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Table 5 Mean differences and statistical significance for kinematic variables for shod and barefoot walking.

From: Effect of children's shoes on gait: a systematic review and meta-analysis

Variable

Shoe Condition

Authors

n

Weighting

Mean difference [95%CI]

Statistical significance: z Score (P)

Heterogeneity: I 2%

Hallux flexion ROM(°)

Oxford

Wegener et al. [23]

20

64.5%

-11.52 [-13.64, -9.40]

-

-

 

Walking

Wolf et al. [8]

18

35.5%

-11.40 [-14.26, -8.54]

-

-

 

Combined

Pooled effect

38

100.0%

-11.48 [-13.18, -9.78]

13.22 (P < 0.00001)

0%

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

-9.30 [-12.29, -6.31]

6.09 (P < 0.00001)

N/A

Sagittal tibia-rearfoot ROM (°)

Oxford

Wegener et al. [23]

20

43.5%

1.24 [-1.80, 4.28]

-

-

 

Walking

Wolf et al. [8]

18

56.5%

4.10 [1.84, 6.36]

-

-

 

Combined

Pooled effect

38

100.0%

2.86 [0.08, 5.64]

2.01 (P = 0.04)

54%

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

3.20 [0.91, 5.49]

2.74 (P = 0.006)

N/A

Sagittal tibia-foot ROM (°)

Oxford

Wilkinson et al. [20]

27

49.3%

6.40 [3.40, 9.40]

-

-

 

Walking

Wolf et al. [8]

18

50.4%

-0.80 [-3.53, 1.93]

-

-

 

Combined

Pooled effect

45

100.0%

2.75 [-4.31, 9.80]

0.76 (P = 0.45)

91%

 

Athletic

Wilkinson et al.[20]

26

100.0%

7.60 [4.13, 11.07]

4.29 (P < 0.0001)

N/A

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

-1.00 [-3.82, 1.82]

0.70 (P = 0.49)

N/A

Medial arch length ROM (°)

Walking

Wolf et al. [8]

18

100.0%

-4.00 [-5.35, -2.65]

5.82 (P < 0.00001)

N/A

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

-3.90 [-5.32, -2.48]

5.37 (P < 0.00001)

N/A

'Subtalar' rotation ROM(°)

Walking

Wolf et al. [8]

18

100.0%

0.90 [-0.09, 1.89]

1.78 (P = 0.07)

N/A

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

1.10 [0.11, 2.09]

2.18 (P = 0.03)

N/A

Foot torsion ROM (°)

Walking

Wolf et al. [8]

18

100.0%

-5.10 [-6.67, -3.53]

6.36 (P < 0.00001)

N/A

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

-4.60 [-6.27, -2.93]

5.41 (P < 0.00001)

N/A

Forefoot supination ROM (°)

Walking

Wolf et al. [8]

18

100.0%

-1.90 [-3.48, -0.32]

2.36 (P = 0.02)

N/A

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

-1.90 [-3.40, -0.40]

2.48 (P = 0.01)

N/A

Foot rotation ROM (°)

Walking

Wolf et al. [8]

18

100.0%

-2.20 [-4.88, 0.48]

1.61 (P = 0.11)

N/A

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

-1.50 [-4.32, 1.32]

1.04 (P = 0.30)

N/A

Forefoot width ROM (%)

Walking

Wolf et al. [8]

18

100.0%

-5.40 [-6.97, -3.83]

6.74 (P < 0.00001)

N/A

 

Walking (increased flexibility)

Wolf et al. [8]

18

100.0%

-3.80 [-5.37, -2.23]

4.74 (P < 0.00001)

N/A

Midfoot sagittal plane ROM (°)

Oxford

Wegener et al.[23]

20

100.0%

-7.44 [-11.15, -3.73]

3.93 (P < 0.0001)

N/A

Midfoot frontal plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

-3.07 [-5.04, -1.10]

3.06 (P = 0.002)

N/A

Midfoot transverse plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

-5.01 [-6.55, -3.48]

6.39 (P < 0.00001)

N/A

Rearfoot frontal plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

-1.68 [-4.27, 0.90]

1.28 (P = 0.20)

N/A

Rearfoot transverse plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

0.39 [-2.52, 3.29]

0.26 (P = 0.79)

N/A

Knee sagittal plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

9.21 [3.22, 15.21]

3.01 (P = 0.003)

N/A

Knee frontal plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

0.02 [-1.48, 1.52]

0.02 (P = 0.98)

N/A

Knee transverse plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

-0.13 [-4.80, 4.55]

0.05 (P = 0.96)

N/A

Hip sagittal plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

2.04 [-1.21, 5.29]

1.23 (P = 0.22)

N/A

Hip frontal plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

-0.40 [-2.39, 1.58]

0.40 (P = 0.69)

N/A

Hip transverse plane ROM (°)

Oxford

Wegener et al. [23]

20

100.0%

1.10 [-1.05, 3.25]

1.00 (P = 0.32)

N/A

Ankle max dorsiflexion (°)

Oxford

Wilkinson et al.[20]

27

100.0%

-7.20 [-11.18, -3.22]

3.54 (P = 0.0004)

N/A

 

Athletic

Wilkinson et al.[20]

26

100.0%

-1.70 [-5.45, 2.05]

0.89 (P = 0.37)

N/A

Ankle angle at foot lift (°)

Oxford

Wilkinson et al.[20]

27

100.0%

-5.70 [-10.45, -0.95]

2.35 (P = 0.02)

N/A

 

Athletic

Wilkinson et al.[20]

26

100.0%

-1.50 [-5.92, 2.92]

0.67 (P = 0.51)

N/A

Ankle max plantarflexion (°)

Oxford

Wilkinson et al.[20]

27

100.0%

-0.70 [-5.94, 4.54]

0.26 (P = 0.79)

N/A

 

Athletic

Wilkinson et al.[20]

26

100.0%

5.80 [1.58, 10.02]

2.69 (P = 0.007)

N/A

Ankle ROM, foot lift to max plantarflexion (°)

Oxford

Wilkinson et al.[20]

27

100.0%

5.00 [1.79, 8.21]

3.05 (P = 0.002)

N/A

 

Athletic

Wilkinson et al.[20]

26

100.0%

7.30 [3.56, 11.04]

3.82 (P = 0.0001)

N/A

  1. A negative mean difference value indicates a decrease during shod walking compared to barefoot walking. N/A indicates not applicable.