대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제16권3호
  • /
  • Pages.21-27
  • /
  • 2021
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
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)
  • 투고 : 2021.05.30
  • 심사 : 2021.06.17
  • 발행 : 2021.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  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