RT Journal Article
T1 Effect of different custom-made foot orthotics on foot joint stiffness in individuals with structural hallux limitus: A quasi-experimental study
A1 Martínez-Rico, Magdalena
A1 Gijón-Noguerón, Gabriel
A1 Ortega-Ávila, Ana Belén
A1 Roche-Seruendo, Luis Enrique
A1 Climent-Pedrosa, Ana
A1 Deschamps, Kevin
A1 Sanchis-Sales, Enrique
K1 Aparato locomotor -- Enfermedades
K1 Pies -- Lesiones y heridas -- Tratamiento
K1 Pies -- Anomalías y malformaciones
AB Background: Normal dorsiflexion of the first metatarsophalangeal joint during dynamic activities is critical foreffective propulsion. Therapeutic foot orthotics may address the pathomechanical loading and joint kinematicsissues faced by this population. This study aims to evaluate the effect of two different types of Custom-made footorthosis compared to shod condition on the stiffness of the rearfoot, midfoot, and 1st metatarsophalangeal jointduring walking in patients with Structural Hallux Limitus.Methods: This quasi-experimental study used a repeated-measures design with a single cohort. 24 participantswith structural hallux limitus were sampled. Two custom-made Foot Orthotics – a cut-out and an anteriorforefoot stabiliser element – were compared under three conditions using minimalist SAGURO neoprene shoes:shod, shod with cut-out custom-made foot orthosis, and shod with anterior forefoot stabiliser element footorthosis. Kinematic data were captured using a modified Bruening model. We examined the variable stiffness(quantified in Nm/Kg/rad).Findings: Significant differences were found in dynamic stiffness only between Anterior forefoot stabiliserelement custom-made foot orthosis, and the patient shod during the propulsion phase at the 1st Meta-tarsophalangeal joint (R2 = 0,07 p = 0.027) and a difference of 0,86 Nm/kg/rad. No significant differences wereobserved for dynamic stiffness in any other phase of the stance period across all conditions.Interpretation: The Anterior forefoot stabiliser element, in particular, significantly increases the stiffness of the 1stMetatarsophalangeal joint compared to walking shod.
PB Elsevier
YR 2025
FD 2025-02
LK https://hdl.handle.net/10630/36060
UL https://hdl.handle.net/10630/36060
LA eng
NO Martinez-Rico, M., Gijon-Nogueron, G., Ortega-Avila, A. B., Roche-Seruendo, L. E., Climent-Pedrosa, A., Deschamps, K., & Sanchis-Sales, E. (2025). Effect of different custom-made foot orthotics on foot joint stiffness in individuals with structural hallux limitus: A quasi-experimental study. Clinical Biomechanics (Bristol), 122, 106423-. https://doi.org/10.1016/j.clinbiomech.2024.106423
NO Funding for open access charge is provided by Universidad de Malaga/CBUA
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 19 ene 2026