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Analyses des modifications cinématiques et affectives générées par les orthèses plantaires lors de la locomotion chez les sujets présentant une inégalité au niveau des membres inférieurs

Abstract : The aim of this doctoral thesis is to analyze the kinematic and affective modifications generated by foot orthoses (FO) during locomotion in subjects with limb length discrepancy (LLD). LLD is a common condition due to either anatomical or functional deformities. LLD has been associated with several pathologies and pain in the lower limbs and pelvis, and is often treated by FO in the field of podiatrist. However, there is not yet consensus regarding the effects of FO on gait kinematics in subjects with mild LLD (≤ 3.0 cm). The main aim of this doctoral thesis is to determine whether FO can be an appropriate treatment for subjects with mild LLD. A first study highlights a significant decrease in low back pain in subjects with mild LLD without significant effect on joint symmetry after 3 weeks of use of orthotics insoles (OI). Then, a systematic review of the literature confirms the positive effect of FO on low back pain. However, the FO appear to decrease kinematic imbalances in subjects with LLD, only when LLD is moderate to severe. Our latest study shows an immediate effect of OI on kinematics and pain in subjects with mild LLD. OI seem likely to improve joint symmetry in the pelvis in the frontal plane and the ankle in the sagittal plane, as well as pain in subjects with mild LLD. These findings suggest that kinematic analysis can be useful in the field of podiatry.
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Submitted on : Thursday, October 22, 2020 - 5:02:30 PM
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Charlotte Menez. Analyses des modifications cinématiques et affectives générées par les orthèses plantaires lors de la locomotion chez les sujets présentant une inégalité au niveau des membres inférieurs. Education. Normandie Université, 2020. Français. ⟨NNT : 2020NORMR019⟩. ⟨tel-02975472v2⟩

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