Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study
Background: the area beneath the metatarsal heads is a common location of foot pain, which is often associated with high plantar pressures. The aim of this study was to determine the effect of the application of a Morton’s extension on the pressure in the metatarsal bones of the foot using a pressur...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/19/3087 |
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| author | Anna Sánchez-Serena Marta Elena Losa-Iglesias Ricardo Becerro-de-Bengoa-Vallejo Ángel Morales-Ponce Alfredo Soriano-Medrano Eduardo Pérez-Boal Jessica Grande-del-Arco Israel Casado-Hernández Eva María Martínez-Jiménez |
| author_facet | Anna Sánchez-Serena Marta Elena Losa-Iglesias Ricardo Becerro-de-Bengoa-Vallejo Ángel Morales-Ponce Alfredo Soriano-Medrano Eduardo Pérez-Boal Jessica Grande-del-Arco Israel Casado-Hernández Eva María Martínez-Jiménez |
| author_sort | Anna Sánchez-Serena |
| collection | DOAJ |
| description | Background: the area beneath the metatarsal heads is a common location of foot pain, which is often associated with high plantar pressures. The aim of this study was to determine the effect of the application of a Morton’s extension on the pressure in the metatarsal bones of the foot using a pressure platform. Methods: twenty-five subjects without musculoskeletal pathology were selected for this study, and an experiment was conducted with them as the subjects, before and after application of a Morton’s extension. The foot regions were divided into the forefoot (transversely subdivided into six areas corresponding to the first, second, third, fourth, and fifth metatarsal heads, and the hallux), midfoot, and rearfoot, and then the maximum and average pressures exerted at each region were measured before and after placing a Morton’s extension. Main findings: we found a pressure reduction, with a <i>p</i>-value less than (<i>p</i> < 0.05), in the head of the second and third metatarsals in statics and dynamics. Conclusions: we can conclude that the Morton’s extension produces a variation in plantar pressures on the lesser metatarsals. The application of a Morton’s extension may be beneficial for the management of forefoot pathology. This study will help clinicians consider various tools to treat forefoot disorders. NCT05879094 (ClinicalTrial.gov (accessed on 18 May 2023)). |
| first_indexed | 2024-03-10T21:47:13Z |
| format | Article |
| id | doaj.art-f91cde1a89054e6094cb4d431c228c4c |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T21:47:13Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-f91cde1a89054e6094cb4d431c228c4c2023-11-19T14:14:35ZengMDPI AGDiagnostics2075-44182023-09-011319308710.3390/diagnostics13193087Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test StudyAnna Sánchez-Serena0Marta Elena Losa-Iglesias1Ricardo Becerro-de-Bengoa-Vallejo2Ángel Morales-Ponce3Alfredo Soriano-Medrano4Eduardo Pérez-Boal5Jessica Grande-del-Arco6Israel Casado-Hernández7Eva María Martínez-Jiménez8Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Nursing and Stomatology, Faculty of Health Sciences, King Juan Carlos University, Alcorcon Campus, 28922 Madrid, SpainNursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Nursing and Stomatology, Faculty of Health Sciences, King Juan Carlos University, Alcorcon Campus, 28922 Madrid, SpainNursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, SpainDepartment of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, 24004 León, SpainNursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, SpainNursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, SpainNursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, SpainBackground: the area beneath the metatarsal heads is a common location of foot pain, which is often associated with high plantar pressures. The aim of this study was to determine the effect of the application of a Morton’s extension on the pressure in the metatarsal bones of the foot using a pressure platform. Methods: twenty-five subjects without musculoskeletal pathology were selected for this study, and an experiment was conducted with them as the subjects, before and after application of a Morton’s extension. The foot regions were divided into the forefoot (transversely subdivided into six areas corresponding to the first, second, third, fourth, and fifth metatarsal heads, and the hallux), midfoot, and rearfoot, and then the maximum and average pressures exerted at each region were measured before and after placing a Morton’s extension. Main findings: we found a pressure reduction, with a <i>p</i>-value less than (<i>p</i> < 0.05), in the head of the second and third metatarsals in statics and dynamics. Conclusions: we can conclude that the Morton’s extension produces a variation in plantar pressures on the lesser metatarsals. The application of a Morton’s extension may be beneficial for the management of forefoot pathology. This study will help clinicians consider various tools to treat forefoot disorders. NCT05879094 (ClinicalTrial.gov (accessed on 18 May 2023)).https://www.mdpi.com/2075-4418/13/19/3087pressurefootpressure platformmetatarsalgiaMorton’s extensionorthopaedics |
| spellingShingle | Anna Sánchez-Serena Marta Elena Losa-Iglesias Ricardo Becerro-de-Bengoa-Vallejo Ángel Morales-Ponce Alfredo Soriano-Medrano Eduardo Pérez-Boal Jessica Grande-del-Arco Israel Casado-Hernández Eva María Martínez-Jiménez Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study Diagnostics pressure foot pressure platform metatarsalgia Morton’s extension orthopaedics |
| title | Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study |
| title_full | Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study |
| title_fullStr | Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study |
| title_full_unstemmed | Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study |
| title_short | Orthopaedic Simulation of a Morton’s Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study |
| title_sort | orthopaedic simulation of a morton s extension to test the effect on plantar pressures of each metatarsal head in patients without deformity a pre post test study |
| topic | pressure foot pressure platform metatarsalgia Morton’s extension orthopaedics |
| url | https://www.mdpi.com/2075-4418/13/19/3087 |
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