Gait analysis of foot compensation in symptomatic Hallux Rigidus patients

Jasper Stevens; Robin T A L de Bot; Joris P S Hermus; Martijn G M Schotanus; Kenneth Meijer; Adhiambo M Witlox

doi:10.1016/j.fas.2022.06.001

Gait analysis of foot compensation in symptomatic Hallux Rigidus patients

Jasper Stevens^*, Robin T A L de Bot^*, Joris P S Hermus^*, Martijn G M Schotanus^*, Kenneth Meijer^*, Adhiambo M Witlox^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Compensatory motion of foot joints in hallux rigidus (HR) are not fully known. This study aimed to clarify the kinematic compensation within the foot and to detect whether this affects plantar pressure distribution.

METHODS: Gait characteristics were assessed in 16 patients (16 feet) with HR and compared with 15 healthy controls (30 feet) with three-dimensional gait analysis by using the multi-segment Oxford Foot Model, measuring spatio-temporal parameters, joint kinematics and plantar pressure.

RESULTS: HR subjects showed less hallux plantar flexion during midstance and less hallux dorsiflexion during push-off, while increased forefoot supination was detected during push-off. No significant differences in plantar pressure were detected. Step length was significantly smaller in HR subjects, while gait velocity was comparable between groups.

CONCLUSIONS: HR significantly affects sagittal hallux motion, and the forefoot compensates by an increased supination during push-off. Despite this kinematic compensatory mechanism, no significant differences in plantar loading were detected.

Original language	English
Pages (from-to)	1272-1278
Number of pages	7
Journal	Foot and Ankle Surgery
Volume	28
Issue number	8
Early online date	10 Jun 2022
DOIs	https://doi.org/10.1016/j.fas.2022.06.001
Publication status	Published - Dec 2022

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title = "Gait analysis of foot compensation in symptomatic Hallux Rigidus patients",

abstract = "BACKGROUND: Compensatory motion of foot joints in hallux rigidus (HR) are not fully known. This study aimed to clarify the kinematic compensation within the foot and to detect whether this affects plantar pressure distribution.METHODS: Gait characteristics were assessed in 16 patients (16 feet) with HR and compared with 15 healthy controls (30 feet) with three-dimensional gait analysis by using the multi-segment Oxford Foot Model, measuring spatio-temporal parameters, joint kinematics and plantar pressure.RESULTS: HR subjects showed less hallux plantar flexion during midstance and less hallux dorsiflexion during push-off, while increased forefoot supination was detected during push-off. No significant differences in plantar pressure were detected. Step length was significantly smaller in HR subjects, while gait velocity was comparable between groups.CONCLUSIONS: HR significantly affects sagittal hallux motion, and the forefoot compensates by an increased supination during push-off. Despite this kinematic compensatory mechanism, no significant differences in plantar loading were detected.",

author = "Jasper Stevens and {de Bot}, {Robin T A L} and Hermus, {Joris P S} and Schotanus, {Martijn G M} and Kenneth Meijer and Witlox, {Adhiambo M}",

year = "2022",

month = dec,

doi = "10.1016/j.fas.2022.06.001",

language = "English",

volume = "28",

pages = "1272--1278",

journal = "Foot and Ankle Surgery",

issn = "1268-7731",

publisher = "Elsevier Ltd",

number = "8",

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TY - JOUR

T1 - Gait analysis of foot compensation in symptomatic Hallux Rigidus patients

AU - Stevens, Jasper

AU - de Bot, Robin T A L

AU - Hermus, Joris P S

AU - Schotanus, Martijn G M

AU - Meijer, Kenneth

AU - Witlox, Adhiambo M

PY - 2022/12

Y1 - 2022/12

N2 - BACKGROUND: Compensatory motion of foot joints in hallux rigidus (HR) are not fully known. This study aimed to clarify the kinematic compensation within the foot and to detect whether this affects plantar pressure distribution.METHODS: Gait characteristics were assessed in 16 patients (16 feet) with HR and compared with 15 healthy controls (30 feet) with three-dimensional gait analysis by using the multi-segment Oxford Foot Model, measuring spatio-temporal parameters, joint kinematics and plantar pressure.RESULTS: HR subjects showed less hallux plantar flexion during midstance and less hallux dorsiflexion during push-off, while increased forefoot supination was detected during push-off. No significant differences in plantar pressure were detected. Step length was significantly smaller in HR subjects, while gait velocity was comparable between groups.CONCLUSIONS: HR significantly affects sagittal hallux motion, and the forefoot compensates by an increased supination during push-off. Despite this kinematic compensatory mechanism, no significant differences in plantar loading were detected.

AB - BACKGROUND: Compensatory motion of foot joints in hallux rigidus (HR) are not fully known. This study aimed to clarify the kinematic compensation within the foot and to detect whether this affects plantar pressure distribution.METHODS: Gait characteristics were assessed in 16 patients (16 feet) with HR and compared with 15 healthy controls (30 feet) with three-dimensional gait analysis by using the multi-segment Oxford Foot Model, measuring spatio-temporal parameters, joint kinematics and plantar pressure.RESULTS: HR subjects showed less hallux plantar flexion during midstance and less hallux dorsiflexion during push-off, while increased forefoot supination was detected during push-off. No significant differences in plantar pressure were detected. Step length was significantly smaller in HR subjects, while gait velocity was comparable between groups.CONCLUSIONS: HR significantly affects sagittal hallux motion, and the forefoot compensates by an increased supination during push-off. Despite this kinematic compensatory mechanism, no significant differences in plantar loading were detected.

U2 - 10.1016/j.fas.2022.06.001

DO - 10.1016/j.fas.2022.06.001

M3 - Article

C2 - 35717495

SN - 1268-7731

VL - 28

SP - 1272

EP - 1278

JO - Foot and Ankle Surgery

JF - Foot and Ankle Surgery

IS - 8

ER -

Gait analysis of foot compensation in symptomatic Hallux Rigidus patients

Abstract

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