Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort study
Abstract Introduction To the best of our knowledge, no previous studies have linked the progression of hallux valgus (HV) with plantar pressure distribution. Therefore, this study aimed to determine the progression of HV angle in elite adolescent dancers and evaluate the risk factors associated with...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-11-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-08005-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846148130146353152 |
|---|---|
| author | Zijian Liu Shuo Chen Takumi Okunuki Hiroki Yabiku Takuma Hoshiba Toshihiro Maemichi Yanshu Li Hanye Zhao Tsukasa Kumai |
| author_facet | Zijian Liu Shuo Chen Takumi Okunuki Hiroki Yabiku Takuma Hoshiba Toshihiro Maemichi Yanshu Li Hanye Zhao Tsukasa Kumai |
| author_sort | Zijian Liu |
| collection | DOAJ |
| description | Abstract Introduction To the best of our knowledge, no previous studies have linked the progression of hallux valgus (HV) with plantar pressure distribution. Therefore, this study aimed to determine the progression of HV angle in elite adolescent dancers and evaluate the risk factors associated with foot plantar pressure during demi-pointe movement. Methods For this cohort study, 40 adolescent dancesport dancers (age: 14.5 ± 1.3 years; height: 168.3 ± 8.3 cm; weight: 52.4 ± 8.1 kg) were recruited from a dancesport specialty school. All participants reported no foot or lower limb injuries or symptoms in the past year and were not undergoing any rehabilitation or medication treatment. The HV angle was measured by photography (HVAp). The HVAp survey included baseline and follow-up assessments after 1 year. Foot plantar pressures (kPa) were obtained using the F-Scan measurement system (Tekscan, Tokyo, Japan), and the data were divided into two categories based on the foot location (type 1: hallux, toe, and metatarsophalangeal [MTP] joint area and type 2: medial, middle, and lateral areas). Data were analyzed using the Pearson’s chi-square test and multiple logistic regression. Results The HVAp measurement demonstrated excellent reliability. A significant increase of 2.1° ± 3.5° in the HV angle of elite adolescent dancers was found at the 1-year follow-up assessment relative to that at baseline. There were significant correlations between the HVAp variation values and the hallux (r = − 0.480, P = 0.002), toe (r = − 0.313, P = 0.049), and MTP joint area (r = 0.446, P = 0.004) plantar pressure percentages in the type 1 category and medial area (r = − 0.331, P = 0.037) and middle area (r = 0.386, P = 0.014) pressure percentages in the type 2 category. Based on the multivariate logistic regression analysis, the HVAp variation values were associated with foot plantar pressure in the hallux (odds ratio [OR]: − 0.12, 95% confidence interval [CI]: − 0.191 to − 0.048, P = 0.002) and middle areas (OR: 0.09, 95% CI: 0.019 – 0.161, and P = 0.014) from the two categories, respectively. Conclusion This study demonstrated significant progression of the HV angle in elite adolescent dancers over 1 year, which was significantly associated with increased foot plantar pressure in the middle area and decreased plantar pressure in the hallux area. These findings highlight the importance of monitoring and addressing foot plantar pressure in adolescent dancers. |
| format | Article |
| id | doaj-art-be2cf6bfd0fd45b6a5b4ac1abe8d6d73 |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-be2cf6bfd0fd45b6a5b4ac1abe8d6d732024-12-01T12:05:34ZengBMCBMC Musculoskeletal Disorders1471-24742024-11-0125111010.1186/s12891-024-08005-9Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort studyZijian Liu0Shuo Chen1Takumi Okunuki2Hiroki Yabiku3Takuma Hoshiba4Toshihiro Maemichi5Yanshu Li6Hanye Zhao7Tsukasa Kumai8Graduate School of Sport Sciences, Waseda UniversityRehabilitation Center, Beijing Rehabilitation Hospital of Capital Medical UniversityGraduate School of Sport Sciences, Waseda UniversityDepartment of Orthopedic Surgery, Graduate School of Medicine, University of the RyukyusGraduate School of Sport Sciences, Waseda UniversityInstitute of Life Innovation Studies, Toyo UniversityGraduate School of Human Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityFaculty of Sport Sciences, Waseda UniversityAbstract Introduction To the best of our knowledge, no previous studies have linked the progression of hallux valgus (HV) with plantar pressure distribution. Therefore, this study aimed to determine the progression of HV angle in elite adolescent dancers and evaluate the risk factors associated with foot plantar pressure during demi-pointe movement. Methods For this cohort study, 40 adolescent dancesport dancers (age: 14.5 ± 1.3 years; height: 168.3 ± 8.3 cm; weight: 52.4 ± 8.1 kg) were recruited from a dancesport specialty school. All participants reported no foot or lower limb injuries or symptoms in the past year and were not undergoing any rehabilitation or medication treatment. The HV angle was measured by photography (HVAp). The HVAp survey included baseline and follow-up assessments after 1 year. Foot plantar pressures (kPa) were obtained using the F-Scan measurement system (Tekscan, Tokyo, Japan), and the data were divided into two categories based on the foot location (type 1: hallux, toe, and metatarsophalangeal [MTP] joint area and type 2: medial, middle, and lateral areas). Data were analyzed using the Pearson’s chi-square test and multiple logistic regression. Results The HVAp measurement demonstrated excellent reliability. A significant increase of 2.1° ± 3.5° in the HV angle of elite adolescent dancers was found at the 1-year follow-up assessment relative to that at baseline. There were significant correlations between the HVAp variation values and the hallux (r = − 0.480, P = 0.002), toe (r = − 0.313, P = 0.049), and MTP joint area (r = 0.446, P = 0.004) plantar pressure percentages in the type 1 category and medial area (r = − 0.331, P = 0.037) and middle area (r = 0.386, P = 0.014) pressure percentages in the type 2 category. Based on the multivariate logistic regression analysis, the HVAp variation values were associated with foot plantar pressure in the hallux (odds ratio [OR]: − 0.12, 95% confidence interval [CI]: − 0.191 to − 0.048, P = 0.002) and middle areas (OR: 0.09, 95% CI: 0.019 – 0.161, and P = 0.014) from the two categories, respectively. Conclusion This study demonstrated significant progression of the HV angle in elite adolescent dancers over 1 year, which was significantly associated with increased foot plantar pressure in the middle area and decreased plantar pressure in the hallux area. These findings highlight the importance of monitoring and addressing foot plantar pressure in adolescent dancers.https://doi.org/10.1186/s12891-024-08005-9Hallux valgusDancerDemi-pointeFoot plantar pressure |
| spellingShingle | Zijian Liu Shuo Chen Takumi Okunuki Hiroki Yabiku Takuma Hoshiba Toshihiro Maemichi Yanshu Li Hanye Zhao Tsukasa Kumai Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort study BMC Musculoskeletal Disorders Hallux valgus Dancer Demi-pointe Foot plantar pressure |
| title | Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort study |
| title_full | Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort study |
| title_fullStr | Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort study |
| title_full_unstemmed | Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort study |
| title_short | Progression and risk factors of hallux valgus angle in elite adolescent dancers: a cohort study |
| title_sort | progression and risk factors of hallux valgus angle in elite adolescent dancers a cohort study |
| topic | Hallux valgus Dancer Demi-pointe Foot plantar pressure |
| url | https://doi.org/10.1186/s12891-024-08005-9 |
| work_keys_str_mv | AT zijianliu progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT shuochen progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT takumiokunuki progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT hirokiyabiku progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT takumahoshiba progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT toshihiromaemichi progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT yanshuli progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT hanyezhao progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy AT tsukasakumai progressionandriskfactorsofhalluxvalgusangleineliteadolescentdancersacohortstudy |