Associations between static and functional measures of joint function in the foot and ankle.

Abstract:

:Clinicians have traditionally assessed range of motion of the first metatarsophalangeal and ankle joints in a static position. It is unclear, however, if these measurements accurately reflect functional sagittal plane limitations of these joints during gait. For 50 patients (100 feet), we assessed available dorsiflexion at the first metatarsophalangeal and ankle joints, as well as the presence of pinch callus. We then compared these findings with 11 functional gait parameters, as measured using a pressure sensor system. After adjusting for age, weight, smoking status, glycosylated hemoglobin, and insensitivity to monofilament, we found that patients with pinch callus demonstrated statistically significant compensatory gait patterns in 7 of 11 measures. Hallux limitus and equinus patients demonstrated six and three statistically significant associations, respectively. Pinch callus seems to be as predictive of functional gait alterations as static first metatarsophalangeal joint and ankle dorsiflexion.

journal_name

J Am Podiatr Med Assoc

authors

Wrobel JS,Connolly JE,Beach ML

doi

10.7547/0940535

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

535-41

issue

6

eissn

8750-7315

issn

1930-8264

pii

94/6/535

journal_volume

94

pub_type

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