Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, 53, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
J Med Case Rep. 2024 Mar 15;18(1):105. doi: 10.1186/s13256-024-04444-z.
The hallux plays a crucial role in maintaining standing balance and facilitating forward and backward movements during gait.
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.
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.
拇趾在维持站立平衡和行走时的前后运动中起着至关重要的作用。
一位 21 岁的日本患者，因创伤性拇趾缺失，仅基底部的一部分保持完整，接受了康复治疗。拇指区域不稳定，导致平衡和行走困难。生物力学评估显示需要针对足部、膝盖、臀部和躯干制定康复策略。设计了一个康复方案，以增强行走和站立时的足部内侧负荷，包括平衡和躯干力量训练。经过 12 周的康复期后，患者的步态有了显著改善。具体来说，患侧步态的负荷反应和单支撑相从 46.9%增加到 49.3%，而预摆动相从 14.6%减少到 11.6%。地面反作用力的垂直分量从 599.8 增加到 647.5N。平衡训练和肌肉力量的增强稳定性有助于患者改善行走和平衡。
一名创伤性拇趾缺失患者根据生物力学评估接受了保守治疗。本病例报告强调了生物力学步态分析在类似情况下的保守治疗中的价值。
