Hallux Limitus
Conditions
Keywords
school-age, hallux limitus, plantar pressures
Brief summary
The most important pivot of the sagittal plane is in the first metatarsophalangeal joint, which is usually restricted or blocked as a result of alterations in the rest of the planes or as the main cause of secondary compensations.
Detailed description
In the propulsion phase, once the hallux touches the ground, it does not move again until the moment of take-off, so when there is a limitation of the plantar flexion of the hallux, the compensation of this is appreciated in other anatomical locations during gait analysis. For the propulsion phase to be effective, the first metatarsophalangeal joint must be maximally dorsiflexed. If any structure or movement is altered, the axis varies. In the hallux, the joint surface on which the movement is performed is reduced and therefore affected at the dorsal level, causing a limitation of the main movement of this joint; dorsiflexion in closed kinetic chain, known as functional hallux limitus. It is for this reason that it is proposed to study the application of plantar supports to favor the movement of dorsiflexion of the first metatarsophalangeal joint and avoid an early establishment of the hallux limitus.
Interventions
OTHEROrthopaedic treatment
Female and male patients aged between 6 and 12 years are included in the study. Initially, the values of dorsiflexion of the tibio-fibular-talar joint and dorsiflexion of the first metatarsophalangeal joint will be measured to rule out hallux rigidus and ankle equinus, respectively. Those patients who do not present hallux rigidus or equinus ankle, will be included in the study and will have their computerized foot pressures taken.
Sponsors
Universidade da Coruña
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Interest in participating and completing the phases of the study and signing of the informed consent by the parents. Patients who do not meet any
Exclusion criteria
will be included.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hallux limitus | through study completion, an average of 1 year | hallux limitus is defined as a limitation of dorsiflexion of the 1st metatarsophalangeal joint of the foot. In the functional hallux limitus test, the doctor uses one hand to hold the first ray in a dorsi-flexed position by loading the first metatarsal head and the other hand to dorsiflex the proximal phalanx of the hallux. |
Countries
Spain
Contacts
Primary ContactClaudia Cuevas-Martinez
Outcome results
None listed