TY - JOUR
T1 - The effect of foot structure on 1st metatarsophalangeal joint flexibility and hallucal loading
AU - Rao, Smita
AU - Song, Jinsup
AU - Kraszewski, Andrew
AU - Backus, Sherry
AU - Ellis, Scott J.
AU - Md, Jonathan T.Deland
AU - Hillstrom, Howard J.
N1 - Funding Information:
This study was supported by the NICHD-NCMRR (1R03HD053135-01). The assistance and expertise of Jocelyn Frey, Mark Lenhoff, and Betty (Shingpui) Chow is gratefully acknowledged. Conflict of interest statement
PY - 2011/5
Y1 - 2011/5
N2 - The purpose of our study was to examine 1st metatarsophalangeal (MTP) joint motion and flexibility and plantar loads in individuals with high, normal and low arch foot structures. Asymptomatic individuals (n=61), with high, normal and low arches participated in this study. Foot structure was quantified using malleolar valgus index (MVI) and arch height index (AHI). First MTP joint flexibility was measured using a specially constructed jig. Peak pressure under the hallux, 1st and 2nd metatarsals during walking was assessed using a pedobarograph. A one-way ANOVA with Bonferroni-adjusted post hoc comparisons was used to assess between-group differences in MVI, AHI, early and late 1st MTP joint flexibility in sitting and standing, peak dorsiflexion (DF), and peak pressure under the hallux, 1st and 2nd metatarsals. Stepwise linear regression was used to identify predictors of hallucal loading. Significant between-group differences were found in MVI (F2,56=15.4, p<0.01), 1st MTP late flexibility in sitting (F2,57=3.7, p=0.03), and standing (F2,57=3.7, p=0.03). Post hoc comparisons demonstrated that 1st MTP late flexibility in sitting was significantly higher in individuals with low arch compared to high arch structure, and that 1st MTP late flexibility in standing was significantly higher in individuals with low arch compared to normal arch structure. Stepwise regression analysis indicated that MVI and 1st MTP joint early flexibility in sitting explain about 20% of the variance in hallucal peak pressure. Our results provide objective evidence indicating that individuals with low arches show increased 1st MTP joint late flexibility compared to individuals with normal arch structure, and that hindfoot alignment and 1st MTP joint flexibility affect hallucal loading.
AB - The purpose of our study was to examine 1st metatarsophalangeal (MTP) joint motion and flexibility and plantar loads in individuals with high, normal and low arch foot structures. Asymptomatic individuals (n=61), with high, normal and low arches participated in this study. Foot structure was quantified using malleolar valgus index (MVI) and arch height index (AHI). First MTP joint flexibility was measured using a specially constructed jig. Peak pressure under the hallux, 1st and 2nd metatarsals during walking was assessed using a pedobarograph. A one-way ANOVA with Bonferroni-adjusted post hoc comparisons was used to assess between-group differences in MVI, AHI, early and late 1st MTP joint flexibility in sitting and standing, peak dorsiflexion (DF), and peak pressure under the hallux, 1st and 2nd metatarsals. Stepwise linear regression was used to identify predictors of hallucal loading. Significant between-group differences were found in MVI (F2,56=15.4, p<0.01), 1st MTP late flexibility in sitting (F2,57=3.7, p=0.03), and standing (F2,57=3.7, p=0.03). Post hoc comparisons demonstrated that 1st MTP late flexibility in sitting was significantly higher in individuals with low arch compared to high arch structure, and that 1st MTP late flexibility in standing was significantly higher in individuals with low arch compared to normal arch structure. Stepwise regression analysis indicated that MVI and 1st MTP joint early flexibility in sitting explain about 20% of the variance in hallucal peak pressure. Our results provide objective evidence indicating that individuals with low arches show increased 1st MTP joint late flexibility compared to individuals with normal arch structure, and that hindfoot alignment and 1st MTP joint flexibility affect hallucal loading.
KW - Biomechanics
KW - Foot structure
KW - Hallux
KW - Metatarsophalangeal
KW - Pressure
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U2 - 10.1016/j.gaitpost.2011.02.028
DO - 10.1016/j.gaitpost.2011.02.028
M3 - Article
C2 - 21536440
AN - SCOPUS:79957486793
SN - 0966-6362
VL - 34
SP - 131
EP - 137
JO - Gait and Posture
JF - Gait and Posture
IS - 1
ER -