Projects & Grants

Internal Grant Competition DGC

Effect of targeted physiotherapy on biomechanical parameters of standing and walking in probands with hallux valgus and heel valgus
Project IdSGS09_2021
Main solverIng. Bc. Lucie Honzíková, Ph.D.
Periodr1/2021 - 12/2021
ProviderSpecifický VŠ výzkum
AnotationThe foot forms an important part of the kinematic chain of the lower limb. As part of a chain of failures of function in the leg area may affect the performance of movement of any part of the kinematic chain of the lower limb and consequently of higher level. Hallux valgus (more terminologically accurate hallux abducto valgus) is a complex progressive three-dimensional deformity of forefoot. It is characterized by the valgus of the thumb, increased varus of the I. metatarsus and medial guilt of its head. Hallux valgus is closely related to another changes in the leg according to aetiology, duration and severity of dislocation. It occurs along with transverse vault disruption, resulting in extensions in the metatarsalgia head area, hammer fingers and changes in pressure distribution under metatarsalgia heads that leads to metatarsalgias. The issue of heel valgus (pronation in the subtalar joint) is often discussed among experts from different sectors because they do not agree on the options for dealing with it. Doctors often prescribe correction aids and orthopaedic inserts with medial support of the vault which should prevent pronation in the subtalar joint. Physiotherapists, on the other hand, achieve optimum adjustment of individual segments of the leg and improvement of its function by active kinesiotherapy under load with emphasis on the maximum effort of the patient. Some studies point out that the heel valgus is not only a problem of positioning certain segments of the ankle joint and foot under static load. Subsequent functional abnormalities under dynamic loading in the form of mechanical overloading of certain areas of the leg are identified as more severe.The aim of this project is to verify whether targeted therapy can affect both the position of individual foot segments and the foot loading during walking and standing. The project aims at monitoring possible changes in the activity of selected lower limb muscles in the treatment of heel valgus.