Academic Journal

Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals

التفاصيل البيبلوغرافية
العنوان: Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals
المؤلفون: Gómez-Carrión, Alvaro, Sánchez Gómez, Rubén, Reguera Medina, José Manuel, Martínez-Sebastián, Carlos, Márquez-Reina, Salvador, Coheña Jiménez, Manuel, Moisan, Gabriel
المساهمون: Universidad de Sevilla. Departamento de Podología, Universidad de Sevilla. CTS589: Avances en Cirugía Podológica.
بيانات النشر: Biomed Central Ltd
سنة النشر: 2024
المجموعة: idUS - Deposito de Investigación Universidad de Sevilla
مصطلحات موضوعية: Foot, Biomechanical phenomena, Foot orthoses, Force, Physical examination
الوصف: Background The hallux dorsiflexion resistance test is a frequently employed clinical maneuver for assessing the ini tiation of the windlass mechanism This maneuver involves dorsiflexion of the phalanx of the hallux, thereby evaluat ing plantarflexion of the first metatarsal, elevation of the medial longitudinal arch, and supination of the rearfoot. The windlass mechanism plays a crucial role in gait, and orthopedic devices, such as a kinetic wedge, which aims to facilitate its activation by increasing the hallux dorsiflexion. Although it is believed that facilitating the windlass mechanism with the kinetic wedge should be directly correlated with a decrease in hallux dorsiflexion resistance, its effects have yet to be characterized. Thus, this study aimed to determine the influence of a kinetic wedge on hallux dorsiflexion resistance in asymptomatic individuals. Methods The sample comprised thirty participants (14 women and 16 men). A digital force gauge measured the force required to perform the hallux dorsiflexion resistance test during two conditions: barefoot and with a kinetic wedge. The Wilcoxon signed‑rank test was used to compare the hallux dorsiflexion resistance between conditions. Results A statistically significant reduction in force (10.54 ± 3.16N vs. 19.62 ± 5.18N, p < 0.001) was observed when using the kinetic wedge compared to the barefoot condition during the hallux dorsiflexion resistance test. Conclusion The use of a kinetic wedge reduces the required force for performing the passive hallux dorsiflexion resistance test in asymptomatic individuals. Future studies should determine to what extent the kinetic wedge can attenuate the required force to dorsiflex the hallux in individuals with musculoskeletal disorders such as plantar fascio pathy and functional hallux limitus.
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: BMC Musculoskeletal disorders, 25 (1), 409.; https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-024-07520-z; https://idus.us.es/handle//11441/160491
الاتاحة: https://idus.us.es/handle//11441/160491
Rights: Atribución 4.0 Internacional ; http://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.95CF33CD
قاعدة البيانات: BASE