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Gait parameters associated with hallux valgus: a systematic review
Sheree E Nix1, Bill T Vicenzino, Natalie J Collins
1Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. s.nix@qut.edu.au.
Journal of Foot and Ankle Research
|March 19, 2013
Summary
Hallux valgus (HV) alters gait by affecting foot loading and joint motion. This review highlights specific gait changes in individuals with HV, suggesting implications for functional disability.
Area of Science:
- Biomechanics
- Orthopedics
- Gerontology
Background:
- Hallux valgus (HV) is associated with functional disability and increased falls risk in older adults.
- Specific gait alterations in individuals with HV remain unclear.
- This systematic review focuses on gait parameters in healthy adults with HV.
Purpose of the Study:
- To systematically review and investigate gait parameters associated with Hallux Valgus (HV).
- To identify specific gait alterations in individuals with HV.
- To understand the relationship between HV and functional disability.
Main Methods:
- Systematic review of Medline, Embase, and CINAHL databases up to October 2011.
- Inclusion of cross-sectional studies with defined HV and non-HV groups.
- Calculation of effect sizes (SMD, RR) and assessment of methodological quality.
Main Results:
- Nine studies (589 participants) revealed altered plantar pressure, including increased hallux and medial forefoot loading.
- HV participants showed reduced ankle and rearfoot motion, alongside increased intrinsic muscle activity.
- Some studies indicated reduced gait speed, step length, and stability in older adults with HV.
Conclusions:
- Hallux valgus significantly impacts specific gait parameters.
- Understanding modifiable factors is crucial for HV prevention and management.
- Prospective studies are needed to establish cause-and-effect relationships between HV and functional disability.
