Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational study
Abstract Objective To analyze the changes of plantar pressure in amateur marathon runners with flexor halluics longus (FHL) tendon injury using the Medtrack-Gait plantar pressure measurement system, and to explore whether the plantar pressure data can be used as an index for the diagnosis of injury....
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-07169-8 |
| _version_ | 1827377506265595904 |
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| author | Jianan Chen Ping Zhang liting Hou Hailun Bao Junfei Li Jian Zhao |
| author_facet | Jianan Chen Ping Zhang liting Hou Hailun Bao Junfei Li Jian Zhao |
| author_sort | Jianan Chen |
| collection | DOAJ |
| description | Abstract Objective To analyze the changes of plantar pressure in amateur marathon runners with flexor halluics longus (FHL) tendon injury using the Medtrack-Gait plantar pressure measurement system, and to explore whether the plantar pressure data can be used as an index for the diagnosis of injury. Methods A total of 39 healthy amateur marathon runners without any ankle joint symptoms were recruited. Dynamic and static plantar pressure data were measured using the pressure plate of Medtrack-Gait. According to MRI imaging findings, whether the FHL tendon was injured or not was judged, and the dynamic and static data were divided into the injury group and control group. The data with statistically significant differences between the two groups were used to make the receiver operating characteristic (ROC) curve. Result The maximum contact area (PA) of the first metatarsal(M1) region, the maximum load-bearing peak value (PW) and the time pressure integral (PMPTI) of the second metatarsal(M2) region in the injury group were lower than those in the control group, respectively (P < 0.05). The maximum contact area (PA) of the fifth metatarsal(M5) region was higher than that in the control group (P < 0.05). The area under curve (AUC) value of the ROC curve of the PA of M1 region, the PW and PMPTI of M2 region were statistically (P < 0.05). Conclusion FHL tendon injury resulted in decreased PA in M1, decreased PW and PMPTI in M2, and increased PA in the M5 region, suggesting that FHL tendon injury resulted in a force shift from the medial to the lateral side of the foot. The PA of M1, PW and PMPTI of M2 have certain diagnostic value for early FHL injury in amateur marathon runners. |
| first_indexed | 2024-03-08T12:41:07Z |
| format | Article |
| id | doaj.art-2b19021cc1824c179a7e4521c540006c |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-08T12:41:07Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-2b19021cc1824c179a7e4521c540006c2024-01-21T12:07:07ZengBMCBMC Musculoskeletal Disorders1471-24742024-01-0125111110.1186/s12891-024-07169-8Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational studyJianan Chen0Ping Zhang1liting Hou2Hailun Bao3Junfei Li4Jian Zhao5Department of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityAbstract Objective To analyze the changes of plantar pressure in amateur marathon runners with flexor halluics longus (FHL) tendon injury using the Medtrack-Gait plantar pressure measurement system, and to explore whether the plantar pressure data can be used as an index for the diagnosis of injury. Methods A total of 39 healthy amateur marathon runners without any ankle joint symptoms were recruited. Dynamic and static plantar pressure data were measured using the pressure plate of Medtrack-Gait. According to MRI imaging findings, whether the FHL tendon was injured or not was judged, and the dynamic and static data were divided into the injury group and control group. The data with statistically significant differences between the two groups were used to make the receiver operating characteristic (ROC) curve. Result The maximum contact area (PA) of the first metatarsal(M1) region, the maximum load-bearing peak value (PW) and the time pressure integral (PMPTI) of the second metatarsal(M2) region in the injury group were lower than those in the control group, respectively (P < 0.05). The maximum contact area (PA) of the fifth metatarsal(M5) region was higher than that in the control group (P < 0.05). The area under curve (AUC) value of the ROC curve of the PA of M1 region, the PW and PMPTI of M2 region were statistically (P < 0.05). Conclusion FHL tendon injury resulted in decreased PA in M1, decreased PW and PMPTI in M2, and increased PA in the M5 region, suggesting that FHL tendon injury resulted in a force shift from the medial to the lateral side of the foot. The PA of M1, PW and PMPTI of M2 have certain diagnostic value for early FHL injury in amateur marathon runners.https://doi.org/10.1186/s12891-024-07169-8Plantar pressureMarathon runnersFlexor halluics longus tendon injuresBiomechanics |
| spellingShingle | Jianan Chen Ping Zhang liting Hou Hailun Bao Junfei Li Jian Zhao Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational study BMC Musculoskeletal Disorders Plantar pressure Marathon runners Flexor halluics longus tendon injures Biomechanics |
| title | Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational study |
| title_full | Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational study |
| title_fullStr | Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational study |
| title_full_unstemmed | Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational study |
| title_short | Injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution: observational study |
| title_sort | injury of flexor halluics longus tendon in amateur marathon runners results in abnormal plantar pressure distribution observational study |
| topic | Plantar pressure Marathon runners Flexor halluics longus tendon injures Biomechanics |
| url | https://doi.org/10.1186/s12891-024-07169-8 |
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