Reliability Study of Diagnostic Tests for Functional Hallux Limitus

Background: Functional hallux limitus (FHL) refers to dorsiflexion hallux mobility limitation when the first metatarsal head is under loading conditions but not in the unloaded state. The goal of the study was to evaluate 3 common manual tests (Buell, Dananberg, and Jack tests) for assessing first m...

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Detalhes bibliográficos
Autores: Sánchez Gómez, Rubén, Becerro De Bengoa Vallejo, Ricardo, Losa Iglesias, Marta Elena, Calvo Lobo, César, Navarro Flores, Emmanuel María, Palomo López, Patricia, Romero Morales, Carlos, López López, Daniel
Formato: artículo
Fecha de publicación:2020
País:España
Recursos:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/116389
Acesso em linha:https://hdl.handle.net/20.500.14352/116389
Access Level:acceso abierto
Palavra-chave:616.718.7/.9
first metatarsophalangeal joint
hallux limitus
reliability analysis
Podología
3299 Otras Especialidades Médicas
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oai_identifier_str oai:docta.ucm.es:20.500.14352/116389
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spelling Reliability Study of Diagnostic Tests for Functional Hallux LimitusSánchez Gómez, RubénBecerro De Bengoa Vallejo, RicardoLosa Iglesias, Marta ElenaCalvo Lobo, CésarNavarro Flores, Emmanuel MaríaPalomo López, PatriciaRomero Morales, CarlosLópez López, Daniel616.718.7/.9first metatarsophalangeal jointhallux limitusreliability analysisPodología3299 Otras Especialidades MédicasBackground: Functional hallux limitus (FHL) refers to dorsiflexion hallux mobility limitation when the first metatarsal head is under loading conditions but not in the unloaded state. The goal of the study was to evaluate 3 common manual tests (Buell, Dananberg, and Jack tests) for assessing first metatarsophalangeal joint (MPJ) mobility and determining the normal values needed to detect FHL, and clarify the signs and symptoms associated with this pathology. Methods: Forty-four subjects were included in this reliability study. Subjects were divided into healthy control (non-FHL) and FHL groups according to the Buell first MPJ limitation values in addition to signs and symptoms derived from the literature. In both groups, we measured the mobility in the Buell, Dananberg, and Jack tests using a goniometer; their intraclass correlation coefficients (ICCs), sensitivities, and specificity indexes were also calculated. Results: All techniques showed high reliability across measurement trials with ICCs ranging from 0.928 to 0.999. The optimal mobility grades for predicting FHL were 68.6 ± 3.7 degrees, 21 ± 5.9 degrees, and 25.5 ± 6.5 degrees (mean±SD) (P < .05) for the Buell, Dananberg, and Jack tests, respectively. Conclusion: Normal and limited mobility values were established for assessing FHL using each technique. The sensitivity and specificity data were perfect for the Dananberg and Jack tests, thus identifying these tests as specific and valid tools for use in FHL diagnosis. Pinch callus was the sign most associated with FHL.American Orthopaedic Foot & Ankle SocietyUniversidad Complutense de Madrid20202020-01-0120202020-01-01journal articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/mswordhttps://hdl.handle.net/20.500.14352/116389reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1163892026-06-02T12:44:21Z
dc.title.none.fl_str_mv Reliability Study of Diagnostic Tests for Functional Hallux Limitus
title Reliability Study of Diagnostic Tests for Functional Hallux Limitus
spellingShingle Reliability Study of Diagnostic Tests for Functional Hallux Limitus
Sánchez Gómez, Rubén
616.718.7/.9
first metatarsophalangeal joint
hallux limitus
reliability analysis
Podología
3299 Otras Especialidades Médicas
title_short Reliability Study of Diagnostic Tests for Functional Hallux Limitus
title_full Reliability Study of Diagnostic Tests for Functional Hallux Limitus
title_fullStr Reliability Study of Diagnostic Tests for Functional Hallux Limitus
title_full_unstemmed Reliability Study of Diagnostic Tests for Functional Hallux Limitus
title_sort Reliability Study of Diagnostic Tests for Functional Hallux Limitus
dc.creator.none.fl_str_mv Sánchez Gómez, Rubén
Becerro De Bengoa Vallejo, Ricardo
Losa Iglesias, Marta Elena
Calvo Lobo, César
Navarro Flores, Emmanuel María
Palomo López, Patricia
Romero Morales, Carlos
López López, Daniel
author Sánchez Gómez, Rubén
author_facet Sánchez Gómez, Rubén
Becerro De Bengoa Vallejo, Ricardo
Losa Iglesias, Marta Elena
Calvo Lobo, César
Navarro Flores, Emmanuel María
Palomo López, Patricia
Romero Morales, Carlos
López López, Daniel
author_role author
author2 Becerro De Bengoa Vallejo, Ricardo
Losa Iglesias, Marta Elena
Calvo Lobo, César
Navarro Flores, Emmanuel María
Palomo López, Patricia
Romero Morales, Carlos
López López, Daniel
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.718.7/.9
first metatarsophalangeal joint
hallux limitus
reliability analysis
Podología
3299 Otras Especialidades Médicas
topic 616.718.7/.9
first metatarsophalangeal joint
hallux limitus
reliability analysis
Podología
3299 Otras Especialidades Médicas
description Background: Functional hallux limitus (FHL) refers to dorsiflexion hallux mobility limitation when the first metatarsal head is under loading conditions but not in the unloaded state. The goal of the study was to evaluate 3 common manual tests (Buell, Dananberg, and Jack tests) for assessing first metatarsophalangeal joint (MPJ) mobility and determining the normal values needed to detect FHL, and clarify the signs and symptoms associated with this pathology. Methods: Forty-four subjects were included in this reliability study. Subjects were divided into healthy control (non-FHL) and FHL groups according to the Buell first MPJ limitation values in addition to signs and symptoms derived from the literature. In both groups, we measured the mobility in the Buell, Dananberg, and Jack tests using a goniometer; their intraclass correlation coefficients (ICCs), sensitivities, and specificity indexes were also calculated. Results: All techniques showed high reliability across measurement trials with ICCs ranging from 0.928 to 0.999. The optimal mobility grades for predicting FHL were 68.6 ± 3.7 degrees, 21 ± 5.9 degrees, and 25.5 ± 6.5 degrees (mean±SD) (P < .05) for the Buell, Dananberg, and Jack tests, respectively. Conclusion: Normal and limited mobility values were established for assessing FHL using each technique. The sensitivity and specificity data were perfect for the Dananberg and Jack tests, thus identifying these tests as specific and valid tools for use in FHL diagnosis. Pinch callus was the sign most associated with FHL.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01
2020
2020-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/116389
url https://hdl.handle.net/20.500.14352/116389
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/msword
dc.publisher.none.fl_str_mv American Orthopaedic Foot & Ankle Society
publisher.none.fl_str_mv American Orthopaedic Foot & Ankle Society
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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