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Study on Relationship between Foot Pressure Pattern and Hallux Valgus (HV) Progression

机译:足底压力模式与拇外翻(HV)进程关系的研究

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Hallux valgus is one of the most common foot deformities. Plantar pressure technologies are used widely for determination of biomechanical changes in foot during walking. There are already published claims relating to the pressure distribution of HV condition. However some of these claims are disputed and challenged. Although, disputed or otherwise, association of HV to sole pressure widely presented as a means of identifying such condition. Or knowing that HV exist, establishing what kind of pressure variation is expected may lead to better foot wear design for HV patients. Despite of extensive work on sole pressure patterns of patients, there has been no reported work found on conditions which leads to HV. Considering the fact that 23% of adults develop such condition during their life time, understanding HV is badly needed. To have better understanding of how plantar pressure patterns can be linked to the deformity progression or existence, extracting some patterns out of force and pressure measurements can be beneficial in recognising the patients with and without deformity during their gait cycle. We examined the dynamic changes of the forces that applied to the whole sole of the feet in control group and in the patients group when they walked at different speeds. It was observed for those with HV condition having higher forces on 2nd and 3~(rd) metatarsal heads, and less force on the 1st metatarsal head compared to those without the condition. Although this finding was previously reported in the literature what was new was the fact that, speed of walking shown to have a significant influences on plantar force distribution. This finding in itself is significant as no sole pressure distribution given in conjunction with walking speed in the past. It was observed that there was significant variability of pressure distribution of the same individual from one trial to another indicating that getting consistent pressure pattern is an important hurdle to overcome. After many trials individuals' walking regulated giving consistent readings. After achieving this, it was further discovered that pressure pattern very much depended on walking speed. Considering the fact that inconsistency of pressure of unregulated (casual) walking and variability of due to speed raises doubts of validity of previously published work on HV which ignored such factors. Having said that, in our studies too, raised loading is observed on Metatarsal 2 and, 3 although it was not possible to give statistical significance to these finding.Although the loading on metatarsal 2 and 3 may indicate existence of HV, in authors' opinion, there is little chance of using pressure pattern as a predictive tool as no such pressure increase observed on those appeared to be at the start of HV condition or any individual with normal feet.
机译:拇外翻是最常见的足部畸形之一。足底压力技术被广泛用于确定步行过程中足部的生物力学变化。已经发表了有关HV条件下压力分布的声明。但是,其中一些主张存在争议和挑战。尽管有争议或以其他方式引起争议,但将HV与鞋底压力的关联广泛地提出来作为识别这种状况的一种手段。或知道存在HV,确定预期的压力变化类型可能会导致HV患者更好的脚部磨损设计。尽管针对患者的唯一压力模式进行了广泛的研究,但尚未发现导致HV的疾病的报道。考虑到23%的成年人在一生中会出现这种情况,因此非常需要了解HV。为了更好地了解脚底压力模式如何与畸形进展或存在联系起来,从力和压力测量中提取一些模式可能有助于识别步态周期中有无畸形的患者。我们检查了对照组和患者组以不同速度行走时施加到整个脚掌的力的动态变化。观察到与那些没有这种情况的人相比,患有HV状态的人在第二和第三〜骨头上的力更大,而在第一meta骨头上的力更小。尽管以前在文献中已经报道了这一发现,但新发现的事实是,步行速度显示出对足底力量分布的显着影响。该发现本身是重要的,因为过去没有与步行速度相关的唯一压力分布。可以观察到,同一个人的压力分布在一次试验与另一次试验之间存在很大差异,这表明获得一致的压力模式是需要克服的重要障碍。经过多次试验,人们的步行规则得到一致的读数。在实现这一目标之后,进一步发现压力模式很大程度上取决于步行速度。考虑到这样的事实,即不受控制的(随意的)行走压力的不一致性和由于速度引起的变化会引起对先前发表的关于HV的工作的有效性的怀疑,而忽略了这些因素。话虽如此,在我们的研究中,Meta骨2和3的负荷也增加了,尽管不可能为这些发现提供统计学上的意义。尽管opinion骨2和3的负荷可能表明存在HV,但作者认为,几乎没有机会使用压力模式作为预测工具,因为在HV病情开始时或任何正常脚的人身上没有观察到这样的压力增加。

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