DOI QR코드

DOI QR Code

Relationship between Hallux Valgus Severity and 3D Ground Reaction Force in Individuals with Hallux Valgus Deformity during Gait

  • Kim, Yong-Wook (Department of Physical Therapy, College of Medical Sciences, Jeonju University)
  • Received : 2021.05.30
  • Accepted : 2021.06.17
  • Published : 2021.08.31

Abstract

PURPOSE: This study examined the relationship between the severity of a hallux valgus (HV) deformity and the kinetic three-dimensional ground reaction force (GRF) through a motion analysis system with force platforms in individuals with a HV deformity during normal speed walking. METHODS: The participants were 36 adults with a HV deformity. The participants were asked to walk on a 6 m walkway with 40 infrared reflective markers attached to their pelvic and lower extremities. A camera capture system and two force platforms were used to collect kinetic data during gait. A Vicon Nexus and Visual3D motion analysis software were used to calculate the kinetic GRF data. RESULTS: This research showed that the anterior maximal force that occurred in the terminal stance phase during gait had a negative correlation with the HV angle (r = -.762, p < .01). In addition, the HV angle showed a low negative correlation with the second vertical maximal force (r = .346, p < .05) and a moderate positive correlation with the late medial maximal force (r = .641, p < .01). CONCLUSION: A more severe HV deformity results in greater abnormal translation of the plantar pressure and a significantly reduced pressure force under the first metatarsophalangeal joint.

Keywords

References

  1. Sun PC, Shih SL, Chen YY, et al. Evaluation of patients with hallux valgus wearing a 3d-printed orthosis during walking. Appl Sci. 2021;11(3):1275. https://doi.org/10.3390/app11031275
  2. 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
  3. Kim YW. Effects of hallux valgus orthoses on ground reaction force using a 3D motion analysis in individuals with hallux valgus deformity. Phys Ther Korea. 2020;27(4):227-32. https://doi.org/10.12674/ptk.2020.27.4.227
  4. Steinberg N, Siev-Ner I, Zeev A, et al. The association between hallux valgus and proximal joint alignment in young female dancers. Int J Sports Med. 2015;36(1):67-74. https://doi.org/10.1055/s-0034-1384550
  5. Klein C, Groll-Knapp E, Kundi M, et al. Increased hallux angle in children and its association with insufficient length of footwear: a community based cross-sectional study. BMC Musculoskelet Disord. 2009;10:159. https://doi.org/10.1186/1471-2474-10-159
  6. Coughlin MJ. Hallux valgus in men: effect of the distal metatarsal articular angle on hallux valgus correction. Foot Ankle Int. 1997;18(8):463-70. https://doi.org/10.1177/107110079701800802
  7. Tang SF, Chen CP, Pan JL, et al. 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
  8. Kim MH, Yi CH, Weon JH, et al. Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional 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. Doty JF, Alvarez RG, Ervin TB, et al. Biomechanical Evaluation of Custom Foot Orthoses for Hallux Valgus Deformity. J Foot Ankle Surg. 2015;54(5):852-5. https://doi.org/10.1053/j.jfas.2015.01.011
  10. Hofmann UK, Gotze M, Wiesenreiter K, et al. 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
  11. Rouhani H, Favre J, Crevoisier X, et al. Ambulatory assessment of 3D ground reaction force using plantar pressure distribution. Gait Posture. 2010;32(3):311-6. https://doi.org/10.1016/j.gaitpost.2010.05.014
  12. Bryant A, Tinley P, Singer K. Plantar pressure distribution in normal, hallux valgus and hallux limitus feet. The Foot. 1999;9(3):115-9. https://doi.org/10.1054/foot.1999.0538
  13. Seki H, Miura A, Sato N, et al. Correlation between degree of hallux valgus and kinematics in classical ballet: A pilot study. PLoS One. 2020;15(4):e0231015. https://doi.org/10.1371/journal.pone.0231015
  14. Collins TD, Ghoussayni SN, Ewins DJ, et al. A six degrees-of-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. Hughes J, Clark P, Klenerman L. The importance of the toes in walking. J Bone Joint Surg Br. 1990;72(2):245-51. https://doi.org/10.1302/0301-620X.72B2.2312564
  16. Cael C. Functional anatomy: Musculoskeletal anatomy, kinesiology, and palpation for manual therapist. USA. Lippincott Willians & Wilkins. 2010.
  17. King DM, Toolan BC. Associated deformities and hypermobility in hallux valgus: an investigation with weightbearing radiographs. Foot Ankle Int. 2004;25(4):251-5. https://doi.org/10.1177/107110070402500410
  18. Kalen V, Brecher A. Relationship between adolescent bunions and flatfeet. Foot Ankle. 1988;8(6):331-6. https://doi.org/10.1177/107110078800800609
  19. Klugarova J, Janura M, Svoboda Z, et al. Hallux valgus surgery affects kinematic parameters during gait. Clin Biomech (Bristol, Avon). 2016;40:20-26. https://doi.org/10.1016/j.clinbiomech.2016.10.004
  20. Ballas R, Edouard P, Philippot R, et al. 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
  21. Barbee CE, Buddhadev HH, Chalmers GR, et al. 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
  22. Plank MJ. The pattern of forefoot pressure distribution in hallux valgus. The Foot. 1995;5:8-14. https://doi.org/10.1016/0958-2592(95)90026-8