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Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study

Background: Hallux abductus valgus (HAV) is a forefoot condition produced by extrinsic and intrinsic factors. Shoes with a high heel height and a typical narrow tip toe box can induce deviations in both the proximal phalanx of the hallux (PPH) and the first metatarsal (IMTT) bones. Nevertheless, the...

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Autores principales: Sánchez-Gómez, Rubén, Becerro de Bengoa-Vallejo, Ricardo, Losa-Iglesias, Marta Elena, Calvo-Lobo, César, Romero-Morales, Carlos, Martínez-Jiménez, Eva María, Palomo-López, Patricia, López-López, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6471076/
https://www.ncbi.nlm.nih.gov/pubmed/30884845
http://dx.doi.org/10.3390/s19061328
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author Sánchez-Gómez, Rubén
Becerro de Bengoa-Vallejo, Ricardo
Losa-Iglesias, Marta Elena
Calvo-Lobo, César
Romero-Morales, Carlos
Martínez-Jiménez, Eva María
Palomo-López, Patricia
López-López, Daniel
author_facet Sánchez-Gómez, Rubén
Becerro de Bengoa-Vallejo, Ricardo
Losa-Iglesias, Marta Elena
Calvo-Lobo, César
Romero-Morales, Carlos
Martínez-Jiménez, Eva María
Palomo-López, Patricia
López-López, Daniel
author_sort Sánchez-Gómez, Rubén
collection PubMed
description Background: Hallux abductus valgus (HAV) is a forefoot condition produced by extrinsic and intrinsic factors. Shoes with a high heel height and a typical narrow tip toe box can induce deviations in both the proximal phalanx of the hallux (PPH) and the first metatarsal (IMTT) bones. Nevertheless, the isolated role of heel height remains unclear in the development of HAV pathology. Objectives: The goal was to determine if the heel height increase of shoes without a narrow box toe could augment the PPH and IMTT deviation in frontal, sagittal, and transverse planes toward the first metatarsophalangeal joint (MPJ) and the first metatarsocuneiform joint (MCJ), respectively, during static and dynamic conditions in relation to precursor movements of HAV. Methods: Women with an average age of 25.10 ± 4.67 years were recruited in this cross-sectional study to assess the three planes of motion of PPH and IMTT while wearing high heels with heights at 3, 6, 9 cm and unshod conditions via sandals. The measurements used an electromagnetic goniometer device with sensors placed on medial aspects of the PPH and IMTT bones under static and dynamic conditions. Results: Wearing shoes with a 6 cm heel in dynamic condition may increase the PPH valgus and abduction deviation from 3.15 ± 0.10° to 3.46 ± 0.05° (p < 0.05) and from 1.35 ± 0.28° to 1.69 ± 0.30° (p < 0.001), respectively. In addition, a PPH abduction increase from 1.01 ± 0.36° to 1.31 ± 0.46° (p < 0.05) after wearing shoes with a 6 cm heel height was observed under static conditions. Conclusions: Wearing shoes with a heel height of 6 cm without a narrow box toe interference may produce PPH abduction and valgus deviations related to HAV formation.
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spelling pubmed-64710762019-04-26 Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study Sánchez-Gómez, Rubén Becerro de Bengoa-Vallejo, Ricardo Losa-Iglesias, Marta Elena Calvo-Lobo, César Romero-Morales, Carlos Martínez-Jiménez, Eva María Palomo-López, Patricia López-López, Daniel Sensors (Basel) Article Background: Hallux abductus valgus (HAV) is a forefoot condition produced by extrinsic and intrinsic factors. Shoes with a high heel height and a typical narrow tip toe box can induce deviations in both the proximal phalanx of the hallux (PPH) and the first metatarsal (IMTT) bones. Nevertheless, the isolated role of heel height remains unclear in the development of HAV pathology. Objectives: The goal was to determine if the heel height increase of shoes without a narrow box toe could augment the PPH and IMTT deviation in frontal, sagittal, and transverse planes toward the first metatarsophalangeal joint (MPJ) and the first metatarsocuneiform joint (MCJ), respectively, during static and dynamic conditions in relation to precursor movements of HAV. Methods: Women with an average age of 25.10 ± 4.67 years were recruited in this cross-sectional study to assess the three planes of motion of PPH and IMTT while wearing high heels with heights at 3, 6, 9 cm and unshod conditions via sandals. The measurements used an electromagnetic goniometer device with sensors placed on medial aspects of the PPH and IMTT bones under static and dynamic conditions. Results: Wearing shoes with a 6 cm heel in dynamic condition may increase the PPH valgus and abduction deviation from 3.15 ± 0.10° to 3.46 ± 0.05° (p < 0.05) and from 1.35 ± 0.28° to 1.69 ± 0.30° (p < 0.001), respectively. In addition, a PPH abduction increase from 1.01 ± 0.36° to 1.31 ± 0.46° (p < 0.05) after wearing shoes with a 6 cm heel height was observed under static conditions. Conclusions: Wearing shoes with a heel height of 6 cm without a narrow box toe interference may produce PPH abduction and valgus deviations related to HAV formation. MDPI 2019-03-16 /pmc/articles/PMC6471076/ /pubmed/30884845 http://dx.doi.org/10.3390/s19061328 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sánchez-Gómez, Rubén
Becerro de Bengoa-Vallejo, Ricardo
Losa-Iglesias, Marta Elena
Calvo-Lobo, César
Romero-Morales, Carlos
Martínez-Jiménez, Eva María
Palomo-López, Patricia
López-López, Daniel
Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study
title Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study
title_full Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study
title_fullStr Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study
title_full_unstemmed Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study
title_short Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study
title_sort heel height as an etiology of hallux abductus valgus development: an electromagnetic static and dynamic first metatarsophalangeal joint study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6471076/
https://www.ncbi.nlm.nih.gov/pubmed/30884845
http://dx.doi.org/10.3390/s19061328
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