Constraints on variation of weight-shifting by foot during walking in adolescents with valgus alignment of hallux

• Autorzy: Latour Ewa , Arlet Jarosław , Latour Marek , Dworak Lechosław B. , Bohatyrewicz Andrzej

Identyfikatory

DOI

10.37190/ABB-01628-2020-02

• Języki publikacji: EN

Abstrakty

EN

Purpose: Etiology of hallux valgus (HV) remains unclear and effective treatments and prophylaxis for this condition are lacking and conclusions of researches concerning HV are inconsistent. Recognition of the function-structure interrelation in foot at the early stage of valgus alignment of first metatarsophalangeus joint (1stMTPJ) would help explain the etiology of HV. Methods: The frequency of weight-shifting patterns during walking and the body mass index (BMI) were assessed relative to goniometric measurements of the 1stMTPJ angle in adolescents. Weight-shifting patterns were identified with a plantar pressure analysis, performed with the GaitlineMaxline Distance method. Results: As the 1stMTPJ angle widened, the frequency distributions of identified weight-shifting patterns became increasingly lopsided, due to the favoring or disfavoring of one pattern at the expense of the other. The two sexes showed opposite trends in the weight-shifting patterns that were favored/disfavored, relative to participants with a 0º 1stMTPJ angle. The clear predominance of a central-shift pattern, at the expense of a medial-shift, occurred with the largest (20º) 1stMTPJ angle among girls. Additionally, the BMI distributions associated with 1stMTPJ angle characteristics showed opposite trends between the sexes. Conclusions: Valgus alignment of 1stMTPJ among adolescents were associated with limitations in weight-shifting freedom of the foot during walking, that could be involved in maintaining balance. An 1stMTPJ angle of 20º, where distinct limitations were observed, might serve as a criterion of HV pathology.

Słowa kluczowe

EN

walking; body mass index; motor control; hallux valgus

PL

pieszy; wskaźnik masy ciała; kontrola silnika; paluch koślawy

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2020
• Tom: Vol. 22, no. 3
• Strony: 95--104
• Opis fizyczny: Bibliogr. 30 poz., rys., tab., wykr.

Twórcy

autor

Latour Ewa

• Department of Physiotherapy, Poznan University of Physical Education, Faculty of Physical Culture in Gorzów Wielkopolski, ul. Estkowskiego 13, 66-400, Gorzów Wielkopolski, Poland

autor

Arlet Jarosław

• Poznan University of Physical Education, Faculty of Physical Culture in Gorzów Wielkopolski, Poznań, Poland

autor

Latour Marek

• Multidisciplinary Regional Hospital, Department of Orthopaedics, Gorzów Wielkopolski, Poland

autor

Dworak Lechosław B.

• Higher Vocational State School in Kalisz, Faculty of Physiotherapy, Kalisz, Poland

autor

Bohatyrewicz Andrzej

• Department of Orthopaedics Traumatology and Musculoskeletal Oncology, Pomeranian Medical University, Szczecin, Poland

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