Exploring the association of hallux limitus with baropodometric gait pattern changes

Background: Halluxlimitus(HL)isaconditionmarkedbytherestricteddorsiflex ion of the first metatarsophalangeal joint, causing pain and functional limitations, especially during the propulsive phase of walking. This restriction affects the gait, particularly in the f inal phase, and impairs foot stabil...

Descripción completa

Detalles Bibliográficos
Autores: Tovaruela Carrión, Natalia, Becerro-de-Bengoa-Vallejo, R, Losa-Iglesias, ME, López-López, Daniel, Gómez Salgado, Juan, Bayod-López, J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/175127
Acceso en línea:https://hdl.handle.net/11441/175127
https://doi.org/10.3390/bioengineering12030316
Access Level:acceso abierto
Palabra clave:Hallux limitus
Gait analysis
Gait patterns
Stance phase gait
Descripción
Sumario:Background: Halluxlimitus(HL)isaconditionmarkedbytherestricteddorsiflex ion of the first metatarsophalangeal joint, causing pain and functional limitations, especially during the propulsive phase of walking. This restriction affects the gait, particularly in the f inal phase, and impairs foot stability and support. HL is more common in adults and leads to biomechanical and functional adaptations. The purpose of this study was to investigate the differences in the center of pressure between subjects with hallux limitus and those with healthy feet. Methods: A total of 80 participants (40 with bilateral HL and 40 healthy controls) aged 18 to 64 were selected from a biomechanics center at the Universidade da Coruña, Spain. The gait analysis focused on three key phases: initial contact, forefoot contact, and the loading response. Data were collected using a portable baropodometric platform and analyzed using IBM SPSS Statistics 29.0.2.0; statistical significance was set at p <0.05, with a 95% confidence interval. Results: The gait analysis indicated that the case group exhibited statistically significant differences, showing lower values in the left foot load response during the foot contact time (77.83 ± 40.17) compared to the control group (100.87 ± 29.27) (p = 0. 010) and in the foot contact percentage (p = 0. 013) during the stance phase (10.02 ± 5.68) compared to the control group (13.05 ± 3.60). Conclusions: Bilateral HLcauses subtle gait changes, with individuals showing greater contact time values in the total stance phase versus the control group. Early detection may improve quality of life and prevent complications.