Katarzyna Kaczmarczyk1, Gabor J Barton2, Ida Wiszomirska1, Michal Wychowanski1. 1. Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland. 2. Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.
Abstract
BACKGROUND: Hallux valgus (HV) is a gait-altering orthopedic deformity, somewhat more prevalent in women, which often affects both limbs. Although surgery is a commonly applied treatment, there is no consensus in the literature on how invasive HV correction affects spatiotemporal gait parameters, or how quickly improvement can be expected. We investigated gait parameters in female HV patients who underwent bilateral surgical correction of hallux valgus, both preoperatively and 18 weeks following surgery (a timeframe relevant from the perspective of physical therapy), and also in relation to a non-HV control group. METHODS: A total of 23 women aged 40-70 years, with moderate to severe HV deformity in both feet, were assessed preoperatively and 18 weeks postoperatively, and an age-matched control group of 76 healthy women was also assessed. A total of 22 spatiotemporal parameters were collected during 30 s walks over an electronic walkway (Zebris Medical System). RESULTS: Of the 22 parameters analyzed, significant differences between the preoperative experimental and control groups were found only in 4 parameters (Velocity, Right step time, Total double support and Stride time), but in 16 parameters between the postoperative experimental and control groups (the greatest impact being found for: Left and Right Step time, Stride time, Cadence, Right Foot rotation, Left Step length (%leg length) and Stride length (%leg length)). CONCLUSIONS: Women after bilateral HV correction did not exhibit improved (i.e., more normal) gait parameters at 18 weeks postoperatively; rather, they showed more gait abnormalities than preoperatively. These findings urge longer-term planning of postoperative rehabilitation, involving continual evaluation of gait improvement.
BACKGROUND:Hallux valgus (HV) is a gait-altering orthopedic deformity, somewhat more prevalent in women, which often affects both limbs. Although surgery is a commonly applied treatment, there is no consensus in the literature on how invasive HV correction affects spatiotemporal gait parameters, or how quickly improvement can be expected. We investigated gait parameters in female HV patients who underwent bilateral surgical correction of hallux valgus, both preoperatively and 18 weeks following surgery (a timeframe relevant from the perspective of physical therapy), and also in relation to a non-HV control group. METHODS: A total of 23 women aged 40-70 years, with moderate to severe HV deformity in both feet, were assessed preoperatively and 18 weeks postoperatively, and an age-matched control group of 76 healthy women was also assessed. A total of 22 spatiotemporal parameters were collected during 30 s walks over an electronic walkway (Zebris Medical System). RESULTS: Of the 22 parameters analyzed, significant differences between the preoperative experimental and control groups were found only in 4 parameters (Velocity, Right step time, Total double support and Stride time), but in 16 parameters between the postoperative experimental and control groups (the greatest impact being found for: Left and Right Step time, Stride time, Cadence, Right Foot rotation, Left Step length (%leg length) and Stride length (%leg length)). CONCLUSIONS:Women after bilateral HV correction did not exhibit improved (i.e., more normal) gait parameters at 18 weeks postoperatively; rather, they showed more gait abnormalities than preoperatively. These findings urge longer-term planning of postoperative rehabilitation, involving continual evaluation of gait improvement.
Authors: Jasper Stevens; Kenneth Meijer; Wouter Bijnens; Mathijs C H W Fuchs; Lodewijk W van Rhijn; Joris P S Hermus; Sander van Hoeve; Martijn Poeze; Adhiambo M Witlox Journal: Foot Ankle Int Date: 2016-10-23 Impact factor: 2.827
Authors: Simon F Tang; Carl P Chen; Jen-Li Pan; Jean-Lon Chen; Chau-Peng Leong; Ngok-Kiu Chu Journal: Arch Phys Med Rehabil Date: 2002-12 Impact factor: 3.966
Authors: Saba Sadra; Adam Fleischer; Erin Klein; Gurtej S Grewal; Jessica Knight; Lowell Scott Weil; Lowell Weil; Bijan Najafi Journal: J Am Podiatr Med Assoc Date: 2013 Nov-Dec
Authors: Xin Chang; Yunlong Zhang; Jie Yang; Yi Li; Yan Zhang; Xiaodong Wen; Xiaojun Liang Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi Date: 2020-01-15