Gait parameters associated with hallux valgus: a systematic review

Nix, Sheree E., Vicenzino, Bill T., Collins, Natalie J. and Smith, Michelle D. (2013) Gait parameters associated with hallux valgus: a systematic review. Journal of Foot and Ankle Research, 6 9: 1-12. doi:10.1186/1757-1146-6-9

Author Nix, Sheree E.
Vicenzino, Bill T.
Collins, Natalie J.
Smith, Michelle D.
Title Gait parameters associated with hallux valgus: a systematic review
Journal name Journal of Foot and Ankle Research   Check publisher's open access policy
ISSN 1757-1146
Publication date 2013-03
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1186/1757-1146-6-9
Open Access Status DOI
Volume 6
Issue 9
Start page 1
End page 12
Total pages 12
Place of publication United Kingdom
Publisher BioMed Central
Collection year 2014
Language eng
Formatted abstract
Background Hallux valgus (HV) has been linked to functional disability and increased falls risk in older adults. However, specific gait alterations in individuals with HV are unclear. This systematic review investigated gait parameters associated with HV in otherwise healthy adults.

Methods Electronic databases (Medline, Embase, CINAHL) were searched to October 2011, including cross-sectional studies with clearly defined HV and non-HV comparison groups. Two investigators independently rated studies for methodological quality. Effect sizes (95% confidence intervals (CI)) were calculated as standardized mean differences (SMD) for continuous data and risk ratios (RR) for dichotomous data.

Results Nine studies included a total of 589 participants. Three plantar pressure studies reported increased hallux loading (SMD 0.56 to 1.78) and medial forefoot loading (SMD 0.62 to 1.21), while one study found reduced first metatarsal loading (SMD −0.61, CI −1.19 to −0.03) in HV participants. HV participants demonstrated less ankle and rearfoot motion during terminal stance (SMD −0.81 to −0.63) and increased intrinsic muscle activity (RR 1.6, 1.1 to 2.2). Most studies reported no differences in spatio-temporal parameters; however, one study found reduced speed (SMD −0.73, -1.25 to −0.20), step length (SMD −0.66 to −0.59) and less stable gait patterns (SMD −0.86 to −0.78) in older adults with HV.

Conclusions HV impacts on particular gait parameters, and further understanding of potentially modifiable factors is important for prevention and management of HV. Cause and effect relationships cannot be inferred from cross-sectional studies, thus prospective studies are warranted to elucidate the relationship between HV and functional disability.
Keyword 1st metatarsophalangeal joint
Plantar pressures
Foot problems
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
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