A comparison of hallux valgus angles assessed with computerised plantar pressure measurements, clinical examination and radiography in patients with diabetes

Janssen, Daniël M C; Sanders, Antal P; Guldemond, Nick; Hermus, Joris P.S.; Walenkamp, G. H. I. M.; Rhijn, Lodewijk W. van

doi:10.1186/1757-1146-7-33

Cited by 29 publications

(25 citation statements)

References 68 publications

(108 reference statements)

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“…Because we missed the data of two participants due to technical problems, we excluded these participants from the subsequent analysis. The hallux valgus angle of the weight-bearing barefoot while standing in a parallel stance was measured at the medial contour of the right foot, which is reported to be in agreement with radiographic measurement (interclass correlation coefficients: 0.81) [21]. There were nine students with hallux valgus and eight without hallux valgus according to a criterion proposed by the previous study [12].…”

Section: Participantsmentioning

confidence: 81%

Correlation between degree of hallux valgus and kinematics in classical ballet: A pilot study

Seki¹,

Miura²,

Sato³

et al. 2020

PLoS ONE

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Hallux valgus is a serious medical concern for classical ballet dancers. Although it is wellknown that progression of hallux valgus is related to inappropriate movement techniques in classical ballet, the kinematic relationship between the degree of hallux valgus and ballet techniques has not been substantiated. To develop proper training methods that prevent progression of hallux valgus, this study aimed to investigate the relationship between the degree of hallux valgus and movement techniques in classical ballet. Seventeen female classical ballet dancers at the advanced college-level participated in this study. Kinematic analysis of standing and plié in the first position was conducted via video capture technique. The Pearson product-moment correlation analysis was performed to examine the degree of hallux valgus and the following three kinematic variables: (1) the extent to which turnout is forced by other joints in the lower extremity than the hip joint, (2) the direction difference between the knee and toe in the transverse plane, and (3) the pelvis obliquity angle. Among these kinematic variables, we found a significant correlation between the hallux valgus angle and the pelvis obliquity angle during plié (P = .045). The greater the hallux valgus angle, the greater the retroversion of the pelvis, a result which was contrary to our prediction. We present the first evidence that the degree of hallux valgus correlates with kinematics in a very basic technique of classical ballet.

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Section: Participantsmentioning

confidence: 81%

Correlation between degree of hallux valgus and kinematics in classical ballet: A pilot study

Seki¹,

Miura²,

Sato³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…We believe that interventions should consider the structure of the transverse arch and the loading patterns to correct the small details. Past publications on interventions for hallux valgus depended on the severity and duration of the deformity, the level of pain, and the age of the individual [9,46], ranging from surgery to orthotics [7] and specific exercises [47]. One study mentioned foot mobilization such as: manual mobilization focusing on flexion and caudal sliding of the metatarsophalangeal joints, tarsals, subtalar and ankle joint and exercise (hallux plantar flexion strengthening exercises, hallux abduction strengthening exercises and towel curl exercise) to increase the foot's joints range of motion and toe grip strength and decrease pain [48].…”

Section: Discussionmentioning

confidence: 99%

Detailed analysis of the transverse arch of hallux valgus feet with and without pain using weightbearing ultrasound imaging and precise force sensors

et al. 2020

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Background Hallux valgus is the most common forefoot deformity and affects the transverse arch structure and its force loading patterns. This study aims to clarify the differences in the transverse arch structure and the force under the metatarsal heads individually, between normal feet and hallux valgus feet, and between hallux valgus feet with pain and without pain. We further test the association between the parameters of the transverse arch and hallux valgus angle and between the parameters and pain in hallux valgus. Methods Women's feet (105 feet) were divided into normal group (NORM) and hallux valgus group (HVG); and further into subgroups: hallux valgus without pain (HV Pain (-)) and hallux valgus with pain (HV Pain (+)). Transverse arch height and metatarsal heads height were measured using weight-bearing ultrasound imaging. Force under the metatarsal heads was measured using force sensors attached directly on the skin surface of the metatarsal heads. The measurements were taken in three loading positions: sitting, quiet standing and 90% weight shift on the tested foot. Differences between the groups were compared using Student t-test and Wilcoxon Exact test. Multivariate logistic analysis with adjustment for physical characteristics was also conducted. Results Transverse arch height was significantly higher in HVG than in NORM in all positions; there were no significant differences between HV Pain (+) and HV pain (-). Lateral sesamoid was

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“…The maximum pressure in the normal human foot is located in the second metatarsal head, and the maximum pressure during toe‐off motion is located in the middle of forefoot; however, the plantar peak pressure for diabetes mellitus patients is located in the halluces, which is also the maximum force bearing point before toe‐off motion. The foot lateral force is significantly increased in diabetics compared with nondiabetics and is mostly concentrated outside of the forefoot The forefoot of diabetes patients is a target area for developing foot ulcers. Therefore, comparing the force difference in various plantar area regions between diabetic and nondiabetic people can provide a reference for preventing diabetic foot …”

Section: Discussionmentioning

confidence: 99%

Variation of plantar pressure in Chinese diabetes mellitus

Yang

Xiao

Wang

et al. 2015

Wound Repair Regeneration

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To investigate dynamic changes in plantar pressure in Chinese diabetes mellitus patients and to provide a basis for further preventing diabetic foot. This is a cross-sectional investigation including 649 Chinese diabetes mellitus patients (diabetes group) and 808 "normal" Chinese persons (nondiabetes group) with normal blood glucose levels. All the subjects provided a complete medical history and underwent a physical examination and a 75-g oral glucose tolerance test. All subjects walked barefoot with their usual gait, and their dynamic plantar forces were measured using the one-step method with a plantar pressure measurement instrument; 5 measurements were performed for each foot. No significant differences were found in age, height, body weight, or body mass index between the two groups. The fasting blood glucose levels, plantar contact time, maximum force, pressure-time integrals and force-time integrals in the diabetes group were significantly higher than those in the nondiabetes group (p < 0.05). However, the maximum pressure was significantly higher in the nondiabetes group than in the diabetes group (p < 0.05). No difference was found in the contact areas between the two groups (p > 0.05). The maximum plantar force distributions were essentially the same, with the highest force found for the medial heel, followed by the medial forefoot and the first toe. The peak plantar pressure was located at the medial forefoot for the nondiabetes group and at the hallucis for the diabetes group. In the diabetes group, the momentum in each plantar region was higher than that in the nondiabetes group; this difference was especially apparent in the heel, the lateral forefoot and the hallucis. The dynamic plantar pressures in diabetic patients differ from those in nondiabetic people with increased maximum force and pressure, a different distribution pattern and significantly increased momentum, which may lead to the formation of foot ulcers.

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A comparison of hallux valgus angles assessed with computerised plantar pressure measurements, clinical examination and radiography in patients with diabetes

Cited by 29 publications

References 68 publications

Correlation between degree of hallux valgus and kinematics in classical ballet: A pilot study

Correlation between degree of hallux valgus and kinematics in classical ballet: A pilot study

Detailed analysis of the transverse arch of hallux valgus feet with and without pain using weightbearing ultrasound imaging and precise force sensors

Variation of plantar pressure in Chinese diabetes mellitus

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