internal muscle and ligament mechanisms are attributed to midfoot power generation, practitioners should consider midfoot tissue loading and muscle performance when implementing the HR task in clinical practice.

Grasping an object at floor-level: Is movement strategy a matter of age?

Bending down to pick things up off the floor is something that we do every day. This multisegment task can be done in a considerable number of postural configurations because of the large number of degrees of freedom to be controlled when executing it. In this study where volunteers performed a repetitive bending task, multisegment kinematic analysis allowed us to identify seven different bending strategies. Most operators used more than one bending strategy, but no particular strategy-type was found to be specific for a specific age group. However, the number of strategies used by an operator decreased with increasing age. It therefore appears that this factor influences the variability of the strategies used when repeatedly executing a movement involving the lower limbs to collect small objects from floor-level. This decrease in movement variability in senior operators may contribute to their increased risk of developing musculoskeletal disorders.

Reliability of a multi-segment foot model in a neutral cushioning shoe during treadmill walking

BackgroundDetailed kinematics of the foot has been frequently reported on in the literature, specifically using various multi-segment foot models. It is important to identify the reliability of a multi-segment foot model in a population of mixed genders and activity levels, while walking in commonly used footwear. The main objective of this study was to investigate the between-day reliability and within-session variability of the Oxford Foot Model (OFM) while walking in a neutral cushioning shoe.MethodsA 7-camera Vicon motion capture system was used along with 29 passive reflective markers, placed on the participant to examine the multi-segment foot kinematics of the left foot using the OFM. Windows were cut in New Balance 840 shoes following reports from a previous investigation to maintain shoe integrity during testing. Two walking sessions on separate days were collected for 12 healthy participants, with an average total of 22 gait cycles per day.ResultsICCs ranged from 0.020 to 0.964 for between-day reliability, and within-session ICC values ranged from 0.268 to 0.985. Between-day ICC values of the relative measures (excursion and range of motion (ROM)) were higher than the absolute angle measures (angle at foot strike and peak angle). Largest differences were measured in the transverse plane, and the smallest differences in the sagittal plane. Bland-Altman plots revealed best agreement in the frontal and sagittal planes. SEM values ranged from 0.04 to 3.5 for the between-day reliability.ConclusionsBetween-day reliability and within-session variability were comparable to previous studies for adults walking barefoot and shod. This research demonstrates that the OFM can produce reliable data when applied to the assessment of a shod foot.

Movement coordination patterns between the foot joints during walking

BackgroundIn 3D gait analysis, kinematics of the foot joints are usually reported via isolated time histories of joint rotations and no information is provided on the relationship between rotations at different joints. The aim of this study was to identify movement coordination patterns in the foot during walking by expanding an existing vector coding technique according to an established multi-segment foot and ankle model. A graphical representation is also described to summarise the coordination patterns of joint rotations across multiple patients.MethodsThree-dimensional multi-segment foot kinematics were recorded in 13 adults during walking. A modified vector coding technique was used to identify coordination patterns between foot joints involving calcaneus, midfoot, metatarsus and hallux segments. According to the type and direction of joints rotations, these were classified as in-phase (same direction), anti-phase (opposite directions), proximal or distal joint dominant.ResultsIn early stance, 51 to 75% of walking trials showed proximal-phase coordination between foot joints comprising the calcaneus, midfoot and metatarsus. In-phase coordination was more prominent in late stance, reflecting synergy in the simultaneous inversion occurring at multiple foot joints. Conversely, a distal-phase coordination pattern was identified for sagittal plane motion of the ankle relative to the midtarsal joint, highlighting the critical role of arch shortening to locomotor function in push-off.ConclusionsThis study has identified coordination patterns between movement of the calcaneus, midfoot, metatarsus and hallux by expanding an existing vector cording technique for assessing and classifying coordination patterns of foot joints rotations during walking. This approach provides a different perspective in the analysis of multi-segment foot kinematics, and may be used for the objective quantification of the alterations in foot joint coordination patterns due to lower limb pathologies or following injuries.

Multi-segment foot kinematics and pain intensity comparison in women with and without pattelofemoral pain syndrome

Multi-segment foot kinematics and pain intensity comparison in women with and without pattelofemoral pain syndrome

Multi-segment kinematic model to assess three-dimensional movement of the spine and back during gait.

Relatively little is known about spine during gait compared to movement analysis of the lower extremities. The trunk is often regarded and analysed as a single rigid segment and there is a paucity of information on inter-segmental movement within the spine and its relationship to pelvis and lower limbs. To develop and validate a new multi-segment kinematic model to assess regional three-dimensional movement of the lumbar, lower thoracic and upper thoracic spine during gait. Observational study. The study was conducted in two parts: (1) to provide validation measures on the kinematic model built in commercially available software and (2) to apply the marker configuration to the spine at T3, T8 and L3 during gait analysis on 10 healthy male volunteers. Proposed model revealed excellent concurrent validation measures between an applied input angle to the recorded output angle from the kinematic model. A high reliability was observed during gait analysis, both during a single session and between sessions for all participants. The thoracic region of the spine should not be modelled as a single rigid segment and the proposed three-dimensional cluster is reliable and repeatable to assess the inter-segmental movement of the spine. Reliable kinematic data can be collected using the three-dimensional cluster technique, thus, allowing researchers to accurately distinguish between movement patterns of healthy individuals to those with a clinical condition, and provide confidence in data acquisition during the monitoring process of an implemented rehabilitation intervention programme.

Segmented midsole hardness in the midfoot to forefoot region of running shoes alters subjective perception and biomechanics during heel-toe running revealing potential to enhance footwear

Purpose: Dual density midsole constructions at the lateral rearfoot and medial midfoot provide opportunities to improve cushioning and stability of running shoes. By similar mechanisms, non-uniform midsole density across the medio-lateral direction at the midfoot to forefoot may allow better negotiation of different loading magnitudes of the medial and lateral midfoot to forefoot during running. Thus, the effect of segmented midsole hardness at the midfoot to forefoot of running shoes on perception and biomechanics was examined.Methods: Four custom-made running shoes featured a three section longitudinal hardness pattern at midfoot to forefoot. The central section as well as the rearfoot section always had consistent medium hardness, whereas medial and lateral sections were systematically softer or harder. A sample of 24 runners participated in visual analogue scale based perception measurements and in recording of in-shoe plantar pressures, ground reaction forces, and multi-segment foot kinematics. Shoe effects were analysed by repeated measures analyses of variance (ANOVA) (p<.05), followed by least significant difference (LSD) and Bonferroni adjusted post-hoc tests (p<.05) for discrete variables. Interaction of shank and foot segments was also analysed using motion-time curves.Results: Runners distinguished midsole hardness at the medial (p = .009) but not at the lateral midfoot to forefoot and indicated a trend (p = .069) preferring softer medial hardness. Plantar peak pressure (medial: p = .006, lateral: p = .000) and relative loads (medial: p = .000, lateral: p = .000) were increased when midsole sections were harder. Ground contact time (p = .045) and maximum loading rate I (p = .016) were higher for shoes having softer medial hardness, while rearfoot (p = .040) and forefoot (p = .001) showed increased maximum ankle eversion for these conditions.Conclusion: Segmented running shoe midsole hardness across the medio-lateral direction of the midfoot to forefoot influences subjective comfort and biomechanical forefoot stability. Findings allow systematic approaches to improve both features, thereby creating enhanced running footwear.

Biomechanical effects of sensorimotor orthoses in adults with Charcot‐Marie‐Tooth disease

Background:Charcot–Marie–Tooth disease is an inherited neuropathy causing progressive weakness, foot deformity and difficulty walking. Clinical anecdotes suggest orthoses designed on the ‘sensorimotor’ paradigm are beneficial for improving gait in Charcot–Marie–Tooth disease.Objectives:Investigate the effect of sensorimotor orthoses on in-shoe and lower limb biomechanics in adults with Charcot–Marie–Tooth disease.Study design:Randomised, repeated-measures, exploratory study.Methods:Eight males and two females with Charcot–Marie–Tooth disease aged 31–68 years fitted with pedorthic shoes and custom-made sensorimotor orthoses were randomly tested at baseline and after 4 weeks of adaptation. In-shoe three-dimensional multi-segment foot and lower limb kinematics and kinetics were collected as were plantar pressures, electromyography and self-reported comfort, stability, cushioning and preference.Results:Compared to the shoe only condition, sensorimotor orthoses increased midfoot eversion and plantarflexion, in...

Gait analysis with a multi-segment foot model for the biomechanical validation of hinged foot-ankle orthoses

Hinged Ankle Foot Orthoses (HAFO) are largely prescribed for the treatment of ankle joint deficits, within a variety of neurological and orthopedic disorders. These are intended to control motion of this joint, to compensate for weakness, to correct deformities or to reduce mobility in the sagittal plane only. Quantitative assessment of their functional efficacy is still very limited. The aim of this study is to assess by means of state-of-the-art gait analysis the effect of the position of the mechanical axis of rotation in unlocked HAFO. Unfortunately, in routine custom-made manufacturing, this axis of rotation is positioned exactly mediolaterally, and also a few centimeters above the malleoli, very far from the intermalleolar physiological location.Apossible better axis location for more physiological foot joint rotations was sought by looking at multi-segment foot kinematics

Does tester experience affect the reliability of multisegment foot kinematics?

In recent times; multi-segment foot models have been developed and implemented, which have served to advance our knowledge of foot function during gait. This study examined differences in multi segment foot kinematics both between and within experimenters with three different levels of experience in multi segment foot marker placement. Twelve male participants walked across a 22 m laboratory at 1.25 m. s-1. Three experimenters (experienced, intermediate and novice) positioned multi-segment foot markers on two occasions. Differences in 3D foot articulations both between and within experimenters were examined using mixed ANOVA’s. The within experimenter reliability of the kinematic waveforms were further analysed using intraclass correlations. The results show that significant differences in discrete parameters were observed in the transverse plane between experimenters and also within experimenters in the sagittal, coronal and transverse planes for the novice practitioner. Furthermore, the results also showed that the experienced experimenter was associated with the highest levels of reliability in marker placement. This suggests that it may be prudent for multi-segment foot kinematics to be conducted using experienced practitioners and for analyses to state the experience level of the researchers conducting the anatomical marker placement.

Baropodometry and stereophotogrammetry for classifying flatfoot severity: dynamic angles and footprint indexes

Background Static radiographic angles and other clinical qualitative observations are used traditionally for classifying flatfeet. Correlation of foot shape measurements, taken from pressure footprints under dynamic conditions, with radiographic angles was preliminarily investigated in young flatfeet [1]. The aim of this study is to assess the sensitivity and specificity of existing or purposely defined angles and indexes obtained from both dynamic pressure footprints and multisegment foot kinematics during the stance phase of gait. The main hypothesis is that these thorough measures can account for structural and functional changes in the foot, thus improving flatfoot severity classification.

Foot segments mobility and plantar pressure in the normal foot

Background The foot is generally regarded as a flexible structure which can adjust its flexibility in response to variable dynamic conditions in different phases within different motor tasks. In gait, both kinematics and baropodometry have shown to be affected by functional and structural factors [1]. In fact pressure distribution can be seen as the effectiveness of the musculoskeletal system in absorbing the ground reaction forces via the foot and its joints. Excessive foot pressure may develop into calluses, which become sites of peak pressure and pain. The relationship between foot joints mobility and plantar pressure has not been thoroughly investigated. Aim of this study was to combine a multi-segment kinematics model [2] and baropodometric analysis based on anatomical masking [3], to investigate correlations between intersegmental kinematics and regional baropodometric parameters in the normal foot.

A kinematic description of dynamic midfoot break in children using a multi-segment foot model

Midfoot break (MFB) is a foot deformity that occurs most commonly in children with cerebral palsy (CP), but may also affect children with other developmental disorders. Dynamic MFB develops because the muscles that cross the ankle joint are hypertonic, resulting in a breakdown and dysfunction of the bones within the foot. In turn, this creates excessive motion at the midfoot. With the resulting inefficient lever arm, the foot is then unable to push off the ground effectively, resulting in an inadequate and painful gait pattern. Currently, there is no standard quantitative method for detecting early stages of MFB, which would allow early intervention before further breakdown occurs. The first step in developing an objective tool for early MFB diagnosis is to examine the difference in dynamic function between a foot with MFB and a typical foot. Therefore, the main purpose of this study was to compare the differences in foot motion between children with MFB and children with typical feet (Controls) using a multi-segment kinematic foot model. We found that children with MFB had a significant decrease in peak ankle dorsiflexion compared to Controls (1.3±6.4° versus 8.6±3.4°) and a significant increase in peak midfoot dorsiflexion compared to Controls (15.2±4.9° versus 6.4±1.9°). This study may help clinicians track the progression of MFB and help standardize treatment recommendations for children with this type of foot deformity.

The reliability, accuracy and minimal detectable difference of a multi-segment kinematic model of the foot–shoe complex

Kinematic models are commonly used to quantify foot and ankle kinematics, yet no marker sets or models have been proven reliable or accurate when wearing shoes. Further, the minimal detectable difference of a developed model is often not reported. We present a kinematic model that is reliable, accurate and sensitive to describe the kinematics of the foot–shoe complex and lower leg during walking gait. In order to achieve this, a new marker set was established, consisting of 25 markers applied on the shoe and skin surface, which informed a four segment kinematic model of the foot–shoe complex and lower leg. Three independent experiments were conducted to determine the reliability, accuracy and minimal detectable difference of the marker set and model. Inter-rater reliability of marker placement on the shoe was proven to be good to excellent (ICC=0.75–0.98) indicating that markers could be applied reliably between raters. Intra-rater reliability was better for the experienced rater (ICC=0.68–0.99) than the inexperienced rater (ICC=0.38–0.97). The accuracy of marker placement along each axis was <6.7mm for all markers studied. Minimal detectable difference (MDD90) thresholds were defined for each joint; tibiocalcaneal joint – MDD90=2.17–9.36°, tarsometatarsal joint – MDD90=1.03–9.29° and the metatarsophalangeal joint – MDD90=1.75–9.12°. These thresholds proposed are specific for the description of shod motion, and can be used in future research designed at comparing between different footwear.

The effect of footwear on multi‐segment foot kinematics during running

Background Footwear is intended to prevent lower extremity injuries caused by excessive foot-ground impacts and faulty mechanics. However, no clear relationship between shoe habits and injury risk has been established [1]. Many studies have examined barefoot versus shod running kinematics, but the results have been equivocal [2,3]. A factor in the inconsistent results could be the relationship between foot structure and function. For example, Cobb et al. demonstrated significant walking gait kinematic differences between participants with typical and low arch foot structures using a multi-segment foot model [4]. The purpose of this study was to investigate effects of footwear on multi-segment foot kinematics during running in participants with low arch structure.