FootPub Date : 2024-09-05DOI: 10.1016/j.foot.2024.102131
L. Miller Alison
{"title":"Achilles tendon ruptures related to fluoroquinolone use – How can we manage these patients? A case series","authors":"L. Miller Alison","doi":"10.1016/j.foot.2024.102131","DOIUrl":"10.1016/j.foot.2024.102131","url":null,"abstract":"<div><h3>Background</h3><p>Fluoroquinolone antibiotics can increase the risk of tendon rupture. Treatment of these Achilles ruptures can be difficult due to comorbidities.</p></div><div><h3>Methods</h3><p>A case series of 13 consecutive patients with Achilles ruptures following fluoroquinolone use were identified over a 2 year period through the Achilles Tendon rupture clinic and managed conservatively using functional rehabilitation. Follow-up with the Achilles tendon rupture score (ATRS) was completed at 3 months, 6 months and 12 months.</p></div><div><h3>Results</h3><p>Improvements were seen in ATRS scores over 12 months.</p></div><div><h3>Conclusions</h3><p>This case series is the largest published. Improvements were seen in ATRS scores indicating that this cohort can be managed successfully using functional rehabilitation after fluoroquinolone-induced Achilles rupture.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"61 ","pages":"Article 102131"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142168063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-09-03DOI: 10.1016/j.foot.2024.102133
Andreas Bentzen , Per Hviid Gundtoft , Karin Grävare Silbernagel , Stian Langgård Jørgensen , Inger Mechlenburg
{"title":"The effectiveness of low-load Blood flow restriction Exercise in patients with an acute Achilles tendon rupture treated Non-surgically (BEAN): Protocol for a randomized controlled trial","authors":"Andreas Bentzen , Per Hviid Gundtoft , Karin Grävare Silbernagel , Stian Langgård Jørgensen , Inger Mechlenburg","doi":"10.1016/j.foot.2024.102133","DOIUrl":"10.1016/j.foot.2024.102133","url":null,"abstract":"<div><h3>Background</h3><p>Blood flow restriction exercise (BFRE) has been proposed as a viable method for preserving muscle mass and function after an injury during periods of load restrictions such as after an acute Achilles tendon rupture. However, its effectiveness and safety in patients with an Achilles tendon rupture have yet to be evaluated in a randomized trial.</p></div><div><h3>Objectives</h3><p>First, to investigate the effectiveness of early initiated BFRE in patients with non-surgically treated acute Achilles tendon rupture. Second, to evaluate whether it is better to apply BFRE in the beginning (1–12 weeks) or later (13–24 weeks) in the rehabilitation period.</p></div><div><h3>Methods</h3><p>This is an assessor-blinded, randomized, controlled multicenter trial with patients assigned in a 1:1 ratio to two parallel groups, that either receive BFRE in weeks 1–12 followed by usual care in weeks 13–24, or receive usual care in weeks 1–12 followed by BFRE in weeks 13–24. The BFRE program is performed three times weekly on the injured leg at 80 % of the pressure required to fully restrict the arterial blood flow. Post-intervention tests are conducted in week 13, comparing early BFRE with usual care, and in week 25, comparing early BFRE with late BFRE. At the 13-week evaluation, the primary outcome is the Single-Leg Heel-Rise test which assesses the patient’s ability to raise the heel of the injured leg a minimum of 2 cm. At the 25-week evaluation, the primary outcome is the Achilles tendon Total Rupture Score which assesses the patient’s self-reported symptoms and physical ability.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"61 ","pages":"Article 102133"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S095825922400066X/pdfft?md5=09fb02ec4d56fd03aa123a22ae3aa8f9&pid=1-s2.0-S095825922400066X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-08-27DOI: 10.1016/j.foot.2024.102124
Andrej Čretnik , Roman Košir
{"title":"Prospective randomized comparison of functional bracing versus rigid immobilization with early weightbearing after modified percutaneous achilles tendon repair under local anesthesia","authors":"Andrej Čretnik , Roman Košir","doi":"10.1016/j.foot.2024.102124","DOIUrl":"10.1016/j.foot.2024.102124","url":null,"abstract":"<div><h3>Objective</h3><p>The optimal treatment and rehabilitation strategy for acute Achilles tendon rupture (ATR) remain a debate. This study aimed to compare the results of the two postoperative regimens after treatment for ATR with modified closed percutaneous repair under local anesthesia.</p></div><div><h3>Methods</h3><p>In a 4-year study, 72 consecutive patients with acute complete ATR were randomized after percutaneous repair into a functional group (FG), using a modified brace (28 males, three females; mean age 41.9 [29–71] years) and an immobilization group (IG), wearing a rigid plaster (28 males, two females; mean age 42.2 [29–57] years), for a period of 6 weeks. Except for immobilization, they followed the same weight-bearing and rehabilitation protocols. The follow-up period was 3 years. The complication rate, active and passive ankle range of motion, standing heel-rise test, clinical outcome using the American Foot and Ankle Society (AOFAS) hindfoot-ankle score, return to the previous activity level, and subjective assessment were assessed.</p></div><div><h3>Results</h3><p>There was one rerupture in the IG and two transient sural nerve disturbances in the FG and one in the IG, and one suture extrusion in the IG, with no other complications. The average AOFAS scores were 96.9 ± 4.3 and 96.0 ± 4.9 in the FG and IG, respectively. Patients in the FG reached a final range of motion and muscular strength sooner without limping and were more satisfied with the treatment. No significant differences could be detected between groups according to the results in any of the assessed parameters.</p></div><div><h3>Conclusion</h3><p>Early dynamic functional bracing in patients with ATR treated with modified closed percutaneous repair under local anesthesia resulted in earlier functional recovery with similar final results in terms of complications and functional outcomes, such as rigid postoperative immobilization with standardized rehabilitation and weight-bearing protocol.</p></div><div><h3>Level of evidence</h3><p>I, Prospective randomized study</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102124"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0958259224000579/pdfft?md5=9613d9cffd81da22bac16bf40db1ed7b&pid=1-s2.0-S0958259224000579-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-08-23DOI: 10.1016/j.foot.2024.102125
Jens Vanlommel , Nathalie van Beek , Anne Van Riet , Stefaan Verfaillie
{"title":"Lateral plantar fasciopathy: An frequently overlooked cause of atraumatic pain at the fifth metatarsal base","authors":"Jens Vanlommel , Nathalie van Beek , Anne Van Riet , Stefaan Verfaillie","doi":"10.1016/j.foot.2024.102125","DOIUrl":"10.1016/j.foot.2024.102125","url":null,"abstract":"<div><h3>Background</h3><p>Lateral cord plantar fasciitis (LCPF) causes atraumatic pain at the fifth metatarsal base. This study assesses the outcomes of a conservative treatment (PRP + casting) on LCPF.</p></div><div><h3>Methods</h3><p>Medical history, clinical diagnosis, and ultrasound imaging were used to determine LPCF. All patients received a leucocyte-poor PRP injection at the proximal part of the fifth metatarsal base, followed by three weeks in a walking cast. Follow-up questionnaires, encompassing NRS, AOFAS, and Foot Functioning Index (FFI), were administered at 6 weeks, 12 weeks, and 2 years post-treatment.</p></div><div><h3>Results</h3><p>Ten patients were enrolled in the study. Ultrasound findings revealed hyposonant and thickened lateral fascia plantaris at the MT 5 insertion point with normal peronei tendons. There was a notable reduction in pain from pre-treatment (NRS<sub>rest</sub> 55.1 ± 29.6, NRS<sub>activity</sub> 79.20 ± 15.5) to 6 weeks post-treatment (NRS<sub>rest</sub>: 22.4 ± 23.6, p = 0.03; NRS<sub>activity</sub>: 38.6 ± 30.3, p = 0.005). FFI indicated an improvement between 12 weeks (25.7 ± 25.7) and 2 years (9.1 ± 8.5) compared to pre-treatment (42.6 ± 16.7).</p></div><div><h3>Conclusion</h3><p>Ultrasound stands out as the preferred diagnostic method for identifying LCPF. A PRP injection followed by a walking cast proves effective in relieving LCPF symptoms within six weeks with sustained relief up to two years.</p></div><div><h3>Level of evidence</h3><p>Level IV</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102125"},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-08-22DOI: 10.1016/j.foot.2024.102126
Yaasirah Mohomed Choonara
{"title":"Enhancing diabetic foot management: Advocating for independent prescribing rights for podiatrists in South Africa","authors":"Yaasirah Mohomed Choonara","doi":"10.1016/j.foot.2024.102126","DOIUrl":"10.1016/j.foot.2024.102126","url":null,"abstract":"<div><p>Diabetic foot complications are serious issues resulting from uncontrolled diabetes, primarily affecting the feet. Common complications include diabetic neuropathy, ulcers, PAD, Charcot foot, and gangrene. Preventive measures include controlling blood glucose levels, regular foot inspections, proper foot care, wearing appropriate footwear, and seeking prompt medical attention. A holistic approach to diabetic foot management is crucial due to the complex interplay of physiological, psychological, and environmental factors. Glycaemic control is essential for mitigating neuropathy and vasculopathy, while cardiovascular risk factors like hypertension and dyslipidemia are crucial for preventing complications. In South Africa, podiatrists play a crucial role in diabetic foot care, offering specialized expertise in the assessment, management, and prevention of foot complications associated with diabetes mellitus. They collaborate closely with other healthcare professionals to ensure comprehensive and coordinated care.Pharmacological management is a crucial aspect of podiatric care in the UK, where podiatrists use various medications to treat foot conditions effectively. In South Africa, podiatrists lack prescribing authority, leading to limited treatment options, dependency on referrals, and disparities in access to care. This fragmented approach can compromise patient outcomes, especially in chronic conditions like diabetes. To improve patient outcomes and promote optimal foot condition management, policy reforms, interdisciplinary collaboration, and professional advocacy efforts are needed.Policy recommendations for expanding podiatrist prescribing privileges include legislative reforms, regulatory framework updates, and professional accreditation. Legislative reforms could involve amending existing healthcare laws or introducing new regulations that recognize podiatrists as authorized prescribers. Regulatory framework updates should involve working with regulatory bodies to establish prescribing standards, prescribing limitations, and mechanisms for ongoing oversight and accountability. Professional accreditation should ensure educational programs for podiatrists incorporate training in pharmacology, pharmacotherapy, and prescribing practices to prepare graduates for the expanded scope of practice.Stakeholders in South Africa can improve diabetes management by advocating for policy reforms, professional recognition, and patient empowerment initiatives. By aligning policy, practice, education, research, and advocacy efforts, stakeholders can create a supportive ecosystem that fosters innovation, collaboration, and continuous improvement in diabetic foot care.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102126"},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0958259224000592/pdfft?md5=b0f7c7f082e02fba6daf7cc3ce8fcb3b&pid=1-s2.0-S0958259224000592-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An evaluation of a bespoke modified UCBL foot orthosis on subjects with flat foot using kinetic measurements and user comfort scores: A randomized controlled trial","authors":"Hassan Saeedi , Atefeh Aboutorabi , Mokhtar Arazpour","doi":"10.1016/j.foot.2024.102127","DOIUrl":"10.1016/j.foot.2024.102127","url":null,"abstract":"<div><h3>Aim</h3><p>The purpose of this study was to assess and evaluate the effect of a bespoke Modified UCBL Foot Orthosis (MUFO) using both kinetic parameters (Centre of Pressure (CoP) and the Ground Reaction Force (GRF) pattern) and comfort scores in subjects diagnosed with flat foot.</p></div><div><h3>Method</h3><p>This study included thirty-four young adults with symptomatic flatfeet. Two Kistler force plates (100 Hz) were used to record the CoP sway and GRF pattern during four conditions; 1) an MUFO and standard-fit shoe; 2) the University of California-Berkley Lab (UCBL) insole and standard-fit shoe; 3) barefoot and 4) standard-fit shoe only. The magnitude of subject comfort with UCBL and MUFO also was measured by a 10 cm Visual Analogue Scale (VAS) during walking.</p></div><div><h3>Results</h3><p>The MUFO decreased mean lateral displacement in the initial phase and midstance of gait compared to barefoot walking. During the propulsion phase use of the new MUFO produced more lateral excursion with a mean difference of 3 mm) P < 0.001(compared to barefoot walking and standard shoe wear. No significant difference in comfort rate was found between the MUFO and UCBL (P = 0.165).</p></div><div><h3>Conclusion</h3><p>The MUFO produced effective pronation control and decreased the CoP displacement in all of stance phase.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102127"},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142012854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-08-02DOI: 10.1016/j.foot.2024.102123
Gülsüm Bayıroğlu , Pelin Pisirici , Özlem Feyzioğlu
{"title":"The effect of different subtalar joint pronation amounts on postural stability, function and lower extremity alignment in healthy individuals","authors":"Gülsüm Bayıroğlu , Pelin Pisirici , Özlem Feyzioğlu","doi":"10.1016/j.foot.2024.102123","DOIUrl":"10.1016/j.foot.2024.102123","url":null,"abstract":"<div><h3>Introduction</h3><p>The prone foot posture has a negative effect on postural stability, function, and knee valgus, but to our knowledge, the contribution of the degree of pronation has not been examined.</p></div><div><h3>Methods</h3><p>39 participants aged 18–40, with Foot Posture Index (FPI) scores between 6–12 and without any pain complaints were included. Participants with 6–9 points were included in the pronation group (PG) (n = 19), and participants with 10–12 points were included in the hyperpronation group (HPG) (n = 20). Static and dynamic postural stability, Foot and Ankle Ability Measure (FAAM), and frontal plane projection angles (FPPA) were measured for all participants.</p></div><div><h3>Results</h3><p>The initial data of the participants are distributed homogeneously. In the intergroup evaluation only FPI-1 (p = 0.001; p < 0.05), FPI-4 (p = 0.00; p < 0.05), FPI-5 (p = 0.00; p < 0.05) and FPI-T (p = 0.000; p < 0.05) scores were found significantly different.</p></div><div><h3>Conclusion</h3><p>Pronation and hyperpronation of the subtalar joint did not lead to a difference in postural stability, function, and knee valgus in healthy individuals. It may be more beneficial to focus on the prone posture rather than the degree of pronation.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102123"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-07-30DOI: 10.1016/j.foot.2024.102122
Adrian J. Talia , Nicholas A. Busuttil , Adrian R. Kendal , Rick Brown
{"title":"Gender differences in foot and ankle sporting injuries: A systematic literature review","authors":"Adrian J. Talia , Nicholas A. Busuttil , Adrian R. Kendal , Rick Brown","doi":"10.1016/j.foot.2024.102122","DOIUrl":"10.1016/j.foot.2024.102122","url":null,"abstract":"<div><h3>Background</h3><p>In response to the all-time high of female sports participation, there has been increasing scientific discourse and media interest in women’s sporting injuries in recent years. In gender comparable sports the rate of foot and ankle injury for women is higher than for men. There are intrinsic and extrinsic factors which may explain this difference.</p></div><div><h3>Methods</h3><p>A systematic literature search was performed according to the PRISMA guidelines of PubMed, Ovid EMBASE and OVID MEDLINE. Relevant key terms were used to narrow the scope of the search prior to screening. Case reports, review articles, paediatric patients, non foot and ankle injuries and combat sports were excluded. We used dual author, two pass screening to arrive at final included studies.</p></div><div><h3>Results</h3><p>2510 articles were screened after duplicate exclusion. 104 were included in this literature review. We identified lack of reporting gender difference in the literature.We identified that females have higher frequency and severity of injury. We provide an overview of our current understanding of ankle ligament complex injuries, stress fractures, ostochondral lesions of the talus and Achilles tendon rupture. We expand on the evidence of two codes of football, soccer and Australian rules, as a “case study” of how injury patterns differ between genders in the same sport. We identify gender specific characteristics including severity, types of injury, predisposing risk factors, anatomy, endocrinology and biomechanics associated with injuries. Finally, we examine the effect of level of competition on female injury patterns.</p></div><div><h3>Conclusions</h3><p>There is a lack of scientific reporting of gender differences of foot and ankle injuries. Female athletes suffer foot and ankle injuries at higher rates and with greater severity compared to males. This is an under-reported, yet important area of orthopaedics and sports medicine to understand, and hence reduce the injury burden for female athletes.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102122"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-07-26DOI: 10.1016/j.foot.2024.102121
Gabriel Moisan , Dominic Chicoine , Sean McBride , Pier-Luc Isabelle , Álvaro Gómez-Carrión , Nader Farahpour
{"title":"First metatarsophalangeal joint dorsiflexion resistance in individuals with plantar fasciopathy","authors":"Gabriel Moisan , Dominic Chicoine , Sean McBride , Pier-Luc Isabelle , Álvaro Gómez-Carrión , Nader Farahpour","doi":"10.1016/j.foot.2024.102121","DOIUrl":"10.1016/j.foot.2024.102121","url":null,"abstract":"<div><h3>Introduction</h3><p>Plantar fasciopathy is a common foot-related musculoskeletal disorder. It has been hypothesized that this disorder could be linked to a dysfunctional windlass mechanism. However, no study to date has quantified this link to validate or refute this hypothesis. The first metatarsophalangeal joint (1st MPJ) dorsiflexion resistance test is a reliable test to evaluate the force required to initiate the windlass mechanism. Comparing the results of this test in individuals with and without plantar fasciopathy will allow for a better understanding of the relationship between plantar fasciopathy and the windlass mechanism. Thus, this study aimed to compare 1st MPJ dorsiflexion resistance in individuals with plantar fasciopathy and healthy controls. Additionally, this study aimed to explore the correlations between 1st MPJ dorsiflexion resistance and other commonly used foot orthopedic tests, specifically the supination resistance test and the Foot Posture Index.</p></div><div><h3>Material and methods</h3><p>Twenty participants with plantar fasciopathy and 20 healthy controls were recruited in this case-control study. First MPJ dorsiflexion resistance was quantified and compared between groups and between feet using a repeated measures ANOVA with one within-subject factor with two levels and one between-subject factor with two levels. It was also correlated with supination resistance and the Foot Posture Index.</p></div><div><h3>Results</h3><p>There were no significant differences in 1st MPJ dorsiflexion resistance between injured and healthy feet as well as control and plantar fasciopathy groups. There was a moderate to strong correlation (r = 0.674 to 0.891) between 1st MPJ dorsiflexion resistance and supination resistance in both groups. There was no significant correlation between 1st MPJ dorsiflexion resistance and the Foot Posture Index.</p></div><div><h3>Conclusions</h3><p>The lack of alterations in 1st MPJ dorsiflexion resistance among individuals with plantar fasciopathy implies a potential need to reconsider the biomechanical model, proposing that a dysfunctional windlass mechanism is associated with the development of plantar fasciopathy, may need reconsideration.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102121"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0958259224000543/pdfft?md5=a922c7eff97d45def96626a652a17ad0&pid=1-s2.0-S0958259224000543-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
FootPub Date : 2024-07-26DOI: 10.1016/j.foot.2024.102120
Sarika, Aakash Sadhnani
{"title":"Evaluation and comparison of plantar pressure distribution and gait parameters in athletes with and without hallux valgus","authors":"Sarika, Aakash Sadhnani","doi":"10.1016/j.foot.2024.102120","DOIUrl":"10.1016/j.foot.2024.102120","url":null,"abstract":"<div><p>The aim of the study was to measure and compare plantar pressures, forces and gait parameters in athletes with and without hallux valgus. It was a cross sectional study with the sample Size: 106 [53 for each group (Hallux valgus and without hallux valgus)]. Hallux valgus angle was calculated with digital photographs uploaded on Karasunpo software. Participants only with the moderate and severe hallux valgus angle were selected. For participant having hallux valgus in both the feet, one with the greater angle of hallux valgus was selected. Participants without hallux valgus were the ones whose hallux valgus angle was less than 15 degrees. The participants of both groups were asked to walk on predetermined speed of 4.8 kmph. The device used was Zebris FDM-T (Zebris® Medical GmbH, Germany) for the pedobarographic and gait parameter measurement. On an average, measurement was recorded for 20 steps during the different phases of gait in all subjects and corresponding mean values were calculated. Mean values for all the readings were documented and statistically calculated. Statistical analysis was done using SPSS (v.27.0.1) with unpaired t-test to compare between both the groups. Shapiro-Wilk test was used to check normality of data. Significant p-values for forefoot forces (0.001), forefoot pressures (<0.001) and midfoot pressures (0.002) were found. There is clear evidence of increased foot loading in young adult athletes with hallux valgus on the forefoot and midfoot regions while performing activities.</p></div>","PeriodicalId":12349,"journal":{"name":"Foot","volume":"60 ","pages":"Article 102120"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}