eprintid: 26337
rev_number: 15
eprint_status: archive
userid: 1589
dir: disk0/00/02/63/37
datestamp: 2019-06-17 08:38:22
lastmod: 2022-06-17 22:59:54
status_changed: 2019-06-17 08:38:22
type: article
metadata_visibility: show
creators_name: Hofmann, Ulf Krister
creators_name: Götze, Marco
creators_name: Wiesenreiter, Katharina
creators_name: Müller, Otto
creators_name: Wünschel, Markus
creators_name: Mittag, Falk
title: Transfer of plantar pressure from the medial to the central forefoot in patients with hallux valgus
subjects: 610
divisions: 911460
keywords: Hallux valgus, Pedobarography, Treadmill, Plantar pressure distribution, Gait analysis
abstract: 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.
date: 2019
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1667599100
own_urn: urn:nbn:de:bsz:16-heidok-263378
language: eng
bibsort: HOFMANNULFTRANSFEROF2019
full_text_status: public
publication: BMC Musculoskeletal Disorders
volume: 20
number: 149
place_of_pub: London
pagerange: 1-8
issn: 1471-2474
citation:   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     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/26337/1/12891_2019_Article_2531.pdf