Journal of The Korean Society of Integrative Medicine (대한통합의학회지)

Korean Society of Integrative Medicine (대한통합의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Intervention on Hallux Valgus Patient's Foot Pressure

중재방법에 따른 엄지발가락 가쪽휨증 환자의 발바닥 압력분포에 미치는 영향

  • 김호성 (을지대학교 물리치료학과) ;
  • 김명철 (을지대학교 물리치료학과) ;
  • 이민수 (을지대학교 물리치료학과)
  • Received : 2015.06.22
  • Accepted : 2015.06.29
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the foot pressure of subjects with hallux valgus following conservative management. Methods: The subjects (20 females) were divided into 2 groups; Hallux valgus group (10) and Control group (10) who could evaluate questionnaire & weight bearing X-ray. All the participants were evaluated distribution of foot pressure by Zebris FDM-S system with conservative management (taping therapy and hallux valgus device) during single-limb stance. Results: The Hallux valgus group (HVG) was significantly different than Control group (CG) in hallux valgus angle(p<0.05). The Hallux valgus group with Foot Device (HVG-FD), Hallux valgus group with Taping (HVG-Tp) and Hallux valgus group with Foot device and Taping (HVG-FD&Tp) was not significantly different than CG in hallux valgus angle (p<0.05). The HVG was not significantly different than CG in forefoot (p1, p2, p3), significantly different than CG in rearfoot (p7) about foot pressure during single-limb stance (p<0.05). The HVG-FO and HVG-FO and TP was significantly different than HVG in forefoot (p1, p2, p3), on significantly different than HVG in rearfoot (p7) about foot pressure during single-limb stance (p<0.05). There was significantly correlation HVG-FO and HVG-FO & TP in forefoot (p1, p2, p3) was negative correlation (p<0.05) and in rearfoot (p7) was positive correlation (p<0.05). Conclusion: This study showed that hallux valgus were effected hallux valgus angle and foot pressure by various treatment methods during single-limb stance. Further study is needed to measure various age and work with hallux valgus for clinical application.

Keywords

References

  1. 국민건강보험공단(2011). 건강보험주요통계.
  2. 박진현(2010). 몸통과 발강화운동이 유연성 편평발과 엄지발가락가쪽휨증을 가진 성인에 미치는 영향. 대구대학교 대학원, 석사학위 논문.
  3. 임성태(2001). 무지외반증환자의 hard insole 착용에 의한 중족지절관절 각도의 변화. 한서대학교 대학원, 석사학위 논문.
  4. Beaulieu M, Allard P, Simoneau M, et al(2010). Relationship between oscillations about the vertical axis and center of pressure displacements in single and double leg upright stance. Am J Phys Med Rehabil, 89(10), 809-816. https://doi.org/10.1097/PHM.0b013e3181f1b4af
  5. Brown CN, Mynark R(2007). Balance deficits in recreational athletes with chronic ankle instability. J Athl Train, 42(3), 367-373.
  6. Cavanagh PR, Morag E, Boulton AJM et al(1997). The relationship of static foot structure to dynamic foot function. J biomech, 30(3), 243-250. https://doi.org/10.1016/S0021-9290(96)00136-4
  7. Coughlin MJ(1996). Instructional course lectures, The american academy of orthopaedic surgeons-hallux valgus. J Bone Joint Surg Br, 78(6), 932-966. https://doi.org/10.2106/00004623-199606000-00018
  8. Coughlin MJ, Saltzman CL, Nunley JA(2002). Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the American Orthopaedic, Foot & Ankle Society on angular measurements. Foot Ankle Int, 23(1), 68-74. https://doi.org/10.1177/107110070202300114
  9. Easley ME, Trnka HJ(2007). Current concepts review: Hallux valgus part II: Operative treatment. Foot Ankle Int, 28(6), 748-758. https://doi.org/10.3113/FAI.2007.0748
  10. Ferrari J, Higgins J, Prior TD(2004). Interventions for treating hallux valgus (abductovalgus) and bunions. The Cochrane Library.
  11. Geissele CAE, Stanton RP(1990). Surgical treatment of adolescent hallux vallgus. J Pediatr Orthop, 10(5), 642-648. https://doi.org/10.1097/01241398-199009000-00014
  12. Glasoe WM, Yack HJ, Saltzman CL(1999). Anatomy and biomechanics of the first ray. Phys Ther, 79(9), 854-859.
  13. Glasoe WM, Nuckley DJ, Ludewig PM(2010). Hallux valgus and the first metatarsal arch segment : A theoretical biomechanical perspective. Phys Ther, 90(1), 110-120. https://doi.org/10.2522/ptj.20080298
  14. Hessert MJ, Vyas M, Leach J et al(2005). Foot pressure distribution during walking in young and old adults. BMC Geriatr, 5(1), 8 https://doi.org/10.1186/1471-2318-5-8
  15. Honle W, Jezussek D, Fabijani R et al(2006). Conservative and surgical treatment of hallux valgus. MMW Fortschr Med, 148(48), 37-40.
  16. Kellis E(2001). Plantar pressure distribution during bare foot standing, walking and landing in pre school boys. Gait & Posture, 14(2), 92-97. https://doi.org/10.1016/S0966-6362(01)00129-1
  17. Klein C, Kinz W, Zembsch A et al(2014). The hallux valgus angle of the margo medialis pedis as an alternative to the measurement of the metatarsophalangeal hallux valgus angle. BMC Musculoskeletal Disorders, 15(1), 133. https://doi.org/10.1186/1471-2474-15-133
  18. Koller U, Willegger M, Windhager R et al(2014). Plantar pressure characteristics in hallux valgus feet. J Orthop Res, 32(12), 1688-1693. https://doi.org/10.1002/jor.22707
  19. Kristen KH, Berger C, Stelzig S et al(2002). The SCARF osteotomy for the correction of hallux valgus deformities. Foot Ankle Int, 23(3), 221-229. https://doi.org/10.1177/107110070202300306
  20. Janssen DM, Sanders AP, Guldemond NA et al(2014). A comparison of hallux valgus angles assessed with computerised plantar pressure measurements, clinical examination and radiography in patients with diabetes. J Foot Ankle Res, 7(1), 33. https://doi.org/10.1186/1757-1146-7-33
  21. Jeon MY, Jeong HC, Jeong MS et al(2004). Effects of taping therapy on the deformed angle of the foot and pain in hallux valgus patients. Taehan Kanho Hakhoe Chi, 34(5), 685-692.
  22. Menz HB, Fotoohabadi MR, Wee E et al(2010). Validity of self-assessment of hallux valgus using the Manchester scale. BMC Musculoskeletal Disorders, 11(1), 215. https://doi.org/10.1186/1471-2474-11-215
  23. Mei Z, Zhao G, Ivanov et al(2013). Sample entropy characteristics of movement for four foot types based on plantar centre of pressure during stance phase. BioMedical Engineering Online, 12(1), 101. https://doi.org/10.1186/1475-925X-12-101
  24. Mann RA, Coughlin MJ(1993). Adult hallux valgus. Surgery of the Foot and Ankle, 1, 150-269.
  25. Nix SE, Vicenzino BT, Collins NJ et al(2013). Gait parameters associated with hallux valgus a systematic review. J Foot Ankle Res, 6(1), 9. https://doi.org/10.1186/1757-1146-6-9
  26. Orlin MN, McPoil TG(2000). Plantar pressure assessment. Phys Ther, 80(4), 399-409. https://doi.org/10.1093/ptj/80.4.399
  27. Palastanga N, Field D, Soames R(2006). Anatomy and human movement : structure and function. Elsevier Health Sciences.
  28. Park SJ, Lee JH, Kim JS(2012). The effects of asymmetric bag carrying during walking on plantar pressure. Journal of the Korean Society of Physical Medicine, 7(4), 459-469. https://doi.org/10.13066/kspm.2012.7.4.459
  29. Perry J, Davids JR(1992). Gait analysis normal and pathological function. J Pediatr Orthop, 12(6), 815.
  30. Roddy E, Zhang W, Doherty M(2007). Validation of a self-report instrument for assessment of hallux valgus. Osteoarthritis Cartilage, 15(9), 1008-1012. https://doi.org/10.1016/j.joca.2007.02.016
  31. Ross SE, Guskiewicz KM(2004). Examination of static and dynamic postural stability in individuals with functionally stable and unstable ankles. Clin J Sport Med, 14(6), 332-338. https://doi.org/10.1097/00042752-200411000-00002
  32. Roukis TS, Landsman AS(2003). Hypermobility of the first ray: a critical review of the literature. The Journal of foot and ankle surgery, 42(6), 377-390 https://doi.org/10.1053/j.jfas.2003.09.010
  33. Sekir U, Yildiz Y, Hazneci B et al(2008). Reliability of a functional test battery evaluating functionality, proprioception, and strength in recreational athletes with functional ankle instability. Eur J Phys Rehabil Med, 44(4), 407-415.
  34. Shurnas PS(2009). Hallux rigidus etiology, biomechanics, and nonoperative treatment. Foot Ankle Clin, 14(1), 1-8. https://doi.org/10.1016/j.fcl.2008.11.001
  35. Talbot KD, Saltzman CL(1997). Hallucal rotation, a method of measurement and relationship to bunion deformity. Foot Ankle Int, 18(9), 550-556. https://doi.org/10.1177/107110079701800904
  36. Tanaka Y, Takakura Y, Sugimoto K et al(2000). Precise anatomic configuration changes in the first ray of the hallux valgus foot. Foot Ankle Int, 21(8), 651-656. https://doi.org/10.1177/107110070002100804
  37. Tang SF, Chen CP, Pan J et al(2002). The effects of a new foot-toe orthosis in treating painful hallux valgus. Arch Phys Med Rehabil, 83(12), 1792-1795. https://doi.org/10.1053/apmr.2002.34835
  38. Tehraninasr A, Saeedi H, Forogh B et al(2008). Effects of insole with toe-separator and night splint on patients with painful hallux valgus, a comparative study. Prosthet Orthot Int, 32(1), 79-83. https://doi.org/10.1080/03093640701669074
  39. Winter DA(1995). Human balance and posture control during standing and walking. Gait &Posture, (3), 193-214.
  40. Wu D, Louie, HTL(2010). Does wearing high-heeled shoe cause hallux valgus? A survey of 1,056 chinese females. The Foot and Ankle Online Journal, 3(5), 3. https://doi.org/10.1186/1757-1146-3-3
  41. Wulker N, Mittag F(2012). The treatment of hallux valgus. Dtsch Arztebl Int, 109(49), 857-868.