This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Kernozek, T. W. Articles by Sterriker, S. Search for Related Content PubMed PubMed Citation Articles by Kernozek, T. W. Articles by Sterriker, S.

Clinical and Biomechanical Risk Factors of Patients Diagnosed with Hallux Valgus

Thomas W. Kernozek, PhD^*, Abdulaziz Elfessi, PhD and Steven Sterriker, DPM, MS

^* Physical Therapy Department, Health Science Center, University of Wisconsin–La Crosse; Gundersen Lutheran Sports Medicine, La Crosse, WI.
Mathematics Department, University of Wisconsin–La Crosse.
Private practice, Waco, TX.

Corresponding author: Thomas W. Kernozek, PhD, Physical Therapy Department, Health Science Center, University of Wisconsin–La Crosse, 1300 Badger St, La Crosse, WI 54601.

Abstract

The purpose of this study was to identify the clinical and plantar loading variables related to hallux valgus. Fifty-one healthy control subjects and 40 subjects with a diagnosis of moderate hallux valgus deformity of similar age and body weight were recruited for this study. Clinical measurements of pain, first metatarsophalangeal joint range of motion, and single-leg resting calcaneal stance position were obtained. Biomechanical measurements were obtained using a capacitive pressure platform. Plantar loading variables were calculated for seven regions of the plantar surface. A univariate analysis followed by a stepwise logistic regression was used to analyze the data. The results indicated that high values for pain, single-leg resting calcaneal stance position, hallux region peak pressure and force–time integral, and central forefoot region force–time integral increased the likelihood of hallux valgus. (J Am Podiatr Med Assoc 93(2): 97-103, 2003)