title: Transfer of plantar pressure from the medial to the central forefoot in patients with hallux valgus
creator: Hofmann, Ulf Krister
creator: Götze, Marco
creator: Wiesenreiter, Katharina
creator: Müller, Otto
creator: Wünschel, Markus
creator: Mittag, Falk
subject: 610
subject: 610 Medical sciences Medicine
description: Background: The aim of the study was to evaluate changes in plantar pressure distribution in feet affected by hallux valgus compared with their contralateral non-affected feet and with the feet of healthy control subjects.    Methods: Thirty-six patients with unilateral hallux valgus who were indicated for surgery and 30 healthy subjects were assessed on a pedobarographic instrumented treadmill for step length and width, mean stance phase, and plantar foot pressure distribution. Plantar pressure distribution was divided into eight regions.    Results: Significantly higher plantar pressures were observed in hallux valgus feet under the second and third metatarsal heads (p = .033) and the fourth and fifth toes (p < .001) than in the healthy control feet. Although decreased pressures were measured under the hallux in affected feet (197 [82–467] kPa) in contrast to the contralateral side (221 [89–514] kPa), this difference failed to reach statistical significance (p = .055). The gait parameters step width, step length, and single-limb support did not show any differences between hallux valgus and control feet.    Conclusion: Although the literature on changes in plantar pressures in hallux valgus remains divided, our findings on transferring load from the painful medial to the central and lateral forefoot region are consistent with the development of transfer metatarsalgia in patients with hallux valgus.
publisher: BioMed Central
date: 2019
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/26337/1/12891_2019_Article_2531.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-263378
identifier:   Hofmann, Ulf Krister ; Götze, Marco ; Wiesenreiter, Katharina ; Müller, Otto ; Wünschel, Markus ; Mittag, Falk  (2019) Transfer of plantar pressure from the medial to the central forefoot in patients with hallux valgus.  BMC Musculoskeletal Disorders, 20 (149).  pp. 1-8.  ISSN 1471-2474     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/26337/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng