Biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case report
Abstract Background The hallux plays a crucial role in maintaining standing balance and facilitating forward and backward movements during gait. Case presentation A 21-year-old Japanese patient, suffering from a traumatic hallux deficit with only a portion of the basal phalanx intact, underwent reha...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-024-04444-z |
| _version_ | 1797259206420594688 |
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| author | Naoki Doi Todd Pataky Hiroshige Tateuchi Momoko Nagai-Tanima Tomoki Aoyama |
| author_facet | Naoki Doi Todd Pataky Hiroshige Tateuchi Momoko Nagai-Tanima Tomoki Aoyama |
| author_sort | Naoki Doi |
| collection | DOAJ |
| description | Abstract Background The hallux plays a crucial role in maintaining standing balance and facilitating forward and backward movements during gait. Case presentation A 21-year-old Japanese patient, suffering from a traumatic hallux deficit with only a portion of the basal phalanx intact, underwent rehabilitation treatment. The thenar area exhibited instability, leading to impaired balance and walking difficulties. Biomechanical assessment revealed the need for a rehabilitation strategy for the foot, as well as the knee, hip, and trunk. A rehabilitation protocol was designed to enhance medial foot loading during walking and standing, including balance and trunk strength training. After a 12-week rehabilitation period, the patient’s gait showed significant improvement. Specifically, the load response and single-support phases of the gait cycle on the affected side increased from 46.9% to 49.3%, while the pre-swing phase decreased from 14.6% to 11.6%. The vertical component of the ground reaction force rose from 599.8 to 647.5 N. The enhanced stability from balance training and increased muscle strength contributed to the patient’s improved walking and balance. Conclusion A patient with a traumatic hallux deficit underwent conservative treatment through strategic rehabilitation according to biomechanical assessment. This case report underscores the value of biomechanical gait analysis in the conservative management of similar conditions. |
| first_indexed | 2024-04-24T23:05:45Z |
| format | Article |
| id | doaj.art-436a99a6fbe04a5ea761ab0ce8955a83 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-24T23:05:45Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-436a99a6fbe04a5ea761ab0ce8955a832024-03-17T12:27:14ZengBMCJournal of Medical Case Reports1752-19472024-03-011811510.1186/s13256-024-04444-zBiomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case reportNaoki Doi0Todd Pataky1Hiroshige Tateuchi2Momoko Nagai-Tanima3Tomoki Aoyama4Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto UniversityDepartment of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto UniversityDepartment of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto UniversityDepartment of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto UniversityDepartment of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto UniversityAbstract Background The hallux plays a crucial role in maintaining standing balance and facilitating forward and backward movements during gait. Case presentation A 21-year-old Japanese patient, suffering from a traumatic hallux deficit with only a portion of the basal phalanx intact, underwent rehabilitation treatment. The thenar area exhibited instability, leading to impaired balance and walking difficulties. Biomechanical assessment revealed the need for a rehabilitation strategy for the foot, as well as the knee, hip, and trunk. A rehabilitation protocol was designed to enhance medial foot loading during walking and standing, including balance and trunk strength training. After a 12-week rehabilitation period, the patient’s gait showed significant improvement. Specifically, the load response and single-support phases of the gait cycle on the affected side increased from 46.9% to 49.3%, while the pre-swing phase decreased from 14.6% to 11.6%. The vertical component of the ground reaction force rose from 599.8 to 647.5 N. The enhanced stability from balance training and increased muscle strength contributed to the patient’s improved walking and balance. Conclusion A patient with a traumatic hallux deficit underwent conservative treatment through strategic rehabilitation according to biomechanical assessment. This case report underscores the value of biomechanical gait analysis in the conservative management of similar conditions.https://doi.org/10.1186/s13256-024-04444-zTraumatic hallux deficitRehabilitationGait analysisBalance trainingBiomechanics |
| spellingShingle | Naoki Doi Todd Pataky Hiroshige Tateuchi Momoko Nagai-Tanima Tomoki Aoyama Biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case report Journal of Medical Case Reports Traumatic hallux deficit Rehabilitation Gait analysis Balance training Biomechanics |
| title | Biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case report |
| title_full | Biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case report |
| title_fullStr | Biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case report |
| title_full_unstemmed | Biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case report |
| title_short | Biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient: a case report |
| title_sort | biomechanical gait analysis and rehabilitation in a traumatic hallux deficit patient a case report |
| topic | Traumatic hallux deficit Rehabilitation Gait analysis Balance training Biomechanics |
| url | https://doi.org/10.1186/s13256-024-04444-z |
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