한국전문물리치료학회지 (Physical Therapy Korea)

  • 제27권4호
  • /
  • Pages.227-232
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  • 2020
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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Effects of Hallux Valgus Orthoses on Ground Reaction Force Using 3D Motion Analysis in Individuals With Hallux Valgus Deformity

  • Kim, Yong-wook (Department of Physical Therapy, College of Medical Sciences, Jeonju University)
  • 투고 : 2020.09.23
  • 심사 : 2020.10.20
  • 발행 : 2020.11.20
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초록

Background: Hallux valgus (HV) is a foot deformity developed by mediolateral deviation of the first metatarsophalangeal joint. Although various foot-toe orthoses were used to correct the HV angle, verification of the effects of kinetics variables such as ground reaction force (GRF) through three-dimensional (3D) gait analysis according to the various type of orthoses for HV is insufficient. Objects: This study aimed to investigate the effect of soft and hard types of foot and toe orthoses to correct HV deformity on the GRF in individuals with HV using 3D motion analysis system during walking. Methods: Twenty-six subjects participated in the experiment. Participants had HV angle of more than 15° in both feet. Two force platforms were used to obtain 3D GRF data for both feet and a 3D motion capture system with six infrared cameras was used to measure exact stance phase point such as heel strike or toe off period. Total walk trials of each participant were 8 to 10, the walkway length was 6 m. Two-way repeated measures ANOVA was used to determine the effects of each orthosis condition on the various GRF values. Results: The late anteroposterior maximal force and a first vertical peak force of the GRF showed that the hard type orthosis condition significantly increased GRF compared to the other orthosis conditions (p < 0.05). Conclusion: There were significant effects in GRF values when wearing the hard type foot orthosis. However, the hard type foot orthosis was uncomfortable to wear during walking. Therefore, it is necessary to develop a new foot-toe orthosis that can compensate for these disadvantages.

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참고문헌

  1. Vanore JV, Christensen JC, Kravitz SR, Schuberth JM, Thomas JL, Weil LS, et al.; Clinical Practice Guideline First Metatarsophalangeal Joint Disorders Panel of the American College of Foot and Ankle Surgeons. Diagnosis and treatment of first metatarsophalangeal joint disorders. Section 1: hallux valgus. J Foot Ankle Surg 2003;42(3):112-23. https://doi.org/10.1016/S1067-2516(03)70014-3
  2. Doty JF, Harris WT. Hallux valgus deformity and treatment: a three-dimensional approach. Foot Ankle Clin 2018;23(2):271-80. https://doi.org/10.1016/j.fcl.2018.01.007
  3. Ferrari J. Hallux valgus (bunions). Clin Evid 2002;(7):983-91.
  4. Baravarian B, Ben-Ad R. Revision hallux valgus: causes and correction options. Clin Podiatr Med Surg 2014;31(2):291-8. https://doi.org/10.1016/j.cpm.2013.12.010
  5. Perera AM, Mason L, Stephens MM. The pathogenesis of hallux valgus. J Bone Joint Surg Am 2011;93(17):1650-61. https://doi.org/10.2106/JBJS.H.01630
  6. Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int 2007;28(7):759-77. https://doi.org/10.3113/FAI.2007.0759
  7. Zirngibl B, Grifka J, Baier C, Gotz J. [Hallux valgus: etiology, diagnosis, and therapeutic principles]. Orthopade 2017;46(3):283-96. German. https://doi.org/10.1007/s00132-017-3397-3
  8. Kim MH, Yi CH, Weon JH, Cynn HS, Jung DY, Kwon OY. Effect of toe-spread-out exercise on hallux valgus angle and crosssectional area of abductor hallucis muscle in subjects with hallux valgus. J Phys Ther Sci 2015;27(4):1019-22. https://doi.org/10.1589/jpts.27.1019
  9. Shih KS, Chien HL, Lu TW, Chang CF, Kuo CC. Gait changes in individuals with bilateral hallux valgus reduce first metatarsophalangeal loading but increase knee abductor moments. Gait Posture 2014;40(1):38-42. https://doi.org/10.1016/j.gaitpost.2014.02.011
  10. Menz HB, Lord SR. The contribution of foot problems to mobility impairment and falls in community-dwelling older people. J Am Geriatr Soc 2001;49(12):1651-6. https://doi.org/10.1111/j.1532-5415.2001.49275.x
  11. Deschamps K, Birch I, Desloovere K, Matricali GA. The impact of hallux valgus on foot kinematics: a cross-sectional, comparative study. Gait Posture 2010;32(1):102-6. https://doi.org/10.1016/j.gaitpost.2010.03.017
  12. Tang SF, Chen CP, Pan JL, Chen JL, Leong CP, Chu NK. The effects of a new foot-toe orthosis in treating painful hallux valgus. Arch Phys Med Rehabil 2002;83(12):1792-5. https://doi.org/10.1053/apmr.2002.34835
  13. Chadchavalpanichaya N, Prakotmongkol V, Polhan N, Rayothee P, Seng-Iad S. Effectiveness of the custom-mold room temperature vulcanizing silicone toe separator on hallux valgus: a prospective, randomized single-blinded controlled trial. Prosthet Orthot Int 2018;42(2):163-70. https://doi.org/10.1177/0309364617698518
  14. Collins TD, Ghoussayni SN, Ewins DJ, Kent JA. A six degreesof-freedom marker set for gait analysis: repeatability and comparison with a modified Helen Hayes set. Gait Posture 2009;30(2):173-80. https://doi.org/10.1016/j.gaitpost.2009.04.004
  15. Klugarova J, Janura M, Svoboda Z, Sos Z, Stergiou N, Klugar M. Hallux valgus surgery affects kinematic parameters during gait. Clin Biomech (Bristol, Avon) 2016;40:20-6. https://doi.org/10.1016/j.clinbiomech.2016.10.004
  16. Ballas R, Edouard P, Philippot R, Farizon F, Delangle F, Peyrot N. Ground-reactive forces after hallux valgus surgery: comparison of Scarf osteotomy and arthrodesis of the first metatarsophalangeal joint. Bone Joint J 2016;98-B(5):641-6. https://doi.org/10.1302/0301-620X.98B5.36406
  17. Barbee CE, Buddhadev HH, Chalmers GR, Suprak DN. The effects of hallux valgus and walking speed on dynamic balance in older adults. Gait Posture 2020;80:137-42. https://doi.org/10.1016/j.gaitpost.2020.05.039
  18. Hofmann UK, Gotze M, Wiesenreiter K, Muller O, Wunschel M, Mittag F. Transfer of plantar pressure from the medial to the central forefoot in patients with hallux valgus. BMC Musculoskelet Disord 2019;20(1):149. https://doi.org/10.1186/s12891-019-2531-2
  19. Nix SE, Vicenzino BT, Collins NJ, Smith MD. Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthritis Cartilage 2012;20(10):1059-74. https://doi.org/10.1016/j.joca.2012.06.007
  20. Menz HB, Lord SR. Gait instability in older people with hallux valgus. Foot Ankle Int 2005;26(6):483-9. https://doi.org/10.1177/107110070502600610
  21. Mickle KJ, Munro BJ, Lord SR, Menz HB, Steele JR. Gait, balance and plantar pressures in older people with toe deformities. Gait Posture 2011;34(3):347-51. https://doi.org/10.1016/j.gaitpost.2011.05.023
  22. Kia C, Yoshida R, Cote M, DiVenere J, Geaney LE. First metatarsophalangeal contact properties following proximal opening wedge and scarf osteotomies for hallux valgus correction: a biomechanical study. Foot Ankle Int 2017;38(4):430-5. https://doi.org/10.1177/1071100716679461
  23. Barouk LS. Scarf osteotomy for hallux valgus correction. Local anatomy, surgical technique, and combination with other forefoot procedures. Foot Ankle Clin 2000;5(3):525-58.

피인용 문헌

  1. Relationship between Hallux Valgus Severity and 3D Ground Reaction Force in Individuals with Hallux Valgus Deformity during Gait vol.16, pp.3, 2020, https://doi.org/10.13066/kspm.2021.16.3.21