Gait, balance and plantar pressures in older people with toe deformities

Mickle, Karen J.; Munro, Bridget J.; Lord, Stephen R.; Menz, Hylton B.; Steele, Julie R.

doi:10.1016/j.gaitpost.2011.05.023

Cited by 139 publications

(159 citation statements)

References 34 publications

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“…In another study, this view is supported by the assertion that toe deformities affect foot function by causing mechanical instability. As a result, stability is required when corrective steps are necessary to protect weight-bearing and toe movement phases or balance of the gait (32). These results show that hallux valgus deformity reduces the effectiveness of the great toe when the body is pushed forward while walking and that hallux valgus can also cause significant detrimental effect on the gait pattern (15,31).…”

Section: Discussionmentioning

confidence: 99%

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The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Kavlak

2015

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose: The aim of this study was to investigate the relationship between hallux valgus and foot function and balance in older men. Methods: One hundred and six feet of 53 elderly men (mean age: 73.79±7.08 years) were evaluated in this research. Hallux valgus angle was measured using a goniometer. Foot function, dynamic balance and static balance were evaluated by the forefoot subscale of the American Orthopaedic Foot and Ankle Society Scale, Timed Up & Go Test and single leg stance, respectively, and their relations with hallux valgus were analysed. Results: Hallux valgus angle values were 17.32±11.29 degree for right foot and 16.45±10.65° for left foot. No significant relationship was found between hallux valgus angle (right and left) and static and dynamic balance (p>0.05). However, hallux valgus angles of right and left foot were correlated with the scale scores of American Orthopaedic Foot and Ankle Society scale (r=-0. 34, p=0.01; r=-0. 38,p=0.005, respectively). Discussion: According to these results, the severity of hallux valgus itself does not influence balance, although it partially affects the functional ability of the forefoot in older men.

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Section: Discussionmentioning

confidence: 99%

“…Individuals with hallux valgus deformity have altered forefoot loading, as evidenced by increased plantar pressures (32). Higher plantar pressures generated during gait contribute to foot pain and discomfort as well as to risk of falls (36).…”

Section: Discussionmentioning

confidence: 99%

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Kavlak

2015

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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“…Functional performance measures have been used in prior work surrounding HV with inconsistent findings. Some studies have found walking performance and postural stability to be impaired (18 -21), while other authors have reported no difference in functional performance between those with HV and controls (10,(22)(23)(24). Most of these studies have not considered the impact of different levels of HV severity, which is an important consideration as structural deformity may not impact on function until it has progressed to a severe state (22).…”

Section: Introductionmentioning

confidence: 99%

“…This may explain why mediolateral sway is particularly affected in individuals with HV. Previous studies have reported inconsistent findings regarding postural control in older adults with HV (10,18,21). Menz et al (20) found a significant association between overall HV severity score and balance performance.…”

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confidence: 98%

Functional Impairments Characterizing Mild, Moderate, and Severe Hallux Valgus

Hurn

Vicenzino

Smith

2014

Arthritis Care & Research

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Objective. Hallux valgus (HV) has been linked to functional disability and increased risk of falls, but mechanisms underpinning functional disability are unclear. This study investigated functional performance, muscle strength, and plantar pressures in adults with mild, moderate, and severe HV compared to controls, while considering the influence of foot pain. Methods. Sixty adults with HV (classified as mild, moderate, and severe on dorsalplantar radiographs) and 30 controls participated. Measures included hallux plantar flexion and abduction strength, walking performance, postural sway, and forefoot plantar pressures. Multivariate analysis of covariance and pairwise comparisons (P < 0.05 after Bonferroni adjustment) were used to investigate differences between groups, adjusting for age, sex, body mass index, and foot pain. Results. Hallux plantar flexion and abduction strength were significantly reduced in those with moderate (mean differences: plantar flexion ؊45.8 N, abduction ؊12.3 N; P < 0.001) and severe HV (plantar flexion ؊50.1 N; P < 0.001, abduction ؊11.2 N; P ‫؍‬ 0.01) compared to controls. A significant reduction in hallux peak pressure and pressure-time integral was evident in moderate (peak pressure ؊90.8 kPa; P < 0.001) and severe HV (peak pressure ؊106.2 kPa; P < 0.001) compared to controls. Those with severe HV also demonstrated increased mediolateral postural sway in single leg stance compared to controls (3.5 cm; P ‫؍‬ 0.01). Conclusion. Moderate to severe HV is associated with reduced hallux plantar pressures and strength measures, while relatively normal function compared to controls was found in those with mild deformity. Greater understanding of specific functional deficits associated with different stages of HV will help inform clinical management and future research.

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“…Risk factors associated with falls among communitydwelling elderly persons 2,3) include muscle weakness, use of certain medications, cognitive impairment, depression, and a history of previous falls [4][5][6][7] . Although falls often have a multi factorial etiology, most falls occur while walking 8) , and it is not surprising that gait impairment is also associated with increased risk of falls 9,10) . Gait dysfunction is a factor that makes daily living activities difficult and is a cause of serious functional disorders 11) .…”

Section: Introductionmentioning

confidence: 99%

Comparisons of Plantar Pressure Distributions between the Dominant and Non-dominant Sides of Older Women during Walking

Kim

Gubler

2013

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to investigate the differences in plantar pressure distributions between the dominant and non dominant sides during walking by older women with a history of falling. [Subjects] Fourteen older women without foot problems participated in this study. [Methods] Plantar pressure distributions between the dominant and non-dominant sides were recorded using the F-scan system (Tekscan Inc, Boston, USA). Measured parameters included peak plantar pressure and surface area contact during the stance phase from heelstrike to toe-off.[Results] Although there were no differences in peak pressure, contact surface area was significantly greater in the first metatarsal (M1) and heel (H) regions of the dominant side compared to the non-dominant side.[Conclusion] Unequal weight distribution indicated by a greater contact surface area may be an indicator of fall risk during walking by older adults with a history of falls.

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Gait, balance and plantar pressures in older people with toe deformities

Cited by 139 publications

References 34 publications

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Functional Impairments Characterizing Mild, Moderate, and Severe Hallux Valgus

Comparisons of Plantar Pressure Distributions between the Dominant and Non-dominant Sides of Older Women during Walking

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Gait, balance and plantar pressures in older people with toe deformities

Cited by 139 publications

References 34 publications

￼The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

￼The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

Functional Impairments Characterizing Mild, Moderate, and Severe Hallux Valgus

Comparisons of Plantar Pressure Distributions between the Dominant and Non-dominant Sides of Older Women during Walking

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Product

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The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men

The Relation of Hallux Valgus Severity With Foot Function and Balance in Older Men