Dynamic-passive correction of hallux valgus and associated static foot deformities

• Autorzy: Dygut Jacek , Strąk Joanna , Detyna Jerzy , Piwowar Monika

Identyfikatory

DOI

10.37190/ABB-02200-2023-02

• Języki publikacji: EN

Abstrakty

EN

The aim of this paper was the application of a new dynamic-passive method of treatment in correction of hallux valgus and coexisting static deformities of the foot (transverse-plane and plano-valgus foot). Methods: The study involved 50 patients; 26 with full big toe correction after the passive correction grip (group I) and 24 with big toe correction requiring additional passive abduction (group II). The patients regularly performed exercises using the designed device according to the planned schedule. The progress of the correction was assessed by a medical examination and additional tests. Results: The cross-sectional area [cm2 ] of the abductor hallucis muscle in three-time points among I and II groups of patients with the hallux valgus was measured based on MRI images. The STIR examination showed, among others, the abductor hallucis muscle edema after exercises with the DPc device were carried out. It evidences that exercises with the new device activate the muscle. Alignment of the big toes of both feet in groups I and II were obtained with a statistically significant result ( p < 0.05). The percentage progression of correction for HV and I/II IM was calculated. Conclusions: Based on the new correction approach the alignment of the big toe phalanges and the remaining toes was obtained. The passive setup of the tendons with their distal inserts at the level of the big toe phalanges to the correct path of their course with the withdrawal of articular subluxations was obtained. Simultaneously, the big toe's passive correction was dynamically consolidated through a specially selected set of exercises.

Słowa kluczowe

EN

hallux valgus; dynamic-passive correction; foot deformities; foot rehabilitation; orthopedics

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2023
• Tom: Vol. 25, no. 1
• Strony: 65--77
• Opis fizyczny: Bibliogr. 38 poz., rys., tab.

Twórcy

autor

Dygut Jacek

• Ascroft Medical Clinic, Oldham, Greater Meanchester, United Kingdom

autor

Strąk Joanna

• Independent Public Healthcare Center in Radzyń Podlaski, Radzyń Podlaski, Poland.

autor

Detyna Jerzy

• Wrocław University of Science and Technology, Faculty of Mechanical Engineering, Department of Mechanics, Materials and Biomedical Engineering, Wrocław, Poland

autor

Piwowar Monika

• Jagiellonian University Medical College, Faculty of Medicine, Department of Bioinformatics and Telemedicine, Kraków, Poland

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Uwagi

Opracowanie rekordu ze środków MNiSW, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2024).