0
Journal Contents   |    
THE ANGLE OF GAIT: A STUDY BASED UPON EXAMINATION OF THE FEET OF CENTRAL AFRICAN NATIVES
DUDLEY J. MORTON
View Disclosures and Other Information
Department of Anatomy, College of Physicians and Surgeons, Columbia University
The Journal of Bone & Joint Surgery.  1932; 14:741-754 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

Three formal examinations of the feet of presumably normal individuals (two, of American male and female college students; the third, of African natives) are in agreement in demonstrating that the predominating position of the feet in walking is one of moderate out-toeing.

The tests contradict the idea commonly held that a parallel position of the feet—the so called "Indian method"—is the correct and natural posture.

It is true that there was a somewhat greater proportion of natives who showed a straight, or in-toeing, position than obtained among college students; but, on the other hand, the proportion of out-toeing in excess of fifteen degrees was also greater among the African natives. Both of these postural groups represented merely small minorities on either side of the large middle group, comprising seventy-two per cent. of all the feet examined.

The average angle of gait among African natives was seven and five-tenths degrees. Although this figure is slightly greater than that obtained from American college men and women, the average differences resulting from each examination are too small to have any particular significance.

Inconstancy in the angle of gait, as shown in any series of successive steps, has been strikingly emphasized in all three of the examinations; so much so that an arc between five and ten degrees of out-toeing seems to give a more faithful estimate of how a foot is normally used than an arbitrary angle of gait arrived at by mathematical averages. It was within that arc (between five and ten degrees) that the angle of gait in the greatest number of native feet was located.

Physiological analysis of walking concurs with the foot examination in designating seven and five-tenths degrees in out-toeing (an angle of fifteen degrees as formed by the two feet) as the ideal angle of gait in ordinary active walking. Rapid movement, tends to narrow that angle, slower movement, to widen it.

An angle of forty-five degrees between the two feet seems to be the most natural position in standing.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Biomechanical consequences of plantar fascial release or rupture during gait: part I--disruptions in longitudinal arch conformation.
    Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society: Issue date- 1998 Dec
    Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait.
    Journal of orthopaedic research : official publication of the Orthopaedic Research Society: Issue date- 1989
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    Virginia - Charleston Area Medical Center