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Title: | Severity of pronation and classification of first metatarsophalangeal joint dorsiflexion increases the validity of the Hubscher Manoeuvre for the diagnosis of functional hallux limitus |
Authors: | Gatt, Alfred Mifsud, Tiziana Chockalingam, Nachiappan |
Keywords: | Orthopedics Orthopedic apparatus Kinematics Joints -- Diseases Foot -- Movements Gait disorders -- Diagnosis |
Issue Date: | 2014 |
Publisher: | Elsevier Ltd |
Citation: | Gatt, A., Mifsud, T., & Chockalingam, N. (2014). Severity of pronation and classification of first metatarsophalangeal joint dorsiflexion increases the validity of the Hubscher Manoeuvre for the diagnosis of functional hallux limitus. The Foot, 24(2), 62-65. |
Abstract: | Background: Functional hallux limitus (FHL) is diagnosed with a static test known as the Hubscher Manoeuvre, the validity of which has been previously questioned. Objectives: To investigate the validity of this Manoeuvre and whether introducing severity of pronation as a second concurrent test would increase this validity. Method: 30 participants with a hallux dorsiflexion <12◦ were divided into 2 equal groups, depending on their severity of pronation according to the Foot Posture Index. A single video camera, placed perpendicular to the plane of motion of the 1st MPJ, captured its movement, from which the angle of maximum dorsiflexion of this joint was measured. Results: 10 males and 20 females, aged 18–56 years (mean 28 yrs, SD ±12.1 yrs) participated. There was no significant relationship between non-weight bearing and dynamic maximum dorsiflexion (p = 0.160), and between weight bearing and dynamic maximum dorsiflexion (p = 0.865). A significant relationship between 1st MPJ dynamic maximum dorsiflexion and severity of pronation (p = 0.004) was found. Conclusions: None of the participants exhibited a complete lack of hallux dorsiflexion. A positive Hubscher Manoeuvre test, on its own, is not a good indicator of limited 1st MPJ dorsiflexion during dynamic motion. However, as pronation increases, 1st MPJ maximum dorsiflexion during gait decreases. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/104437 |
ISSN: | 15322963 |
Appears in Collections: | Scholarly Works - FacHScPod |
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