Papers by Joris De Schepper
Podiatry : Evolution & Development towards Foot and Lower Extremity Engineering
La aplicación de conceptos biomecánicos: hacia una mejor compresión del tratamiento según su mecanismo de lesión
Despite the limitations of the study, EDS-HT has proven to have a large disabling impact on foot ... more Despite the limitations of the study, EDS-HT has proven to have a large disabling impact on foot function as well as on the entire lower limb segment. The need for adequate screening and appropriate interventions clearly arises. CONCLUSION Tabel 1 : results in terms of percentage CG vs. EDS-HT Tabel 2: between group detail on FHSQ brought to you by CORE View metadata, citation and similar papers at core.ac.uk
OBJECTIVE This European Network is an organizational framework, aiming to unite the podiatry educ... more OBJECTIVE This European Network is an organizational framework, aiming to unite the podiatry educational institutions in the European region, following Bologna agreements. ENPODHE brings together and enhances collaboration between podiatry educational institutions in order to: • provide a forum for interaction and exchange of educational developments; • promote the convergence of education, respecting differences and cultures; • stimulate the development of a European dimension in educational curricula; • facilitate mobility of staff and students between educational institutions; • encourage and support standards of high quality education in accordance with the recommendations of the FIP; • advance the body of knowledge of podiatry; • facilitate collaborative research between educational institutions; • establish and maintain contacts and exchange information with other national and international bodies, organizations, and with the European authorities. DESIGN The design of the netw...
Arthritis Care & Research, 2020
ObjectiveAnkle‐foot problems have a considerable impact on daily functioning in patients with hyp... more ObjectiveAnkle‐foot problems have a considerable impact on daily functioning in patients with hypermobile Ehlers‐Danlos syndrome and hypermobility spectrum disorder (hEDS/HSD). Therefore, the objective of this study was to identify alterations in multisegment ankle and foot kinematics during gait and to assess foot function and pain in these patients.MethodsTwenty‐three women with hEDS/HSD and 23 healthy controls participated in this 3‐dimensional gait analysis. Multisegment ankle and foot kinematics were collected using the Ghent Foot Model and analyzed with Statistical Parametric Mapping. Foot function and pain were assessed using visual analog scale scores, the Margolis Pain Diagram, and the Foot Function Index.ResultsLevels of pain and foot dysfunction were significantly higher in subjects with hEDS/HSD (P < 0.001). Kinematic curve analyses provide evidence for a hypermobile first ray, represented by a significantly increased eversion position of the medial forefoot during st...
Evidence-based richtlijnen CVA. Enquête naar kennis over, gebruik en perceptie van richtlijnen CVA bij de verschillende leden van Vlaamse SP-diensten en revalidatie-eenheden CVA
Voetje baden zonder schade...?
Pronation in the context of “ab-normal-cy”. The good, the bad and the ugly
Mechanical Influence of Somatic Dysfunction of the 5TH Lumbosacral Joint and Alterations in Gait
Temporarily Free Full Text until July 20, 2015: http://authors.elsevier.com/a/1R7Kj6D0fPNrFz
Benefits and pitfalls in the use of 2D-kinematic analysis : beyond overpronation
The risk of falling in the community dwelling- and retirement villiage elderly
Ergotherapie als actor binnen een multidisciplinaire aanpak van valpreventie in de woon-zorgcentra
Intra Test Reliability on the clinical detection and labelling of the Subtalar Joint Axis as described by Dr. K. Kirby
Impact of Ehlers Danlos Syndrome-Hypermobile Type on lower limb function
Relationship between somatic dysfunction of the lumbosacral joint and changes in the gait pattern
International Journal of Osteopathic Medicine, 2015
ABSTRACT Free Full Text until July 20, 2015: http://authors.elsevier.com/a/1R7Kj6D0fPNrFz Backgro... more ABSTRACT Free Full Text until July 20, 2015: http://authors.elsevier.com/a/1R7Kj6D0fPNrFz Background : Somatic dysfunction of L5-S1 is believed to cause or worsen a rotation pattern in the pelvis, often combined with low back pain. This affects symmetry of motion amplitudes in lower joints, and could influence the gait pattern. This study was conducted to determine whether a somatic dysfunction of L5 has an influence on the gait pattern. Objective: To investigate the correlation between the presence of a somatic dysfunction at L4-L5 and a rotation in the gait pattern. Methods: 30 participants with LBP and a somatic dysfunction of L5 were assessed by three examiners using established osteopathic tests. All participants had their static pelvic rotation measured using a digital measurement system, and their gait assessed using a plantar pressure device. Results: No significant differences were found in the static position of the pelvis and the rotation of the feet between the control and testing group. Significant differences were found in the correlation between pelvic rotation and foot rotation during normal speed walking. Rotation to the right of the pelvis showed a significant negative correlation (Spearman’s r = -.527; p = .003), and rotation to the left of the pelvis showed a significant positive correlation (Spearman’s r = .586; p = .001) with the ipsilateral foot. Conclusion: When assessed in a static position, somatic dysfunction of L5 had no influence on the position of the pelvis or the rotation of the feet. When assessed during locomotion, somatic dysfunction of L5 had a significant influence (p &lt; .05) on the external rotation of the ipsilateral leg. Keywords Osteopathic; Somatic dysfunction; Pelvic Rotation; Gait Analysis
The Subtalar Joint Axis Palpation Technique
Journal of the American Podiatric Medical Association, 2014
BackgroundClinically locating the point of no rotation to determine the subtalar joint axis locat... more BackgroundClinically locating the point of no rotation to determine the subtalar joint axis location by applying pressure on the plantar surface of the foot was described by Kirby in 1987 but was never validated. We sought to extend a previously validated mechanical model to cadaver feet and to examine the intratester and intertester reliability.MethodsFour testers with different levels of experience determined the subtalar joint axis location and moved the subtalar joint through its range of motion, capturing the movement using kinematic analysis. The comparison of the spatial subtalar joint axis location as determined by palpation between and within testers determined the intertester and intratester reliability. The helical axis method was performed to validate the model.ResultsThe intrarater reliability varied from a high of α = 0.96 to a low of α = 0.26 for the slope and was, in general, high (α = 0.78–0.95) for the intersection. The interrater reliability scored moderate to hig...
The Subtalar Joint Axis Palpation Technique—Part 1
Journal of the American Podiatric Medical Association, 2014
BackgroundLocating the position of the subtalar joint axis can be a predictive clinical variable ... more BackgroundLocating the position of the subtalar joint axis can be a predictive clinical variable in biomechanical analysis and a valuable tool in the design of functional foot orthoses. Before testing Kirby's palpation technique to locate the subtalar joint axis in cadavers, it was important to develop and test the experimental methods in a mechanical model in which the exact location of the hinge joint can be controlled.MethodsFour testers determined the hinge joint location and moved it through its range of motion, capturing the movement of the joint axis using a kinematic model. The joint axis location was determined and validated by comparing the actual hinge joint location on the mechanical model with the location determined by the palpation technique described by Kirby in 1987 and the location determined by the helical joint axis method using three-dimensional kinematic data.ResultsThe overall angles result in mean slopes and intersections of 87° and 92 mm, 86° and 97 mm, 85° and 92 mm, and 88° and 91 mm for testers 1, 2, 3, and 4, respectively. Testers 1 and 3 were able to determine the location to 1° and 1 mm accuracy, tester 2 to 0° and 4 mm, and tester 4 to 2° and 2 mm compared with the kinematic data.ConclusionsThe technique of determining the points of no rotation as described by Kirby could be validated by using a three-dimensional kinematic model to determine the helical axis.
Intratest Reliability in Determining the Subtalar Joint Axis Using the Palpation Technique Described by K. Kirby
Journal of the American Podiatric Medical Association, 2012
Background:Exact determination and classification of the spatial position of the subtalar joint a... more Background:Exact determination and classification of the spatial position of the subtalar joint axis could be a predictive clinical variable in biomechanical analysis and a valuable tool in the design of functional foot orthoses.Methods:Three clinicians with different levels of experience determined and classified the subtalar joint axis location, three times, on 52 individuals, using the clinical palpation, allocation and interpretation technique, as described by K. Kirby.Results:High intratester precision (ICC 0.72 to 0.93) was found for determining the axis location (SEM, 3.72° for angle/0.27 cm for X-axis); however, classification of the spatial position of the axis has large intertester variation (κ = 0.243 to 0.494)Conclusions:The clinical palpation technique itself is reliable; the consistent attribution of a classification, in other words, interpretation, is weak. (J Am Podiatr Med Assoc 102(2): 122–129, 2012)