Clinical improvement in functional hallux limitus using a cut-out orthosis

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dc.contributor.authorBecerro De Bengoa Vallejo, Ricardo
dc.contributor.authorSánchez Gómez, Rubén
dc.contributor.authorLosa Iglesias, Marta Elena
dc.date.accessioned2024-01-31T11:59:06Z
dc.date.available2024-01-31T11:59:06Z
dc.date.issued2016-04
dc.description.abstractBackground: Functional hallux limitus (FHL) has been implicated in the development of metatarsophalangeal joint osteoarthritis. Objectives: To determine whether cut-out orthosis treatment increases plantarflexion of the first metatarsal by increasing its declination angle. Study design: Cross-sectional study. Methods: A total of 46 female volunteers with an average age of 25.66 ± 5.70 years (range: 19–42 years) and FHL participated in the study. We assessed the degrees of movement of the first metatarsal and proximal phalanx bones at the first metatarsophalangeal joint without and while wearing the cut-out orthosis using the 3Space Fastrak® via sensors. Results: The movement of the plantarflexión declination angle of the first metatarsal bone was higher using the orthosis 29.84° ± 5.98° versus without orthosis 27.69° ± 5.91° (p < 0.031°). Use of sandals may have minimized the magnitude of movement changes associated with orthosis versus non-orthosis use. Conclusion: The cut-out orthosis demonstrated a beneficial effect on non-fixed first metatarsophalangeal and metatarsal cuneiform joints affected by FHL, significantly increasing the declination of the metatarsal angle. Furthermore, use of the cut-out orthosis significantly reduced adduction movement of the first metatarsal bone in the transverse plane. Clinical relevance The cut-out orthosis demonstrated a beneficial effect on non-fixed first metatarsophalangeal and metatarsal cuneiform joints affected by FHL, significantly increasing the declination of the metatarsal angle. Furthermore, use of the cut-out orthosis significantly reduced adduction movement of the first metatarsal bone in the transverse plane.
dc.description.departmentDepto. de Enfermería
dc.description.facultyFac. de Enfermería, Fisioterapia y Podología
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.doi10.1177/0309364614550262
dc.identifier.essn1746-1553
dc.identifier.issn0309-3646
dc.identifier.officialurlhttps://journals.sagepub.com/doi/10.1177/0309364614550262
dc.identifier.urihttps://hdl.handle.net/20.500.14352/97071
dc.issue.number2
dc.journal.titleProsthetics and orthotics international.
dc.language.isoeng
dc.page.final223
dc.page.initial215
dc.publisherSage Publications
dc.rights.accessRightsrestricted access
dc.subject.cdu61
dc.subject.cdu616.718.7/.9
dc.subject.keywordFunctional hallux limitus
dc.subject.keywordcut-out orthosis
dc.subject.keywordmetatarsophalangeal joint osteoarthritis
dc.subject.ucmCiencias Biomédicas
dc.subject.ucmPodología
dc.subject.unesco32 Ciencias Médicas
dc.titleClinical improvement in functional hallux limitus using a cut-out orthosis
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number40
dspace.entity.typePublication
relation.isAuthorOfPublicationbbd621a9-7baf-481a-83c7-124287192d07
relation.isAuthorOfPublicationdc143899-0041-4a0f-8dd2-d696077ec375
relation.isAuthorOfPublication.latestForDiscoverybbd621a9-7baf-481a-83c7-124287192d07
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