Radiographic Study of the Size of the First Metatarso-Digital Segment in Feet with Incipient Hallux Limitus

Munuera, Pedro V.; Domínguez, Gabriel Ernesto; Castillo, José Manuel

doi:10.7547/0970460

Cited by 33 publications

(14 citation statements)

References 37 publications

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“…Other muscles of the lower limb, whose muscles’ MTrPs could be activated are the vastus lateralis, tensor fasciae latae, gemellus superior and inferior, soleus, tibialis anterior and the peroneus brevis [ 2 ],[ 28 ]. However, an excessively index plus foot has been associated with hallux rigidus [ 26 ], hallux limitus [ 30 ] and hallux valgus [ 4 ],[ 7 ],[ 9 ],[ 20 ],[ 23 ],[ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Intra‐observer reliability for measuring first and second toe and metatarsal protrusion distance using palpation‐based tests: a test‐retest study

Cepa

Zuil-Escobar

Chillón‐Martínez

et al. 2014

Journal of Foot and Ankle Research

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BackgroundMeasurement of first and second metatarsal and toe protrusion is frequently used to explain foot problems using x-rays, osteological measurements or palpation-based tests. Length differences could be related to the appearance of problems in the foot. A test-retest design was conducted in order to establish the intra-rater reliability of three palpation-based tests.Methods202 feet of physical therapy students and teachers of the CEU San Pablo University of Madrid, 39 men and 62 women, were measured using three different tests. Data were analysed using SPSS version 15.0. Mean, SD and 95% CI were calculated for each variable. A normal distribution of quantitative data was assessed using the Kolmogorov-Smirnov test. The test-retest intra-rater reliability was assessed using an Intraclass Correlation Coefficient (ICC). The Standard Error Mean (SEM) and the Minimal Detectable Change (MDC) were also obtained.ResultsAll the ICC values showed a high degree of reliability (Test 1 = 0.97, Test 2 = 0.86 and Test 3 = 0.88) as did the SEM (Test 1 = 0.07, Test 2 = 0.10 and Test 3 = 0.11) and the MDC (Test 1 = 0.21, Test 2 = 0.30 and Test 3 = 0.31).ConclusionsReliability of measuring first and second metatarsal and toe protrusion using the three palpation-based tests showed a high degree of reliability.

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Section: Discussionmentioning

confidence: 99%

Intra‐observer reliability for measuring first and second toe and metatarsal protrusion distance using palpation‐based tests: a test‐retest study

Cepa

Zuil-Escobar

Chillón‐Martínez

et al. 2014

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

show abstract

“…Other muscles of the lower limb, whose muscles' MTrPs could be activated are the vastus lateralis, tensor fasciae latae, gemellus superior and inferior, soleus, tibialis anterior and the peroneus brevis [2,28]. However, an excessively index plus foot has been associated with hallux rigidus [26], hallux limitus [30] and hallux valgus [4,7,9,20,23,31]. This study needs to be considered in light of three limitations.…”

Section: Discussionmentioning

confidence: 99%

Intra-observer reliability for measuring first and second toe and metatarsal protrusion distance using palpation-based tests: a test-retest study

Cepa

Zuil-Escobar

Chillón‐Martínez

et al. 2014

Journal of Foot and Ankle Research

View full text Add to dashboard Cite

Background: Measurement of first and second metatarsal and toe protrusion is frequently used to explain foot problems using x-rays, osteological measurements or palpation-based tests. Length differences could be related to the appearance of problems in the foot. A test-retest design was conducted in order to establish the intra-rater reliability of three palpation-based tests. Methods: 202 feet of physical therapy students and teachers of the CEU San Pablo University of Madrid, 39 men and 62 women, were measured using three different tests. Data were analysed using SPSS version 15.0. Mean, SD and 95% CI were calculated for each variable. A normal distribution of quantitative data was assessed using the Kolmogorov-Smirnov test. The test-retest intra-rater reliability was assessed using an Intraclass Correlation Coefficient (ICC). The Standard Error Mean (SEM) and the Minimal Detectable Change (MDC) were also obtained. Results: All the ICC values showed a high degree of reliability (Test 1 = 0.97, Test 2 = 0.86 and Test 3 = 0.88) as did the SEM (Test 1 = 0.07, Test 2 = 0.10 and Test 3 = 0.11) and the MDC (Test 1 = 0.21, Test 2 = 0.30 and Test 3 = 0.31). Conclusions: Reliability of measuring first and second metatarsal and toe protrusion using the three palpation-based tests showed a high degree of reliability.

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“…Typically, measurement of the longitudinal axis of the first metatarsal bone and the proximal phalanx are used to determinate the HAV angle [15,17,27–30]. Tanaka et al [17] reported that, on average, the great toe and first metatarsal of 64 female patients who had hallux valgus were longer than those of normal subjects.…”

Section: Introductionmentioning

confidence: 99%

Geometry of the Proximal Phalanx of Hallux and First Metatarsal Bone to Predict Hallux Abducto Valgus: A Radiological Study

et al. 2016

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BackgroundHallux abducto valgus (HAV) is one of the most common forefoot deformities in adulthood with a variable prevalence but has been reported as high as 48%. The study proposed that HAV development involves a skeletal parameter of the first metatarsal bone and proximal phalanx hallux (PPH) to determine if the length measurements of the metatarsal and PPH can be used to infer adult HAV.MethodsAll consecutive patients over 21 years of age with HAV by roentgenographic evaluation were included in a cross-sectional study. The control group included patients without HAV. The study included 160 individuals. We identified and assessed the following radiographic measurements to evaluate HAV: the distances from the medial (LDM), central (LDC), and lateral (LDL) aspects of the base to the corresponding regions of the head of the PPH. The difference between the medial and lateral aspect of PPH was also calculated.ResultsThe reliability of the variables measured in 40 radiographic films show perfect reliability ranging from 0.941 to 1 with a small error ranging from 0.762 to 0. Also, there were no systematic errors between the two measurements for any variable (P > 0.05). The LDM PPH showed the highest reliability and lowest error.ConclusionIt is more suitable to measure the LDM PPH instead of the LDC PPH when calculating the hallux valgus angle based on our reliability results. When the differences of the medial and lateral PPH are greater, the risk for developing HAV increases.

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Radiographic Study of the Size of the First Metatarso-Digital Segment in Feet with Incipient Hallux Limitus

Abstract: The size of the first metatarso-digital segment could be implicated in the development of hallux limitus deformity.

Cited by 33 publications

References 37 publications

Intra‐observer reliability for measuring first and second toe and metatarsal protrusion distance using palpation‐based tests: a test‐retest study

Intra‐observer reliability for measuring first and second toe and metatarsal protrusion distance using palpation‐based tests: a test‐retest study

Intra-observer reliability for measuring first and second toe and metatarsal protrusion distance using palpation-based tests: a test-retest study

Geometry of the Proximal Phalanx of Hallux and First Metatarsal Bone to Predict Hallux Abducto Valgus: A Radiological Study

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