Effect of Hallux Valgus during Gait

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Other Title
  • 外反母趾による歩行時下肢関節への影響
  • 症例研究 外反母趾による歩行時下肢関節への影響
  • ショウレイ ケンキュウ ソト ハン ボシ ニ ヨル ホコウジ カシ カンセツ エ ノ エイキョウ

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Abstract

[Purpose] The purpose of this study was to investigate the characteristics of gait in patients with hallux valgus and the effects on the joints of the lower extremities (hip, knee and ankle). [Subjects] The patient was a 69-year-old female diagnosed with rheumatoid arthritis (RA) including hallux valgus. The patient had a chief complaint of pain on the medial side of the right hallux in gait. [Methods] Gait analyses, using the VICON-MX systems were performed preoperatively and postoperatively at 6 months. [Results] The postoperative valgus of knee moments decreased, and valgus of ankle moments had increased on the operated side. The varus of knee moments on the non-operated side was higher than on the operated side. [Conclusion] The results revealed instability in the lateral direction of the lower extremity with deformity of the foot. Hallux valgus associated with valgus knee deformity on the operated and varus on the non-operated side is a potential cause of osteoarthritis of the knee. We should be careful not only to prevent the recurrence of hallux valgus on the operated side but also osteoarthritis of the knee on the opposite side. These results are useful indicators for rehabilitation management of hallux valgus.<br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 26 (5), 717-722, 2011

    The Society of Physical Therapy Science

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