Analysis of Kinematic Motions of First Metatarsophalangeal Joint during Electrical Stimulation of Abductor Hallucis Muscle in Subjects with Hallux Valgus

엄지발가락가쪽휨증의 엄지벌림근 전기자극 시 첫 번째 발허리발가락관절의 운동형상학적 움직임 분석

  • Kim, Moon-Hwan (Department of Rehabilitation Medicine, Wonju Christian Hospital, Wonju College of Medicine, Yonsei University) ;
  • Koh, Eun-Kyung (Department of Physical Therapy, Masan University) ;
  • Jung, Do-Young (Department of Physical Therapy, College of Tourism & Health Science, Joongbu University)
  • 김문환 (연세대학교 원주의과대학 원주기독병원 재활의학과) ;
  • 고은경 (마산대학교 물리치료과) ;
  • 정도영 (중부대학교 관광보건대학 물리치료학과)
  • Received : 2012.06.28
  • Accepted : 2012.08.15
  • Published : 2012.08.25

Abstract

Purpose: The purpose of this study is to compare the kinematic motion of the first metatarsophalangeal (MTP) joint during an electrical stimulation of abductor hallucis (AbdH) muscle, between the normal group and the hallux valgus (HV) group. Methods: A total of twenty subjects (normal group=10 and HV group=10) participated in this study. The kinematic motions of first MTP joint was measured by using 3-dimensional motion analysis during an electrical stimulation in the sitting position. The intensity of an electrical stimulation was set to be tolerated in each subject, and the data of kinematic motions were collected in three trials of 5 seconds. An independent t-test was used to compare the angle of flexion and abduction of the first MTP joint and proximal phalanx in frontal plane, between the normal and HV groups. Results: Participants showed that the angle of flexion was significantly greater in the HV group ($13.12{\pm}10.61^{\circ}$), compared to that of the normal group ($10.17{\pm}2.31^{\circ}$); and the angle of abduction was significantly smaller in the HV group ($10.61{\pm}4.99^{\circ}$) than that of the normal group. Also, the angle of the proximal phalanx in frontal plane was significantly smaller, compared to the normal group ($53.42{\pm}10.70^{\circ}$) (p<0.05). Conclusion: These findings suggest that dysfunction of AbdH muscle is apparent in HV deformity and provide insight into potential risk factors for the development of HV deformity.

Keywords

References

  1. Coughlin MJ. Hallux valgus. J Bone Joint Surg Am. 1996;78(6):932-66.
  2. Thomas S, Barrington R. Hallux valgus. Current Orthopaedics. 2003;17(4):299-307. https://doi.org/10.1016/S0268-0890(02)00184-6
  3. Coughlin MJ. Hallux valgus. Instr Course Lect. 1997;46:357-91.
  4. Choi GH, Park KY, Byun SJ et al. A study on angular correlation between hallux valgus and 1st mpj dorsi-flexion according to work type and age of woman. J Korean Soc Phys Ther. 2011;23(5):57-63.
  5. Inman VT. Hallux valgus: a review of etiologic factors. Orthop ClinNorth Am. 1974;5(1):59-66.
  6. Mann RA, Coughlin MJ. Surgery of the foot and ankle. St. Louis, Mosby-Yearbook, 1993:125-26.
  7. Timothy E. Kilmartin, FPodA. The aetiology of hallux valgus: acritical review of the literature. The Foot. 1993;3(4):157-67. https://doi.org/10.1016/0958-2592(93)90001-J
  8. Arinci Incel N, Genc H, Erdem HR et al. Muscle imbalance in hallux valgus: an electromyographic study. Am J Phys Med Rehabil. 2003;82(5):345-9.
  9. Hoffmeyer P, Cox JN, Blanc Y et al. Muscle in hallux valgus. Clin Orthop Relat Res. 1988;(232):112-8.
  10. Iida M, Basmajian JV. Electromyography of hallux valgus. Clin Orthop Relat Res. 1974;(101):220-4.
  11. Groiso JA. Juvenile hallux valgus. A conservative approach to treatment. J Bone Joint Surg Am. 1992;74(9):1367-74.
  12. Koh EK, Jung DY. A review of biomechanical treatments for the diabetic foot. J Korean Soc Phys Ther. 2007;19(5):51-63.
  13. Platzer W. Color atlas and textboot of human anatomy, locomotor system. 6th edition. New York, Thieme, 2008:266-67.
  14. Kendall FP, McCreary EK, Provance PG et al. Muscles: testing and function with posture and pain. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2005:512.
  15. Garrow AP, Papageorgiou A, Silman AJ et al. The grading of hallux valgus. The manchester scale. J Am Podiatr Med Assoc. 2001;91(2):74-8.
  16. Wong YS. Influence of the abductor hallucis muscle on the medial arch of the foot: a kinematic and anatomical cadaver study. Foot Ankle Int. 2007;28(5):617-20. https://doi.org/10.3113/FAI.2007.0617
  17. An SH, Lee YM, Yang KH. Effectiveness of gait training using an electromechanical gait trainer combined with simultaneous functional electrical stimulation in chronic stroke patients. J Korean Soc Phys Ther. 2008;20(1):41-7.
  18. Kang YH, Yoon SW, Seo SK et al. The effect on change of spinal neuron excitability during gait training of hemiplegia patients by the functional electrical stimulation. J Korean Soc Phys Ther. 2007;19(1):11-22.
  19. Brenner E. Insertion of the abductor hallucis muscle in feet with and without hallux valgus. Anat Rec. 1999;254(3):429-34. https://doi.org/10.1002/(SICI)1097-0185(19990301)254:3<429::AID-AR14>3.0.CO;2-5
  20. Eustace S, Williamson D, Wilson M et al. Tendon shift in hallux valgus: observations at MR imaging. Skeletal Radiol. 1996;25(6):519-24. https://doi.org/10.1007/s002560050128