Redistribution of joint moments and work in older women with and without hallux valgus at two walking speeds

Buddhadev, Harsh H.; Barbee, Carolyn E.

doi:10.1016/j.gaitpost.2020.01.023

Cited by 15 publications

(13 citation statements)

References 28 publications

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“…Our findings showed greater ROMs of the 3 joints in the sagittal plane during UGT at FWS compared with NWS. These results were nearly consistent with previous study in regard to the effect of speeds during walking 19 . Ridge et al 10 found that larger peak flexion angles in knee and hip joint during UGT at FWS than NWS.…”

Section: Discussionsupporting

confidence: 93%

Lower-Limb Biomechanical Characteristics Associated with Unplanned Gait Termination Under Different Walking Speeds

Zhou

Cen

Song

et al. 2020

JoVE

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Section: Discussionsupporting

confidence: 93%

Lower-Limb Biomechanical Characteristics Associated with Unplanned Gait Termination Under Different Walking Speeds

Zhou

Cen

Song

et al. 2020

JoVE

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“…Only 9 of the 24 studies included reported kinetic data from both groups. 5,15,19,21,25,31,38,54,59 Of the spatiotemporal data reported, only speed and stance duration were significant, with the HV groups walking slower and with longer stance times with the mean difference −0.16 m/s (95% CI −0.27, −0.05) and 1.18% (95% CI 0.15, 2.22) (Figure 2).…”

Section: Resultsmentioning

confidence: 99%

Biokinetic Evaluation of Hallux Valgus during Gait: A Systematic Review

et al. 2023

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Background: Foot pathologies can affect the kinetic chain during gait, leading to altered loading at other joints that can lead to subsequent pathologies. Although hallux valgus is the most common foot disease, little has been discussed about the biokinetic effects of hallux valgus on the foot and lower limb. This systematic review evaluated the kinematic, kinetic, and pedobarographic changes of the hallux valgus foot compared to a healthy one. Methods: Several electronic databases were searched up to January 2022, including only cross-sectional studies with clearly defined isolated hallux valgus diseases and healthy groups. Two investigators independently rated studies for methodological quality using the NIH Study Quality Assessment Tool for cross-sectional studies. Kinetic data were extracted, including temporal data, kinematics of the foot joint, kinematics of the proximal lower limb, and pedobarography. We did meta-analyses tests with a random effects model using the metafor package in R. Results: Hallux valgus patients walk slower compared to a disease-free control group −0.16 m/s (95% CI −0.27, −0.05). Hallux valgus patients exhibited significantly reduced coronal plane motion of the hindfoot-shank during preswing 1.16 degrees (95% CI 0.31, 2.00). Hallux valgus patients generated less force in the hallux region 33.48 N (95% CI 8.62, 58.35) but similar peak pressures in the hallux compared to controls. Hallux valgus patients generated less peak pressure at the medial and lateral hindfoot as compared to controls: 8.28 kPa (95% CI 2.92, 13.64) and 8.54 kPa (95% CI 3.55, 13.52), respectively. Conclusion: Although hallux valgus is a deformity of the forefoot, the kinematic changes due to the pathology are associated with significant changes in the range of motion at other joints, underscoring its importance in the kinetic chain. This is demonstrated again with the changes of peak pressure. Nevertheless, more high-quality studies are still needed to develop a fuller understanding of this pathology.

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“…Foot motion, muscle performance, and posture are other parameters that can affect the biomechanics of hallux valgus deformity treatment [ 40 , 41 ]. To discover the potential effects of foot parameters on the biomechanics of hallux valgus deformity treatment, foot models with either the normal standing posture or the forefoot standing posture were considered.…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Investigation of Hallux Valgus Deformity Treated with Different Osteotomy Methods and Kirschner Wire Fixation Strategies Using the Finite Element Method

2023

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The aim of this study was to propose a finite element method based numerical approach for evaluating various hallux valgus treatment strategies. We developed three-dimensional hallux valgus deformity models, with different metatarsal osteotomy methods and Kirschner wire fixation strategies, under two types of standing postures. Ten Kirschner wire fixations were analyzed and compared. The fixation stability, bone stress, implant stress, and contact pressure on the osteotomy surface were calculated as the biomechanical indexes. The results showed that the biomechanical indexes of the osteotomy and Kirschner wire fixations for hallux valgus deformity could be effectively analyzed and fairly evaluated. The distal metatarsal osteotomy method provided better biomechanical indexes compared to the proximal metatarsal osteotomy method. This study proposed a finite element method based numerical approach for evaluating various osteotomy and Kirschner wire fixations for hallux valgus deformity before surgery.

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Redistribution of joint moments and work in older women with and without hallux valgus at two walking speeds

Cited by 15 publications

References 28 publications

Lower-Limb Biomechanical Characteristics Associated with Unplanned Gait Termination Under Different Walking Speeds

Lower-Limb Biomechanical Characteristics Associated with Unplanned Gait Termination Under Different Walking Speeds

Biokinetic Evaluation of Hallux Valgus during Gait: A Systematic Review

Biomechanical Investigation of Hallux Valgus Deformity Treated with Different Osteotomy Methods and Kirschner Wire Fixation Strategies Using the Finite Element Method

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