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Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively
Background: Hallux valgus (HV) is a gait-altering orthopedic deformity, somewhat more prevalent in women, which often affects both limbs. Although surgery is a commonly applied treatment, there is no consensus in the literature on how invasive HV correction affects spatiotemporal gait parameters, or...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914673/ https://www.ncbi.nlm.nih.gov/pubmed/33562797 http://dx.doi.org/10.3390/jcm10040608 |
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author | Kaczmarczyk, Katarzyna Barton, Gabor J. Wiszomirska, Ida Wychowanski, Michal |
author_facet | Kaczmarczyk, Katarzyna Barton, Gabor J. Wiszomirska, Ida Wychowanski, Michal |
author_sort | Kaczmarczyk, Katarzyna |
collection | PubMed |
description | Background: Hallux valgus (HV) is a gait-altering orthopedic deformity, somewhat more prevalent in women, which often affects both limbs. Although surgery is a commonly applied treatment, there is no consensus in the literature on how invasive HV correction affects spatiotemporal gait parameters, or how quickly improvement can be expected. We investigated gait parameters in female HV patients who underwent bilateral surgical correction of hallux valgus, both preoperatively and 18 weeks following surgery (a timeframe relevant from the perspective of physical therapy), and also in relation to a non-HV control group. Methods: A total of 23 women aged 40–70 years, with moderate to severe HV deformity in both feet, were assessed preoperatively and 18 weeks postoperatively, and an age-matched control group of 76 healthy women was also assessed. A total of 22 spatiotemporal parameters were collected during 30 s walks over an electronic walkway (Zebris Medical System). Results: Of the 22 parameters analyzed, significant differences between the preoperative experimental and control groups were found only in 4 parameters (Velocity, Right step time, Total double support and Stride time), but in 16 parameters between the postoperative experimental and control groups (the greatest impact being found for: Left and Right Step time, Stride time, Cadence, Right Foot rotation, Left Step length (% leg length) and Stride length (% leg length)). Conclusions: Women after bilateral HV correction did not exhibit improved (i.e., more normal) gait parameters at 18 weeks postoperatively; rather, they showed more gait abnormalities than preoperatively. These findings urge longer-term planning of postoperative rehabilitation, involving continual evaluation of gait improvement. |
format | Online Article Text |
id | pubmed-7914673 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79146732021-03-01 Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively Kaczmarczyk, Katarzyna Barton, Gabor J. Wiszomirska, Ida Wychowanski, Michal J Clin Med Article Background: Hallux valgus (HV) is a gait-altering orthopedic deformity, somewhat more prevalent in women, which often affects both limbs. Although surgery is a commonly applied treatment, there is no consensus in the literature on how invasive HV correction affects spatiotemporal gait parameters, or how quickly improvement can be expected. We investigated gait parameters in female HV patients who underwent bilateral surgical correction of hallux valgus, both preoperatively and 18 weeks following surgery (a timeframe relevant from the perspective of physical therapy), and also in relation to a non-HV control group. Methods: A total of 23 women aged 40–70 years, with moderate to severe HV deformity in both feet, were assessed preoperatively and 18 weeks postoperatively, and an age-matched control group of 76 healthy women was also assessed. A total of 22 spatiotemporal parameters were collected during 30 s walks over an electronic walkway (Zebris Medical System). Results: Of the 22 parameters analyzed, significant differences between the preoperative experimental and control groups were found only in 4 parameters (Velocity, Right step time, Total double support and Stride time), but in 16 parameters between the postoperative experimental and control groups (the greatest impact being found for: Left and Right Step time, Stride time, Cadence, Right Foot rotation, Left Step length (% leg length) and Stride length (% leg length)). Conclusions: Women after bilateral HV correction did not exhibit improved (i.e., more normal) gait parameters at 18 weeks postoperatively; rather, they showed more gait abnormalities than preoperatively. These findings urge longer-term planning of postoperative rehabilitation, involving continual evaluation of gait improvement. MDPI 2021-02-05 /pmc/articles/PMC7914673/ /pubmed/33562797 http://dx.doi.org/10.3390/jcm10040608 Text en © 2021 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 Kaczmarczyk, Katarzyna Barton, Gabor J. Wiszomirska, Ida Wychowanski, Michal Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively |
title | Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively |
title_full | Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively |
title_fullStr | Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively |
title_full_unstemmed | Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively |
title_short | Women after Bilateral Surgical Correction of Hallux Valgus Do not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively |
title_sort | women after bilateral surgical correction of hallux valgus do not show improvement in spatiotemporal gait parameters at 18 weeks postoperatively |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914673/ https://www.ncbi.nlm.nih.gov/pubmed/33562797 http://dx.doi.org/10.3390/jcm10040608 |
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