Barefoot ambulation following partial foot amputation: A systematic review of biomechanical outcomes.
Sree Kanakala, Srihan Yalavarthy, Gargi Samarth et al.
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In 30 seconds
This systematic review evaluated biomechanical outcomes of barefoot ambulation in adults following partial foot amputation (PFA). Analyzing 12 studies with 101 participants, the review found that PFA is associated with impaired gait, including reduced walking speed and shorter step length, as well as elevated plantar pressures, particularly in the forefoot and midfoot.
Key findings
- PFA was linked to reduced walking speed and shorter step length.
- Elevated plantar pressures were commonly reported, especially in the forefoot and midfoot.
- Proximal compensatory strategies at the knee and hip were observed, indicating broader biomechanical impacts.
Why it matters
Understanding the biomechanical consequences of partial foot amputation is crucial for clinicians involved in rehabilitation and surgical planning. This knowledge can guide interventions to improve gait and reduce complications associated with abnormal loading.
What to keep in mind
The evidence base was limited by small sample sizes, inconsistent protocols, and substantial heterogeneity.