Gait analysis of foot compensation in symptomatic Hallux Rigidus patients

Stevens, Jasper; Bot, Robin T A L de; Hermus, Joris P.S.; Schotanus, Martijn G.M.; Meijer, K.; Witlox, Adhiambo M.

doi:10.1016/j.fas.2022.06.001

Cited by 2 publications

(6 citation statements)

References 31 publications

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“…Within our study, the reduction in MTP motion resulted in reduced motion at the midtarsal joint. This is consistent with previous research showing kinematic intersegmental coordination within the distal foot [ 2 , 3 ], although two additional studies did not reach statistical significance [ 12 , 13 ]. Stevens et al showed a 2.9 degree mean difference in midtarsal ROM in hallux rigidus.…”

Section: Discussionsupporting

confidence: 92%

“…The decrease in ROM at the MTP joint induced by our locked brace conditions is comparable to other studies where MTP motion was altered through various mechanisms (e.g. hallux rigidus [12], wedge placed under the toes [13], and sandals with an upward curvature under the toes [14]). All these studies resulted in the MTP joint being more dorsiflexed throughout midstance and having less ROM in late stance compared to controls [12][13][14].…”

Section: Discussionsupporting

confidence: 86%

“…Axes within the foot are not orthogonal and investigation into other planes may offer additional insight into foot coupling [21]. For instance, Stevens et al (2022) noted an increase in frontal plane midfoot motion during hallux rigidus [12], and it is probable that similar alterations in non‐sagittal planes may have occurred in our study due to our locked brace condition. Furthermore, we should note that while we relied on descriptive analysis to define joint coupling, other more quantitative methods are available (e.g.…”

Section: Discussionmentioning

confidence: 76%

“…hallux rigidus [12], wedge placed under the toes [13], and sandals with an upward curvature under the toes [14]). All these studies resulted in the MTP joint being more dorsiflexed throughout midstance and having less ROM in late stance compared to controls [12][13][14]. This was also observed in our locked brace conditions.…”

Section: Discussionmentioning

confidence: 99%

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Kinetic coupling in distal foot joints during walking

Williams,

Arch,

Bruening

2023

Journal of Foot and Ankle Research

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Background Kinematic coupling between the first metatarsophalangeal (MTP) and midtarsal joints is evident during gait and other movement tasks, however kinetic foot coupling during walking has not been examined. Furthermore, contributing factors to foot coupling are still unclear. Therefore, the purpose of this study was to investigate kinematic and kinetic coupling within the foot by restricting MTP motion during overground walking. We hypothesized that when the MTP joint was prevented from fully extending, the midtarsal joint would achieve less peak motion and generate less positive work compared to walking with normal MTP motion. Methods Twenty-six individuals participated in this randomized cross-over study. Using motion capture to track motion, participants walked at 1.3 m/s while wearing a brace that restricted MTP motion in a neutral (BR_NT) or extended (BR_EX) position. Additionally, participants walked while wearing the brace in a freely moveable setting (BR_UN) and with no brace (CON). A pressure/shear sensing device was used to capture forces under each foot segment. During stance, peak joint motion and work were calculated for the MTP and midtarsal joints using inverse dynamics. A series of ANOVAs and Holm post hoc tests were performed for all metrics (alpha = 0.05). Results The brace successfully decreased peak MTP motion by 19% compared to BR_UN and CON. This was coupled with 9.8% less midtarsal motion. Kinetically, the work absorbed by the MTP joint (26–51%) and generated by the midtarsal joint (30–38%) were both less in BR_EX and BR_NT compared to BR_UN. Conclusion Implications and sources of coupling between the MTP and midtarsal joints are discussed within the context of center of pressure shifts and changes to segmental foot forces. Our results suggest that interventions aimed at modulating MTP negative work (such as footwear or assistive device design) should not ignore the midtarsal joint.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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Kinetic coupling in distal foot joints during walking

Williams,

Arch,

Bruening

2023

Journal of Foot and Ankle Research

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“…36 Moreover, increased dorsal flexion, often seen in cases of plantar fasciitis, may also contribute to the improvement of gait kinematics. 37 Regarding the intrinsic musculature of the foot, Okamura et al 38 noted that training this musculature with electrical stimulation led to an improvement in maintaining the plantar arch during gait. This suggests that the intrinsic musculature of the foot may play a significant role in dynamic gait rather than in static loading positions.…”

Section: Discussionmentioning

confidence: 99%

Effects of plantar fascia release and the use of foot orthoses affect biomechanics of the medial longitudinal arch of the foot. A cadaveric study

Rodríguez-Sanz,

Roche-Seruendo,

López-de-Celis

et al. 2024

Am J Phys Med Rehabil

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Objective To evaluate the effect of minimally invasive ultrasound-guided fascial release and a foot orthoses with first metatarsal head cut-out on the biomechanics of the medial longitudinal arch of the foot in cadaveric specimens. Design A cross-sectional study was designed (20 body-donors). Anthropometric measurements of the foot, foot posture index and the windlass test and force were measured in different conditions: unloaded, loaded position, with foot orthoses, after a 25% plantar fascia release and after a 50% release. Results For the anthropometric measurements of the foot, differences were found in foot length (p = 0.009), arch height (p < 0.001) and midfoot width (p = 0.019) when comparing the unloaded vs foot orthoses condition. When foot orthoses were compared with 25% plantar fascial release, differences were found in foot length (p = 0.014) and arch height (p < 0.001). In the comparation with 50% plantar fascial release, differences were found in the arch height (p < 0.001). A significant interaction between foot orthoses condition and grades was found in the arch height during the windlass test (p = 0.021). Conclusion The results indicate that the presence of foot orthoses leads to a significant increase in arch height compared to other conditions. Furthermore, when plantar fascia release is performed, the arch does not exhibit any signs of collapse.

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Gait analysis of foot compensation in symptomatic Hallux Rigidus patients

Cited by 2 publications

References 31 publications

Kinetic coupling in distal foot joints during walking

Kinetic coupling in distal foot joints during walking

Effects of plantar fascia release and the use of foot orthoses affect biomechanics of the medial longitudinal arch of the foot. A cadaveric study

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