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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...

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Autores principales: Kaczmarczyk, Katarzyna, Barton, Gabor J., Wiszomirska, Ida, Wychowanski, Michal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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