Influence of the center of pressure on baropodometric gait pattern variations in the adult population with flatfoot: A case-control study

Padrón, Luis; Bayod, Javier; Becerro‐de‐Bengoa‐Vallejo, Ricardo; Losa‐Iglesias, Marta Elena; López‐López, Daniel; Casado-Hernández, Israel

doi:10.3389/fbioe.2023.1147616

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…The exclusion criteria were the following: (1) subjects under 6 or over 12 years of age; (2) subjects who had suffered any pain or significant foot disorders; (3) subjects under medical treatment could affect the data acquisition; (4) subjects with musculoskeletal injuries or neurological disorders; (5) subjects with hypermobility syndrome; (6) subjects with an IMTFJ angle value lower than 10 0 flexing the ankle; (7) subjects who refused to adhere to the guidelines to participation in the study.…”

Section: Methodsmentioning

confidence: 99%

“…Hallux limitus (HL) is a limitation of the dorsiflexion movement (DF) of the first metatarsophalangeal joint (IMTFJ) [1,2]. Functional hallux limitus (HL) was determined as the restriction of the IMTFJ motion in weight bearing and a normal IMTFJ motion in non-weight bearing [3]; HL produces limitations in gait patterns because of a restriction of closed-kinetic-chain joint motion causing functional limitations during the final phase of gait due to the blockage of the third rocker [4][5][6]. The blockage of the third rocker generates a variation of the axis of the first radius (1R) in the sagittal plane, causing a compensatory mechanism that helps to advance the center of mass along the extrinsic and intrinsic structures of the foot in order to improve the gait and finish it with the propulsion phase.…”

Section: Introductionmentioning

confidence: 99%

“…The blockage of the third rocker generates a variation of the axis of the first radius (1R) in the sagittal plane, causing a compensatory mechanism that helps to advance the center of mass along the extrinsic and intrinsic structures of the foot in order to improve the gait and finish it with the propulsion phase. Consequently, in order to improve the joint movement in the last phase of gait, secondary compensations generate a greater or lesser plantar pressure which can be analyzed with a baropodometric platform [6].…”

Section: Introductionmentioning

confidence: 99%

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Hallux Limitus Influence on Plantar Pressure Variations during the Gait Cycle: A Case-Control Study

Cuevas-Martínez,

Becerro-de-Bengoa-Vallejo,

Losa-Iglesias

et al. 2023

Bioengineering

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Background: Hallux limitus is a common foot disorder whose incidence has increased in the school-age population. Hallux limitus is characterized by musculoskeletal alteration that involves the metatarsophalangeal joint causing structural disorders in different anatomical areas of the locomotor system, affecting gait patterns. The aim of this study was to analyze dynamic plantar pressures in a school-aged population both with functional hallux and without. Methods: A full sample of 100 subjects (50 male and 50 female) 7 to 12 years old was included. The subjects were identified in two groups: the case group (50 subjects characterized as having hallux limitus, 22 male and 28 female) and control group (50 subjects characterized as not having hallux limitus, 28 male and 22 female). Measurements were obtained while subjects walked barefoot in a relaxed manner along a baropodometric platform. The hallux limitus test was realized in a seated position to sort subjects out into an established study group. The variables checked in the research were the surface area supported by each lower limb, the maximum peak pressure of each lower limb, the maximum mean pressure of each lower limb, the body weight on the hallux of each foot, the body weight on the first metatarsal head of each foot, the body weight at the second metatarsal head of each foot, the body weight at the third and fourth metatarsal head of each foot, the body weight at the head of the fifth metatarsal of each foot, the body weight at the midfoot of each foot, and the body weight at the heel of each foot. Results: Non-significant results were obtained in the variable of pressure peaks between both study groups; the highest pressures were found in the hallux with a p-value of 0.127 and in the first metatarsal head with a p-value 0.354 in subjects with hallux limitus. A non-significant result with a p-value of 0.156 was obtained at the second metatarsal head in healthy subjects. However, significant results were observed for third and fourth metatarsal head pressure in healthy subjects with a p-value of 0.031 and regarding rearfoot pressure in subjects with functional hallux limitus with a p-value of 0.023. Conclusions: School-age subjects with hallux limitus during gait exhibit more average peak plantar pressure in the heel and less peak average plantar pressure in the third and fourth metatarsal head as compared to healthy children aged between 7 and 12 years old.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hallux Limitus Influence on Plantar Pressure Variations during the Gait Cycle: A Case-Control Study

Cuevas-Martínez,

Becerro-de-Bengoa-Vallejo,

Losa-Iglesias

et al. 2023

Bioengineering

Self Cite

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“…or by functional factors (capsule-ligament laxity and reduced muscle tone), but it can also occur as a complication in the case of hip or knee damage, diabetes or rheumatoid arthritis [12]. Adult flat foot is considered an alteration of the bony structure of the foot, characterized by a collapse of the medial arch during static or dynamic balance, the contact time in the total stance phase being greater compared to those with a normal foot [13].…”

Section: Introductionmentioning

confidence: 99%

"The Benefits of Physical Therapy in the Rehabilitation of Flat Feet in Autism Students between the ages of 10 and 14"

POP,

BOCA,

RUSU

et al. 2023

RJPT

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"Introduction: Autism is a syndrome, the causes of which are still being studied. All children are born with flexible flat feet and decrease in flatness with age, but it is not known how flat they should be with each increase in age. Methods: The research was carried out on 10 subjects, aged between 10-14 years, with autism and flat feet. In the rehabilitation program we used: massage of the lower limb, walking exercises, resistance exercises from the positions: supine, prone, sitting and standing, isometric contractions, varied walking and light running, exercises of relaxation combined with breathing exercises, cycling and athletic elements. Results: The results of the averages obtained at the two initial and final tests, an increase in the values at the final test can be observed, both in the left leg and in the right leg. The manual testing of the muscle strength registered averages between 86% - 94% at the initial testing and improved values at the final testing between 94% - 99%. Feiss line testing results show close means for both the left and right legs, and the standard deviation shows a spread of 0.66 at initial testing and 0.67 at final testing for the left leg and 0.55 and respectively 0.56 on the right leg. Discussion: Considering that studies show the connection between flat feet and overweight, the results of our study indicate that autistic students, despite having flat feet, are in the normal weight category. This aspect can be considered favorable in the approach of applied kinetic treatment. The problem of flat feet in subjects with intellectual deficiency is insufficiently studied; therefore our study could constitute an important landmark in this scientific approach. Conclusions: Analyzing the comparative results, it can be concluded that through physical therapy and the associated means, the muscle deficit can be recovered; the joint balance can be improved, reaching a correct posture while walking in autism flatfeet students"

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Implications of plantar static pressure distribution among bilateral flatfoot patients: An analytical case-control research

Padrón Cabrera,

López-López,

Becerro-de-Bengoa-Vallejo

et al. 2024

Biomedical Signal Processing and Control

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Influence of the center of pressure on baropodometric gait pattern variations in the adult population with flatfoot: A case-control study

Cited by 4 publications

References 37 publications

Hallux Limitus Influence on Plantar Pressure Variations during the Gait Cycle: A Case-Control Study

Hallux Limitus Influence on Plantar Pressure Variations during the Gait Cycle: A Case-Control Study

"The Benefits of Physical Therapy in the Rehabilitation of Flat Feet in Autism Students between the ages of 10 and 14"

Implications of plantar static pressure distribution among bilateral flatfoot patients: An analytical case-control research

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