V.G. Duffy (Ed.): DHM 2014, LNCS 8529, pp. 332–339, 2014.
© Springer International Publishing Switzerland 2014
Biomechanical Study of Foot Force Pattern
in Hallux Valgus (HV) Patients
Saba Eshraghi and Ibrahim Esat
School of Engineering and Design, Brunel University of London, UK
saba_eshraghi@yahoo.com, Ibrahim.Esat@brunel.ac.uk
Abstract
Background: Hallux valgus is the angulation of the big toe of more than 15 de-
grees. Many people during their lives are challenged with this condition. The
occurrence is 3 times more in women to men. However one of the causes of the
condition is congenital but the other important factor is wearing narrow toe box
and high heel shoes. There are some devices measuring the foot kinematic or
sole pressure for identifying such condition but as there are lots of variations in
foot kinematics and pressure the identification of the disease becomes more
challenging. Many previous works are published regarding to foot sole pressure
pattern but still early recognition of the condition is needed.
Method: To see the existence of force pattern out of gait experiments, Rs-Scan
device used to take the kinematic data of the one complete foot contact. 10 trials
were conducted of each volunteer with the full right foot contact with the pres-
sure mat. 3 valid trials have been chosen for final analyses. With this method
the load/pressure measurement under the 10 anatomical regions of the foot have
been recorded and used to recognise people with and without deformity. Fur-
thermore, Motion Capture cameras were used to capture the first and the second
metatarsal movements in HV and Non HV volunteers to see whether there is a
joint laxity of the metatarsals in HV patients.
Results: It was observed that the load pattern in forefoot in people with HV was
significantly different compared to non HV volunteers .So independent sample
T-Test done and the statistical difference less than 0.05 observed in
Toe1,Metatarsal 1,Metatarsal 2, Metatarsal 3, Metatarsal 4 and Metatarsal 5. So
just there was no difference load pattern on the Toe 2-5. Hence, the maximum
load was on the 2
nd
and 3
rd
metatarsal heads in people with HV which is already
published by previous authors but the walking speed showed a significant effect
on the force variations in both group. The relative movements captured by 7
cameras in Motion Capture laboratory were monitored and it has shown the
greater movement of first and second metatarsal heads in patients with HV.
Conclusion: The observed force pattern was changing trial to trial in each indi-
vidual to have a consistent reading they asked to walk 10 times over the pres-
sure mat. After getting this, it was discovered that there is a relationship
between walking speed and maximum load applied to the forefoot. Also there
was rising load on the 2
nd
and 3
rd
metatarsal heads in HV patients. Hence, the 6