Background: the deformation of the hallux into a valgus constitutes the most frequent deformation of the forefoot and one of the most performed corrective surgeries in the region. This deformation is the cause of many biomechanical disorders and causes gait disturbances. This review aims to analyze the restoration of space-time and kinematic parameters of walking in the aftermath of corrective surgery for hallux valgus. Methods: four studies were analyzed according to the main criteria of walking speed, support time, step length and kinematics of the ankle and foot before and after the intervention. Results: If some of the results obtained in the analyzed works show an improvement of these criteria in post-operative, the subjects having benefited from hallux valgus surgery seem to present some persistent issues in the spatiotemporal and kinematic parameters. Conclusion: This work does not demonstrate the superiority of one surgical technique over another in the recovery of gait. This recovery does not seem absolute, but this review highlights above all the lack of literature on this subject.
Background:The Achilles tendon rupture is a pathology of growing incidence due to the increase in the intensity of amateur sports practices and the continuation of this practice with the rise in age. The rupture follows a degradation of the tendon's structure, known as degenerative tendinopathy, which is symptomatic only in rare cases. In the absence of prior pain, iterative rupture is the complication to be feared and prevented. Unfortunately, after orthopedic or surgical treatment, there is no consensus concerning criteria for returning to sports. Such criteria would aim to prevent the risk of recurrence and the appearance of other sports injuries. Methods: A current literature review using the PubMed database in June 2021. Results: The literature doesn't show any validated criteria for returning to sport. Conclusion: Consequently, this work seeks to propose objective criteria for validating the return to sport in connection with the physical and psychological qualities of the subject, abrogating temporal criteria, too formal and remote from the clinical view. Thus, the physiotherapist is advised to take an interest in the ankle's range of motion and the stiffness of the tendon, strength and endurance of the calf muscle, the quality of the proprioceptive and postural functions on a more functional plan, based on the quality of the jumps and then on the subject's running pattern. Finally, a psychological assessment completes the battery of tests that will validate the return to sport.
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