Induced fatigue impact on plantar pressure in females with mild hallux valgus

  • Shunxiang Gao Faculty of Sports Science, Ningbo University, Ningbo 315211, China
  • Dong Sun Faculty of Sports Science, Ningbo University, Ningbo 315211, China
  • Yang Song Faculty of Sports Science, Ningbo University, Ningbo 315211, China; Department of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong SAR 999077, China
  • Xuanzhen Cen Faculty of Sports Science, Ningbo University, Ningbo 315211, China; Doctoral School on Safety and Security Sciences, Óbuda University, Budapest 1034, Hungary; Faculty of Engineering, University of Szeged, Szeged 6724, Hungary
  • Hairong Chen Faculty of Sports Science, Ningbo University, Ningbo 315211, China; Doctoral School on Safety and Security Sciences, Óbuda University, Budapest 1034, Hungary; Faculty of Engineering, University of Szeged, Szeged 6724, Hungary
  • Yining Xu Faculty of Sports Science, Ningbo University, Ningbo 315211, China
  • Shirui Shao Faculty of Sports Science, Ningbo University, Ningbo 315211, China
Keywords: induced fatigue; mild hallux valgus; plantar pressure analysis
Ariticle ID: 135

Abstract

Fatigue has been established to change plantar pressure distribution, yet its impact on hallux valgus (HV) patients, who exhibit morphological and biomechanical changes in the foot, remains insufficiently studied. Twenty-eight female participants, comprising 16 with mild HV and 12 healthy controls, were recruited. Plantar pressures were recorded pre- and post-fatigue using the Footscan platform during self-selected-speed walking trials, fatigue protocol was performed on a treadmill. Foot was segmented into 10 anatomical regions for calculating parameters including maximal force, peak pressure, impulse, contact duration, contact area, and force time-series, alongside assessing the distribution of medial and lateral contact forces (Foot balance) across the groups. During post-fatigue, patients with mild HV demonstrated adaptive changes in plantar pressure distinct from healthy controls, with significant reductions in maximal force, peak pressure, and impulse in the M1 and M2 regions and increases in the M3–M5 regions. In contrast, the control group exhibited an opposite pattern, concentrating pressure in the M1 and M2 regions post-fatigue. The force time-series analysis revealed significant disparities between HV patients and controls, particularly in the M4 and M5 regions, where HV patients showed a less pronounced and lower passive peak in forces. Results show that women with mild HV demonstrate adaptive changes in plantar pressure post-fatigue, distinctly different from healthy individuals, aiding in preventive strategies for fatigue-induced foot injuries for HV patients.

References

1. Nguyen USDT, Hillstrom HJ, Li W, et al. Factors associated with hallux valgus in a population-based study of older women and men: the MOBILIZE Boston Study. Osteoarthritis and Cartilage. 2010; 18(1): 41-46. doi: 10.1016/j.joca.2009.07.008

2. Ekwere E, Usman Y, Danladi A. Prevalence of hallux valgus among medical students of the University of Jos. Annals of Bioanthropology. 2016; 4(1): 30. doi: 10.4103/2315-7992.190457

3. Deenik AR, de Visser E, Louwerens JWK, et al. Hallux valgus angle as main predictor for correction of hallux valgus. BMC Musculoskeletal Disorders. 2008; 9(1). doi: 10.1186/1471-2474-9-70

4. Xiang L, Mei Q, Fernandez J, et al. Minimalist shoes running intervention can alter the plantar loading distribution and deformation of hallux valgus: A pilot study. Gait & Posture. 2018; 65: 65-71. doi: 10.1016/j.gaitpost.2018.07.002

5. Xiang L, Mei Q, Wang A, et al. Evaluating function in the hallux valgus foot following a 12-week minimalist footwear intervention: A pilot computational analysis. Journal of Biomechanics. 2022; 132: 110941. doi: 10.1016/j.jbiomech.2022.110941

6. Zhang Q, Zhang Y, Huang J, et al. Effect of Displacement Degree of Distal Chevron Osteotomy on Metatarsal Stress: A Finite Element Method. Biology. 2022; 11(1): 127. doi: 10.3390/biology11010127

7. Wen J, Ding Q, Yu Z, et al. Adaptive changes of foot pressure in hallux valgus patients. Gait & Posture. 2012; 36(3): 344-349. doi: 10.1016/j.gaitpost.2012.03.030

8. Clarke GR, Thomas MJ, Rathod‐Mistry T, et al. Hallux valgus severity, great toe pain, and plantar pressures during gait: A cross‐sectional study of community‐dwelling adults. Musculoskeletal Care. 2020; 18(3): 383-390. doi: 10.1002/msc.1472

9. Feng Y, Shen S, Song Y. Ultrasound Comparison of the Abductor Hallucis Muscle Between Normal and Hallux Valgus Feet After Long-Distance Running: A Pilot Study. Journal of Medical Imaging and Health Informatics. 2021; 11(8): 2106-2109. doi: 10.1166/jmihi.2021.3590

10. Zhang Y, Awrejcewicz J, Szymanowska O, et al. Effects of severe hallux valgus on metatarsal stress and the metatarsophalangeal loading during balanced standing: A finite element analysis. Computers in Biology and Medicine. 2018; 97: 1-7. doi: 10.1016/j.compbiomed.2018.04.010

11. Menz HB, Lord SR. The Contribution of Foot Problems to Mobility Impairment and Falls in Community‐Dwelling Older People. Journal of the American Geriatrics Society. 2001; 49(12): 1651-1656. doi: 10.1111/j.1532-5415.2001.49275.x

12. Martínez-Nova A, Sánchez-Rodríguez R, Pérez-Soriano P, et al. Plantar pressures determinants in mild Hallux Valgus. Gait & Posture. 2010; 32(3): 425-427. doi: 10.1016/j.gaitpost.2010.06.015

13. Galica AM, Hagedorn TJ, Dufour AB, et al. Hallux valgus and plantar pressure loading: the Framingham foot study. Journal of Foot and Ankle Research. 2013; 6(1). doi: 10.1186/1757-1146-6-42

14. Bisiaux M, Moretto P. The effects of fatigue on plantar pressure distribution in walking. Gait & Posture. 2008; 28(4): 693-698. doi: 10.1016/j.gaitpost.2008.05.009

15. Nagel A, Fernholz F, Kibele C, et al. Long distance running increases plantar pressures beneath the metatarsal heads. Gait & Posture. 2008; 27(1): 152-155. doi: 10.1016/j.gaitpost.2006.12.012

16. Rosenbaum D, Engl T, Nagel A. Foot loading changes after a fatiguing run. Journal of Biomechanics. 2008; 41: S109. doi: 10.1016/S0021-9290(08)70109-X

17. Willson JD, Kernozek TW. Plantar loading and cadence alterations with fatigue. Medicine & Science in Sports & Exercise. 1999; 31(12): 1828. doi: 10.1097/00005768-199912000-00020

18. Baur H, Hirschmüller A, Müller S, et al. Muscular activity in treadmill and overground running. Isokinetics and Exercise Science. 2007; 15(3): 165-171. doi: 10.3233/ies-2007-0262

19. Zhou J, Hlavacek P, Xu B, et al. Approach for measuring the angle of hallux valgus. Indian Journal of Orthopaedics. 2013; 47(3): 278-282. doi: 10.4103/0019-5413.109875

20. Hajiloo B, Anbarian M, Esmaeili H, et al. The effects of fatigue on synergy of selected lower limb muscles during running. Journal of Biomechanics. 2020; 103: 109692. doi: 10.1016/j.jbiomech.2020.109692

21. Xu C, Wen X, Huang L, et al. Normal foot loading parameters and repeatability of the Footscan® platform system. Journal of Foot and Ankle Research. 2017; 10(1). doi: 10.1186/s13047-017-0209-2

22. Gao Z, Mei Q, Xiang L, Gu Y. Difference of walking plantar loadings in experienced and novice long-distance runners. Acta of Bioengineering and Biomechanics. 2020; 22(3). doi: 10.37190/abb-01627-2020-02

23. Koller U, Willegger M, Windhager R, et al. Plantar pressure characteristics in hallux valgus feet. Journal of Orthopaedic Research. 2014; 32(12): 1688-1693. doi: 10.1002/jor.22707

24. Hida T, Okuda R, Yasuda T, et al. Comparison of plantar pressure distribution in patients with hallux valgus and healthy matched controls. Journal of Orthopaedic Science. 2017; 22(6): 1054-1059. doi: 10.1016/j.jos.2017.08.008

25. Bryant A, Tinley P, Singer K. Plantar pressure distribution in normal, hallux valgus and hallux limitus feet. The Foot. 1999; 9(3): 115-119. doi: 10.1054/foot.1999.0538

26. Nakai K, Zeidan H, Suzuki Y, et al. Relationship between forefoot structure, including the transverse arch, and forefoot pain in patients with hallux valgus. Journal of Physical Therapy Science. 2019; 31(2): 202-205. doi: 10.1589/jpts.31.202

27. Deschamps K, Birch I, Desloovere K, et al. The impact of hallux valgus on foot kinematics: A cross-sectional, comparative study. Gait & Posture. 2010; 32(1): 102-106. doi: 10.1016/j.gaitpost.2010.03.017

28. Anbarian M, Esmaeili H. Effects of running-induced fatigue on plantar pressure distribution in novice runners with different foot types. Gait & Posture. 2016; 48: 52-56. doi: 10.1016/j.gaitpost.2016.04.029

29. Farzadi M, Safaeepour Z, Mousavi ME, et al. Effect of medial arch support foot orthosis on plantar pressure distribution in females with mild-to-moderate hallux valgus after one month of follow-up. Prosthetics & Orthotics International. 2015; 39(2): 134-139. doi: 10.1177/0309364613518229

30. Komeda T, Tanaka Y, Takakura Y, et al. Evaluation of the longitudinal arch of the foot with hallux valgus using a newly developed two-dimensional coordinate system. Journal of Orthopaedic Science. 2001; 6(2): 110-118. doi: 10.1007/s007760100056

Published
2024-05-20
How to Cite
Gao, S., Sun, D., Song, Y., Cen, X., Chen, H., Xu, Y., & Shao, S. (2024). Induced fatigue impact on plantar pressure in females with mild hallux valgus. Molecular & Cellular Biomechanics, 21, 135. https://doi.org/10.62617/mcb.v21.135
Section
Article