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 ini tiation of the windlass mechanism This maneuver involves dorsiflexion of the phalanx of the hallux, thereby evaluat ing plantarflexion of the first metatarsal, elevation of the medial...

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Autores: Gómez-Carrión, Alvaro, Sánchez Gómez, Rubén, Reguera Medina, José Manuel, Martínez-Sebastián, Carlos, Márquez-Reina, Salvador, Coheña Jiménez, Manuel, Moisan, Gabriel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/160491
Acesso em linha:https://hdl.handle.net/11441/160491
https://doi.org/10.1186/s12891-024-07520-z
Access Level:acceso abierto
Palavra-chave:Foot
Biomechanical phenomena
Foot orthoses
Force
Physical examination
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spelling Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individualsGómez-Carrión, AlvaroSánchez Gómez, RubénReguera Medina, José ManuelMartínez-Sebastián, CarlosMárquez-Reina, SalvadorCoheña Jiménez, ManuelMoisan, GabrielFootBiomechanical phenomenaFoot orthosesForcePhysical examinationBackground The hallux dorsiflexion resistance test is a frequently employed clinical maneuver for assessing the ini tiation of the windlass mechanism This maneuver involves dorsiflexion of the phalanx of the hallux, thereby evaluat ing 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 fascio pathy and functional hallux limitus.Biomed Central LtdPodologíaCTS589: Avances en Cirugía Podológica2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/160491https://doi.org/10.1186/s12891-024-07520-zreponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésBMC Musculoskeletal disorders, 25 (1), 409.https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-024-07520-zinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1604912026-06-17T12:51:07Z
dc.title.none.fl_str_mv Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals
title Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals
spellingShingle Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals
Gómez-Carrión, Alvaro
Foot
Biomechanical phenomena
Foot orthoses
Force
Physical examination
title_short 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_sort Effect of using a kinetic wedge during the hallux dorsiflexion resistance test in asymptomatic individuals
dc.creator.none.fl_str_mv Gómez-Carrión, Alvaro
Sánchez Gómez, Rubén
Reguera Medina, José Manuel
Martínez-Sebastián, Carlos
Márquez-Reina, Salvador
Coheña Jiménez, Manuel
Moisan, Gabriel
author Gómez-Carrión, Alvaro
author_facet Gómez-Carrión, Alvaro
Sánchez Gómez, Rubén
Reguera Medina, José Manuel
Martínez-Sebastián, Carlos
Márquez-Reina, Salvador
Coheña Jiménez, Manuel
Moisan, Gabriel
author_role author
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
dc.contributor.none.fl_str_mv Podología
CTS589: Avances en Cirugía Podológica
dc.subject.none.fl_str_mv Foot
Biomechanical phenomena
Foot orthoses
Force
Physical examination
topic Foot
Biomechanical phenomena
Foot orthoses
Force
Physical examination
description Background The hallux dorsiflexion resistance test is a frequently employed clinical maneuver for assessing the ini tiation of the windlass mechanism This maneuver involves dorsiflexion of the phalanx of the hallux, thereby evaluat ing 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 fascio pathy and functional hallux limitus.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/160491
https://doi.org/10.1186/s12891-024-07520-z
url https://hdl.handle.net/11441/160491
https://doi.org/10.1186/s12891-024-07520-z
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BMC Musculoskeletal disorders, 25 (1), 409.
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-024-07520-z
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Biomed Central Ltd
publisher.none.fl_str_mv Biomed Central Ltd
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301629

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