Tomita Hidehito, Tsukeshiba Mizuho, Matsukura Yuna, Kikunaga Yuri, Nakata Kazuhiro, Nojima Osamu, Ogawa Yuta, Asai Hitoshi
Graduate School of Health Sciences, Toyohashi SOZO University: 20-1 Matsushita, Ushikawa-cho, Toyohashi-shi, Aichi 440-8511, Japan.
Department of Physical Therapy, Toyohashi SOZO University, Japan.
J Phys Ther Sci. 2025 Jan;37(1):21-27. doi: 10.1589/jpts.37.21. Epub 2025 Jan 1.
[Purpose] Although hallux function is fundamental in maintaining forward leaning standing posture, the insight into whether noncontact of the hallux with the ground alters the forward limit of stability (LoS) remains unclear. Thus, we aimed to determine the effects of the unilateral hallux noncontact on the forward LoS while standing. [Participants and Methods] This study included 17 healthy young and 17 community-dwelling older adults. The position of the center of pressure during the forward, forward-left, and forward-right LoS was measured using a force platform under two toe conditions: noncontact or contact of the right hallux with the ground. To ensure the noncontact condition, we positioned the right hallux on the second toe by taping. [Results] The forward and forward-right LoS were significantly displaced in the left and backward directions (p<0.032, η>0.14), while the forward-left LoS was significantly displaced in the backward direction (p<0.001, η=0.52). In the noncontact condition, the forward-right LoS exhibited a greater degree of the backward shift than the forward-left LoS (p<0.001, η=0.42). [Conclusion] Noncontact of the unilateral hallux with the ground reduced the LoS in the forward and oblique-forward directions and induced LoS asymmetry.
[目的] 尽管拇趾功能对于维持前倾站立姿势至关重要,但对于拇趾不与地面接触是否会改变稳定极限(LoS)的前向极限仍不清楚。因此,我们旨在确定站立时单侧拇趾不接触对前向LoS的影响。[参与者与方法] 本研究纳入了17名健康年轻人和17名社区居住的老年人。在两种拇趾状态下,即右拇趾不接触或接触地面,使用测力平台测量前向、左前向和右前向LoS期间的压力中心位置。为确保不接触状态,我们通过粘贴胶带将右拇趾置于第二趾上方。[结果] 前向和右前向LoS在向左和向后方向上显著移位(p<0.032,η>0.14),而左前向LoS在向后方向上显著移位(p<0.001,η=0.52)。在不接触状态下,右前向LoS的向后移位程度大于左前向LoS(p<0.001,η=0.42)。[结论] 单侧拇趾不与地面接触会降低前向和斜前向的LoS,并导致LoS不对称。