Search Results (179)

Variations in damper configuration strategies have a direct impact on the seismic damage patterns of long-span deck-type concrete-filled steel tube (CFST) arch bridges. This study developed an analysis and evaluation framework to identify the damage category, state, and progression sequence of structural components. The framework aims to investigate the influence of viscous dampers on the seismic response and damage patterns of long-span deck-type CFST arch bridges under near-fault pulse-like ground motions. The effects of different viscous damper configuration strategies and design parameters on seismic responses of long-span deck-type CFST arch bridges were systematically investigated, and the preferred configuration and parameter set were identified. The influence of preferred viscous damper configurations on seismic damage patterns of long-span deck-type CFST arch bridges was systematically analyzed through the established analysis and evaluation frameworks. The results indicate that a relatively optimal reduction in bridge response can be achieved when viscous dampers are simultaneously installed at both the abutments and the approach piers. Minimum seismic responses were attained at a damping exponent α = 0.2 and damping coefficient C = 6000 kN/(m/s), demonstrating stability in mitigating vibration effects on arch rings and bearings. In the absence of damper implementation, the lower chord arch foot section is most likely to experience in-plane bending failure. The piers, influenced by the coupling effect between the spandrel construction and the main arch ring, are more susceptible to damage as their height decreases. Additionally, the end bearings are more prone to failure compared to the central-span bearings. Implementation of the preferred damper configuration strategy maintains essentially consistent sequences in seismic-induced damage patterns of the bridge, but the peak ground motion intensity causing damage to the main arch and spandrel structure is significantly increased. This strategy enhances the damage-initiation peak ground acceleration (PGA) for critical sections of the main arch, while concurrently reducing transverse and longitudinal bending moments in pier column sections. The proposed integrated analysis and evaluation framework has been validated for its applicability in capturing the seismic damage patterns of long-span deck-type CFST arch bridges. Full article

Background: Pes planus is a condition where the arch of the foot collapses, resulting in the entire sole contacting the ground. The biomechanical implications of pes planus on gait have been widely studied; however, research specific to Black African populations, particularly recreational runners, is scarce. Aim: This study aimed to describe the forefoot centre of pressure (CoP) trajectory during the barefoot gait cycle among Black African recreational runners with pes planus. Methods: A prospective explorative and quantitative study design was employed. Participants included Black African male recreational runners aged 18 to 45 years diagnosed with pes planus. A Freemed™ 6050 force plate was used to collect gait data. Statistical analysis included cross-tabulations to identify patterns. Results: This study included 104 male participants across seven weight categories, with the majority in the 70-to-79 kg range (34.6%, n = 36). Most participants with pes planus showed a neutral foot posture (74.0%, n = 77) on the foot posture index 6 (FPI-6) scale. Flexible pes planus (94.2%, n = 98) was much more common than rigid pes planus (5.8%, n = 6). Lateral displacement of the CoP was observed in the right forefoot (90.4%, n = 94) and left forefoot (57.7%, n = 60). Load distribution patterns differed between feet, with the right foot favouring the medial heel, arch, and metatarsal heads, while the left foot favoured the lateral heel, medial heel, and lateral arch. No statistical significance was found in the cross-tabulations, but notable lateral CoP displacement in the forefoot was observed. Conclusions: The findings challenge the traditional view of pes planus causing overpronation and highlight the need for clinicians to reconsider standard diagnostic and management approaches. Further research is needed to explore the implications of these findings for injury prevention and management in this population. Full article

Background/Objectives: Subtalar arthroereisis (STA) is a widely used surgical procedure for symptomatic pediatric flexible flatfoot. However, implant migration remains a concern due to its potential impact on long-term correction and complications. This study evaluated the migration pattern of STA implants and assessed long-term clinical and radiographic outcomes. Methods: This retrospective cohort study included 47 feet from children aged 8–13 years who underwent STA with adjunctive soft tissue procedures between 2014 and 2018, following ≥6 months of failed conservative treatment, with a minimum follow-up of 5 years. Exclusion criteria included neuromuscular or rigid flatfoot. Weight-bearing radiographs assessed anteroposterior (AP) and lateral Meary’s angles, reflecting forefoot-to-hindfoot alignment, and calcaneal pitch, indicative of longitudinal arch height. Implant migration was recorded and clinical outcomes were measured by the American Orthopedic Foot and Ankle Society (AOFAS) score. Measurements were recorded preoperatively, immediately postoperatively, and at 1 month, 3 months, 6 months, 1 year, and 5 years. Results: Radiographic correction was significant and sustained at 5 years. The AP Meary’s angle improved from 13.09° to 5.26° at 1 month and 6.69° at 5 years (p < 0.001); lateral Meary’s angle from 9.77° to 4.06° and 4.88° (p < 0.001); and calcaneal pitch from 14.52° to 16.87° and 16.89° (p < 0.001), respectively. AOFAS scores increased from 67.52 to 90.86 at 1 month and 96.33 at 5 years (p < 0.001). Implant migration peaked within the first postoperative month (mean: 3.2 mm on ankle AP view; 3.0 mm on foot AP view) and stabilized thereafter. Four cases of complications included implant dislodgement, subsidence, and persistent sinus tarsi tenderness, which were successfully resolved after appropriate management. No recurrence of deformity was observed. Conclusions: STA implant migration is most pronounced during the first month, likely due to physiological settling as the foot adapts to altered biomechanics. With appropriate implant selection, technique, and follow-up, migration does not compromise long-term correction or outcomes. In general, symptomatic cases can often be managed conservatively prior to implant removal. Full article

The first ray plays a fundamental role in foot biomechanics, particularly in stabilizing the medial longitudinal arch and enabling efficient weight transfer during the mid-stance and propulsion phases of gait. When dorsiflexed—a condition known as metatarsus primus elevatus—especially in its flexible form, this structure disrupts load distribution, impairs propulsion, and contributes to various clinical symptoms. Despite its clinical importance, the biomechanical impact of orthotic elements placed beneath the first ray remains underexplored. This study aimed to quantify the variations in medio-lateral (Fx), antero-posterior (Fy), and vertical (Fz) force vectors generated during gait in response to different orthotic elements positioned under the first ray. A quasi-experimental, post-test design was conducted involving 22 participants (10 men and 12 women) diagnosed with flexible metatarsus primus elevatus. Each participant was evaluated using custom-made insoles incorporating various orthotic elements, while gait data were collected using a dynamometric platform during the mid-stance and propulsion phases. Significant gait-phase-dependent force alterations were observed. A cut-out (E) reduced medio-lateral forces during propulsion (p < 0.05), while a kinetic wedge (F) was correlated with late-stance stability (r = −0.526). The foot posture index (FPI)/body mass index (BMI) mediated the vertical forces. The effect sizes reached 0.45–0.42 for antero-posterior force modulation. Phase-targeted orthoses (a cut-out for propulsion, a kinetic wedge for late stance) and patient factors (FPI/BMI) appear to promote biomechanical efficacy in metatarsus primus elevatus, enabling personalized therapeutic strategies. Full article

Flatfoot, or pes planus, is a condition where the foot’s arch collapses, leading to complications such as pain, gait abnormalities, and an increased risk of injury. Accurate and early diagnosis is critical for effective treatment. Traditional diagnostic methods, including radiographic imaging, footprint analysis, and plantar pressure measurement, often require specialized equipment and are subjective. This study proposes a novel diagnostic device that captures 2D plantar foot images to calculate key morphological indices, including the Staheli Index, Clark’s Angle, and Chippaux–Smirak Index, for flatfoot detection. The device, designed with off-the-shelf components, includes a transparent toughened glass platform and LED illumination to capture images using web cameras. A Python-based application was developed for image acquisition, segmentation, and stitching. The device was tested on 55 participants aged 18–28, and the extracted morphological indices were validated against established thresholds for flatfoot diagnosis. The results showed that the Staheli Index, Chippaux–Smirak Index, and Clark’s Angle reliably detected flatfoot in participants. The study highlights the potential of this device for non-invasive, accurate, and rapid flatfoot diagnosis. Future advancements in deep learning could enhance its capabilities, making it a valuable tool for proactive healthcare in foot deformity detection. Full article

Tunnel lining structures, which are subjected to the combined effects of water and soil pressure as well as a water-rich erosion environment, undergo a corrosion-induced damage and degradation process in the reinforced concrete, gradually leading to structural failure and a significant decline in service performance. By introducing the Cohesive Zone Model (CZM) and the concrete damage plastic model (CDP), a three-dimensional numerical model of the tunnel lining structure in mining method tunnels was established. This model takes into account the multiple effects caused by steel reinforcement corrosion, including the degradation of the reinforcement’s performance, the loss of an effective concrete cross section, and the deterioration of the bond between the steel reinforcement and the concrete. Through this model, the deformation, internal forces, damage evolution, and degradation characteristics of the structure under the effects of the surrounding rock water–soil pressure and steel reinforcement corrosion are identified. The simulation results reveal the following: (1) Corrosion leads to a reduction in the stiffness of the lining structure, exacerbating its deformation. For example, under high water pressure conditions, the displacement at the vault of the lining before and after corrosion is 4.31 mm and 7.14 mm, respectively, with an additional displacement increase of 65.7% due to corrosion. (2) The reinforced concrete lining structure, which is affected by the surrounding rock loads and expansion due to steel reinforcement corrosion, experiences progressive degradation, resulting in a redistribution of internal forces within the structure. The overall axial force in the lining slightly increases, while the bending moment at the vault, spandrel, and invert decreases and the bending moment at the hance and arch foot increases. (3) The damage range of the tunnel lining structure continuously increases as corrosion progresses, with significant differences between the surrounding rock side and the free face side. Among the various parts of the lining, the vault exhibits the greatest damage depth and the widest cracks. (4) Water pressure significantly impacts the internal forces and crack width of the lining structure. As the water level drops, both the bending moment and the axial force diminish, while the damage range and crack width increase, with crack width increasing by 15.1% under low water pressure conditions. Full article

Background: Dynamic tape is one of the options for supporting the foot arch in the management of arch-related disorders. However, its mechanical effects on the foot arch remain unclear, particularly under cyclic loading. This study aims to investigate the initial effects of dynamic taping on maintaining foot arch height under cyclic loading among university students. Methods: Thirty-three asymptomatic participants were enrolled in this study. The dynamic tape was applied to the foot with the lower arch to provide support, and the other foot remained untaped as a control. The tape was applied without pre-tension and simply laid straight. Changes in bilateral foot arch height and index were measured using a commercial foot sole morphology assessment device and compared after 6 and 12 min of walking. Results: The arch height did not decrease significantly after walking for 6 or 12 min in either the taped or untaped foot. However, the arch index of the taped foot increased significantly (from 0.258 ± 0.086 to 0.273 ± 0.085) after 12 min of walking, whereas no significant change was observed in the untaped foot. Conclusions: This study is the first to evaluate the initial effect of dynamic tape applied without pre-tension on foot arch support by directly measuring sole morphology using a pin-array impression device. The results indicate that dynamic tape without pre-tension does not effectively prevent the immediate reduction in foot arch height after application. Further research is needed to determine the optimal balance between pre-tension and therapeutic efficacy. Full article

(1) Background: Flexible flatfoot is characterized by medial arch collapse, leading to musculoskeletal impairments. We examined the effects of single-arch foot orthosis (SFO) and dual-arch foot orthosis (DFO) on arch height, kinematics, and kinetics in young females during walking and jogging. (2) Methods: Healthy females (n = 19) with flexible flatfoot were tested under three conditions: regular shoes, SFO, and DFO. Motion capture and a 3D force plate gathered biomechanical data. We also used a high-speed dual fluoroscopic imaging system (DFIS) to assess dynamic foot morphology. Outcomes included normalized truncated navicular height, medial arch angle, angles and moments at the metatarsophalangeal, subtalar, ankle, knee, and hip joints. (3) Results: Both types of orthoses improved the normalized navicular height and reduced the medial arch angle, with DFO vs. SFO showing greater effects (p < 0.001). DFO vs. SFO was also more effective in limiting the range of motion (ROM) of the metatarsophalangeal joint and dorsiflexion (p < 0.001). Additionally, DFO reduced the ankle range of motion and the maximum knee flexion during walking. Both orthoses reduced subtalar plantarflexion moments during stance (p < 0.001) and modulated ankle plantarflexion moments throughout different phases of gait. DFO uniquely enhanced metatarsophalangeal plantarflexion moments during jogging (p < 0.001). (4) Conclusions: Dual vs. single transverse arch foot orthosis is more effective in improving gait biomechanics in females with flexible flatfoot. Longitudinal studies are needed to confirm these benefits. Full article

Background/Objectives: Flatfoot is a common pediatric foot deformity characterized by a reduced or absent medial longitudinal arch (MLA). The condition can lead to altered gait, pain, and potential long-term morbidity if untreated. Identifying potential risk factors—such as body mass index (BMI), ligamentous or joint instability, shoe choices, and physical activity—is crucial for prevention and management. The objectives are to systematically review and synthesize current evidence on how flatfoot severity correlates with BMI and other risk factors in children and adolescents, and to highlight methodological considerations essential for future research. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched five electronic databases from inception to February 2024. Flatfoot severity was measured by various clinical or radiographic indices. Two reviewers independently screened and assessed the risk of bias. Results: Thirty-seven studies met the inclusion criteria. Children with high BMI had increased odds of flatfoot (pooled Odds Ratio = 2.3, 95% Confidence Interval: 1.6–3.1), with one outlier reporting an OR of 9.08. Heterogeneity (I² up to 70%) stemmed from varied diagnostic methods. Other factors, including joint instability, shoe choices, and physical activity, showed mixed associations. Conclusions: Elevated BMI strongly correlates with pediatric flatfoot severity, highlighting the importance of proactive weight management and foot assessments. Future standardized, longitudinal studies are needed to clarify causality and refine interventions. Full article

The aim of this study was to analyze the joint characteristics of the foot and ankle in competitive swimmers aged 16–18 and 19–24 years and their relationship with the presence of muscle pain during swimming. A total of 74 swimmers were evaluated: 38 ‘junior’ (16–18 years) and 36 ‘senior’ (19–24 years). The following parameters were recorded: ankle dorsiflexion, rearfoot mobility, first metatarsophalangeal dorsiflexion, presence of hallux valgus, foot posture, first ray mobility, arch height, and plantar pressure. Additionally, the frequency and location of muscle pain in the triceps surae were analyzed. A cluster analysis was performed to identify variables that differentiated both groups. Ankle dorsiflexion was limited in both groups, with a greater restriction observed in adults (p < 0.001 with an extended knee; p < 0.014 with a flexed knee). The predominant foot type was the cavus foot. The most common pain was localized in the triceps surae, followed by the plantar musculature, with no significant differences between groups. Swimmers exhibited gastrocnemius shortening, which could limit ankle dorsiflexion and contribute to the onset of muscle pain in the leg and foot. These findings suggest the importance of incorporating lower limb flexibility strategies into the training of competitive swimmers. Full article

The first metatarsal has the greatest inclination of all metatarsals and carries about 40% of body weight during the static stance. The rearfoot and the first ray (FR) are two distinct structures, but they are strongly related to the latest studies in the literature; however, their mutual involvement in the foot biomechanics appears not to be fully explored. Understanding their interdependence is essential to approaching the patient in his totality. This overview aims to analyze the current evidence from the latest studies that examine the correlation between FR insufficiency (FRI) and hindfoot valgus (HV), focusing on their biomechanical interaction, clinical implications, and treatment approaches. All analyzed studies showed that plantarflexion of the first metatarsophalangeal (MTP1) joint in correct alignment increased by 26% compared to a deviated articulation. In FRI, the “windlass” mechanism appears compromised, and FR lacks the necessary stability and plantarflexion; consequently, the medial arch collapses, and the foot moves into excessive pronation. On the other hand, in HV condition, the pulley system is significantly diminished, and peroneus longus contraction cannot stabilize the FR with resultant FRI and dorsal migration. A significant correlation was found between hindfoot alignment and first metatarsal rotation (86% of patients) and between HV and hallux valgus. Foot orthoses, physical therapy, and exercise programs, especially in the initial stages of symptomatic HV, provide satisfactory results in 67% to 90% of cases, improving foot alignment and pain relief in FRI patients. In more severe cases, surgical intervention to realign the hindfoot is indicated with a very low complication rate (1–4%), which can vary from 24% to 55% in stage 4 flatfoot. No study in the literature has been found to address both pathologies simultaneously from a treatment point of view, and, although not all HV patients are affected by FRI, most patients seem to benefit from surgical stabilization of the FR in 80% of individuals with symptomatic HV. However, despite a predominance of FRI among HV individuals, not all clinical studies have confirmed this correlation. Full article

Background: Calcaneal osteotomies are a common procedure in foot and ankle surgery for the treatment of the painful flexible Progressive Collapsing Foot Deformity (PCFD). The lateral calcaneal lengthening osteotomy (LCLOT) allows a three-dimensional foot and ankle flatfoot correction with a single osteotomy. The purpose of this article is to review the types of calcaneal lengthening osteotomies. Methods: Review of anatomical, biomechanical and clinical studies and reviews. Results: The LCLOT shall be differentiated from the Evans osteotomy or Z-shaped calcaneal lengthening osteotomy. The LCLOT is performed at the sinus tarsi and corrects at the subtalar joint axis biomechanically the pathological hindfoot valgus, foot abduction, and medial arch collapse. The LCLOT technique might vary regarding graft and fixation type. The LCLOT has good clinical results with high union rates. Conclusions: The LCLOT is a powerful and successful single-site osteotomy for the triplanar correction of the painful flexible flatfoot/PCFD. Full article

Gas control and extraction are essential for energy use and sustainable development. In order to study the gas diffusion and transportation law of high-gas tunnels after excavation and blasting and the influence of ventilation on gas concentration, an engineering example is used as a research object. We put forward the “energy concentrating device + digital electronic detonator”, a new type of peripheral hole in the joint initiation of explosive technology, applied to a tunnel in the plateau, studied through field tests and the original “detonating cord + digital electronic detonator” joint detonation technology after a comparative analysis of the blasting effect. On this basis, the characteristics of gas diffusion and transportation near the palm face were studied by numerical simulation under the two working conditions of ventilated and unventilated, and the law of gas diffusion and transportation near the palm face was obtained. The research shows that: with the “energy concentrating device + digital electronic detonator”, a new perimeter hole joint detonation technology compared to the original “detonating cord + digital electronic detonator” joint detonation technology, the explosive unit consumption reduced by 0.2 kg/m³, half-hole retention rate increased by 5%, average charging time shortened from the original 1.3 h to 1.0 h, and stabilizing the cycle of footage at the same time greatly reduces the cost of consumables, improving the tunnel surface blasting effect; numerical simulation shows that under the condition of no ventilation, the gas accumulation near the arch top and arch waist at the tunnel face is severe, with the gas concentration close to 30%, the gas concentration is higher up to 7 m from the face after the gas state is stabilized, and the gradient of the gas concentration in the area beyond 7 m is small. The gas concentration in the area can be reduced to the safe range after ventilation in about 30 s, but gas accumulation easily occurs in the foot and arch waist on the opposite side of the wind pipe. The results of this study can provide a reference basis for similar gas tunnel blasting construction and ventilation optimization and promote the sustainable development of energy. Full article

Based on the Zhuyuan–Bailonggang sewage interconnection pipe project in Shanghai, the ABAQUS finite element software was used in numerical simulations to study the fine control of stratum disturbances caused by pipe jacking parameter deviation in soft soil areas. Combining the simulation results with onsite measured data, the Peck formula was used to predict surface settlement. The results indicate the following: (1) The jacking speed and face pressure are negatively correlated with surface settlement. Under the maximum positive deviation and negative deviations in the jacking speed, after the tail passes through the monitoring section D₀ 16 ring, the maximum value of settlement at point B8 increases by 21.6% and decreases by 12.8%, respectively. Increasing the jacking speed increases the area with stress change ratio R < 0 at monitoring section D₀, and the arch foot at the tail of the pipe jacking machine decreases the surface settlement. In contrast, when the face pressure deviates from its average value, the variation range is less than 1%. (2) The pipe slurry coefficient and surface subsidence are positively correlated. Under the maximum positive deviation and the maximum negative deviation, the tail passes through the monitoring section D₀ 16 ring, and the maximum settlement value at B8 decreases by 4.9% and increases by 16.5%, respectively. The increase in the coefficient reduces the area with R < 0 at D₀ and increases the surface settlement. (3) In the order of descending strength, surface settlement is affected by the jacking speed, slurry friction coefficient, and face pressure. (4) To predict the maximum surface settlement value due to deviations in the jacking parameters, the Peck formula was modified using a correction factor $\alpha$ ranging from 0.6 to 3.0 and a settlement trough width correction factor $\beta$ ranging from 1.6 to 4.0. The modified prediction curve is in closer agreement with the actual conditions. Full article

Tunnel excavation in water-rich and saturated loess layers often encounters a series of engineering disasters, including surface settlement, large deformations of surrounding rock, collapses, water inrushes, mud inrushes, and lining cracks. This paper presents an analogy of 16 cases of instability and collapse of surrounding rock during the excavation of water-rich loess tunnels in China’s loess regions. The weight of influence of various factors affecting the stability of surrounding rocks has been analyzed based on the Fuzzy Analytic Hierarchy Process (FAHP), addressing the engineering challenges encountered during the construction of the Tuanjie Tunnel. Measures such as deep well-point dewatering of the surface, reinforcement of locking foot anchors, and construction treatment with large arch feet are proposed. The effectiveness of these treatments is then monitored and analyzed. The results show that after 30 days of dewatering, the average water content of the surrounding rock decreased from 28.8% to 22.3%, transforming the surrounding rock from a soft plastic state to a hard plastic state. Phenomena such as mud inrushes at the tunnel face and water seepage through the lining are significantly reduced, and the self-stabilizing capacity of the surrounding rock is markedly improved. By optimizing the excavation method and enhancing support parameters, the construction progress rate for Grade VI surrounding rock has increased from 10–15 m per month to 40 m per month, validating the effectiveness of the proposed measures. Full article