Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux Limitus
The first metatarsophalangeal joint (MTPJ) and the first ray are crucial in walking, particularly during propulsion. Limitation in this joint’s sagittal plane motion, known as hallux limitus, can cause compensatory movements in other joints. Some studies assessed the impact of various foot orthoses...
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2024-10-01
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| author | Magdalena Martinez-Rico Gabriel Gijon-Nogueron Ana Belen Ortega-Avila Luis E. Roche-Seruendo Ana Climent-Pedrosa Enrique Sanchis-Sales Kevin Deschamps |
| author_facet | Magdalena Martinez-Rico Gabriel Gijon-Nogueron Ana Belen Ortega-Avila Luis E. Roche-Seruendo Ana Climent-Pedrosa Enrique Sanchis-Sales Kevin Deschamps |
| author_sort | Magdalena Martinez-Rico |
| collection | DOAJ |
| description | The first metatarsophalangeal joint (MTPJ) and the first ray are crucial in walking, particularly during propulsion. Limitation in this joint’s sagittal plane motion, known as hallux limitus, can cause compensatory movements in other joints. Some studies assessed the impact of various foot orthoses designs on the foot biomechanics; however, a comprehensive understanding is lacking. This study compared the effects of two custom-made foot orthoses (CFOs) on the foot joint kinematics and kinetics in patients with structural hallux limitus (SHL). In this quasi-experimental study, 24 patients with hallux limitus were assessed in three conditions: (i) barefoot, (ii) shod with a cut-out custom foot orthosis (cut-out CFO), and (iii) shod with an anterior forefoot-stabilized element custom foot orthosis (AFSE CFO), fitted into a minimalist neoprene shoe. Multi-segment foot kinematics and kinetics were assessed during the stance phase of the gait. A decrease in ankle and midfoot inversion, as well as in ankle plantarflexion, was found in both orthotic conditions. Regarding the first MTPJ, a greater dorsiflexion was observed with the patient being barefoot compared to both of the conditions under study. From the current finding, it should be concluded that neither of the custom foot orthoses produced the predefined functional effects. |
| format | Article |
| id | doaj-art-feb0a4f27de0477ca38f169ced4e082e |
| institution | OA Journals |
| issn | 1424-8220 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
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| spelling | doaj-art-feb0a4f27de0477ca38f169ced4e082e2025-08-20T01:47:37ZengMDPI AGSensors1424-82202024-10-012419643010.3390/s24196430Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux LimitusMagdalena Martinez-Rico0Gabriel Gijon-Nogueron1Ana Belen Ortega-Avila2Luis E. Roche-Seruendo3Ana Climent-Pedrosa4Enrique Sanchis-Sales5Kevin Deschamps6Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, 29016 Malaga, SpainDepartment of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, 29016 Malaga, SpainDepartment of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, 29016 Malaga, SpainFacultad de Ciencias de la Salud, Universidad San Jorge, 50830 Zaragoza, SpainFacultad de Ciencias de la Salud, Universidad San Jorge, 50830 Zaragoza, SpainFacultad de Enfermería y Podología, Universidad de Valencia, C/Jaume Roig s/n, 46010 Valencia, SpainKU Leuven, Musculoskeletal Rehabilitation Research Group, Department of Rehabilitation Sciences, Campus Brugge, Spoorwegstraat 12, 8200 Bruges, BelgiumThe first metatarsophalangeal joint (MTPJ) and the first ray are crucial in walking, particularly during propulsion. Limitation in this joint’s sagittal plane motion, known as hallux limitus, can cause compensatory movements in other joints. Some studies assessed the impact of various foot orthoses designs on the foot biomechanics; however, a comprehensive understanding is lacking. This study compared the effects of two custom-made foot orthoses (CFOs) on the foot joint kinematics and kinetics in patients with structural hallux limitus (SHL). In this quasi-experimental study, 24 patients with hallux limitus were assessed in three conditions: (i) barefoot, (ii) shod with a cut-out custom foot orthosis (cut-out CFO), and (iii) shod with an anterior forefoot-stabilized element custom foot orthosis (AFSE CFO), fitted into a minimalist neoprene shoe. Multi-segment foot kinematics and kinetics were assessed during the stance phase of the gait. A decrease in ankle and midfoot inversion, as well as in ankle plantarflexion, was found in both orthotic conditions. Regarding the first MTPJ, a greater dorsiflexion was observed with the patient being barefoot compared to both of the conditions under study. From the current finding, it should be concluded that neither of the custom foot orthoses produced the predefined functional effects.https://www.mdpi.com/1424-8220/24/19/6430kinematicskineticsfoot orthosisstructural hallux limitus |
| spellingShingle | Magdalena Martinez-Rico Gabriel Gijon-Nogueron Ana Belen Ortega-Avila Luis E. Roche-Seruendo Ana Climent-Pedrosa Enrique Sanchis-Sales Kevin Deschamps Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux Limitus Sensors kinematics kinetics foot orthosis structural hallux limitus |
| title | Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux Limitus |
| title_full | Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux Limitus |
| title_fullStr | Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux Limitus |
| title_full_unstemmed | Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux Limitus |
| title_short | Effect of Custom-Made Foot Orthotics on Multi-Segment Foot Kinematics and Kinetics in Individuals with Structural Hallux Limitus |
| title_sort | effect of custom made foot orthotics on multi segment foot kinematics and kinetics in individuals with structural hallux limitus |
| topic | kinematics kinetics foot orthosis structural hallux limitus |
| url | https://www.mdpi.com/1424-8220/24/19/6430 |
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