Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals
Background The hallux dorsiflexion resistance test is a frequently employed clinical maneuver for assessing the initiation of the windlass mechanism This maneuver involves dorsiflexion of the phalanx of the hallux, thereby evaluating plantarflexion of the first metatarsal, elevation of the medial lo...
| Autores: | ; ; ; ; ; ; |
|---|---|
| Tipo de documento: | Artículo |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Universidad Complutense de Madrid (UCM) |
| Repositorio: | Docta Complutense |
| Lenguaje: | Inglés |
| OAI Identifier: | oai:docta.ucm.es:20.500.14352/125721 |
| Acceso en línea: | https://hdl.handle.net/20.500.14352/125721 |
| Nivel de acceso: | Acceso abierto |
| Palabra clave: | 616.718.7/.9 Foot Biomechanical phenomena Foot orthoses Force Physical examination Podología 3299 Otras Especialidades Médicas |
| _version_ | 1878739419133902848 |
|---|---|
| author | Gómez Carrión, Álvaro |
| author2 | Sánchez Gómez, Rubén Reguera Medina, José Manuel Martínez Sebastián, Carlos Márquez Reina, Salvador Coheña Jiménez, Manuel Moisan, Gabriel |
| author2_role | author author author author author author |
| author_browse | Coheña Jiménez, Manuel Gómez Carrión, Álvaro Martínez Sebastián, Carlos Moisan, Gabriel Márquez Reina, Salvador Reguera Medina, José Manuel Sánchez Gómez, Rubén |
| author_facet | Gómez Carrión, Álvaro Sánchez Gómez, Rubén Reguera Medina, José Manuel Martínez Sebastián, Carlos Márquez Reina, Salvador Coheña Jiménez, Manuel Moisan, Gabriel |
| author_role | author |
| collection | Docta Complutense |
| description | Background The hallux dorsiflexion resistance test is a frequently employed clinical maneuver for assessing the initiation of the windlass mechanism This maneuver involves dorsiflexion of the phalanx of the hallux, thereby evaluating 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 fasciopathy and functional hallux limitus. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_c11b2b7ce497774dfbb5d8da4fb3c3ce |
| institution | Universidad Complutense de Madrid (UCM) |
| instname_str | Universidad Complutense de Madrid (UCM) |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:docta.ucm.es:20.500.14352/125721 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| publisher | BioMed Central Ltd |
| publisherStr | BioMed Central Ltd |
| reponame_str | Docta Complutense |
| spelling | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals Gómez Carrión, Álvaro Sánchez Gómez, Rubén Reguera Medina, José Manuel Martínez Sebastián, Carlos Márquez Reina, Salvador Coheña Jiménez, Manuel Moisan, Gabriel 616.718.7/.9 Foot Biomechanical phenomena Foot orthoses Force Physical examination Podología 3299 Otras Especialidades Médicas Background The hallux dorsiflexion resistance test is a frequently employed clinical maneuver for assessing the initiation of the windlass mechanism This maneuver involves dorsiflexion of the phalanx of the hallux, thereby evaluating 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 fasciopathy and functional hallux limitus. BioMed Central Ltd https://hdl.handle.net/20.500.14352/125721 |
| spellingShingle | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals Gómez Carrión, Álvaro 616.718.7/.9 Foot Biomechanical phenomena Foot orthoses Force Physical examination Podología 3299 Otras Especialidades Médicas |
| title | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals |
| title_full | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals |
| title_fullStr | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals |
| title_full_unstemmed | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals |
| title_short | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals |
| title_sort | Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals |
| topic | 616.718.7/.9 Foot Biomechanical phenomena Foot orthoses Force Physical examination Podología 3299 Otras Especialidades Médicas |
| topic_facet | 616.718.7/.9 Foot Biomechanical phenomena Foot orthoses Force Physical examination Podología 3299 Otras Especialidades Médicas |
| url | https://hdl.handle.net/20.500.14352/125721 |