Effects of rearfoot-controlling orthotic treatment on dorsiflexion of the hallux in feet with abnormal subtalar pronation: a preliminary report.

Abstract

The aim of this study was to determine whether the treatment of abnormal subtalar pronation restores functional (as opposed to structural) limited dorsiflexion of the first metatarsophalangeal joint (functional hallux limitus). We studied 16 feet of eight individuals with abnormal subtalar pronation. Orthoses were made for all of the feet, and hallux dorsiflexion was measured during weightbearing. Each patient was unshod without the orthosis, unshod with the orthosis fitted on the same day, and unshod with the orthosis fitted approximately 5 months later. The results suggest that in functional hallux limitus caused by abnormal subtalar pronation, hallux dorsiflexion will gradually be restored by the use of foot orthoses to control the abnormal subtalar pronation.

• Authors: Pedro V Munuera, Gabriel Domínguez, Inmaculada C Palomo, Guillermo Lafuente
• Journal: Journal of the American Podiatric Medical Association (J Am Podiatr Med Assoc) 2006 Jul-Aug Vol. 96 Issue 4 Pg. 283-9 ISSN: 8750-7315 [Print] United States
• PMID: 16868319 (Publication Type: Clinical Trial, Journal Article)

Topics

• Adult
• Female
• Foot (physiology)
• Gait
• Hallux
• Humans
• Male
• Metatarsophalangeal Joint (physiopathology)
• Orthotic Devices
• Pronation
• Subtalar Joint (physiopathology)