PDF(Pubmed)
Abstract：
BACKGROUND: The hallux plays a crucial role in maintaining standing balance and facilitating forward and backward movements during gait.
METHODS: 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.
CONCLUSIONS: 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.
METHODS: 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.
CONCLUSIONS: 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.
摘要：
背景：hallux在步态过程中保持站立平衡和促进前后运动中起着至关重要的作用。
方法：一名21岁的日本患者，患有创伤性拇指缺陷，只有一部分基底指骨完好无损，接受了康复治疗。鱼际区域表现出不稳定性，导致平衡受损和行走困难。生物力学评估显示需要对足部进行康复策略，还有膝盖,臀部,和树干。康复方案旨在增强步行和站立过程中的足内侧负荷，包括平衡和躯干力量训练。经过12周的康复期，患者的步态明显改善。具体来说,受影响侧步态周期的负载响应和单支撑阶段从46.9％增加到49.3％，而摆动前阶段则由14.6%降至11.6%。地面反作用力的垂直分量从599.8上升到647.5N。平衡训练增强的稳定性和增加的肌肉力量有助于患者改善步行和平衡。
结论：一名外伤性拇指缺损患者根据生物力学评估，通过策略性康复进行保守治疗。此病例报告强调了生物力学步态分析在保守治疗类似疾病中的价值。
方法：一名21岁的日本患者，患有创伤性拇指缺陷，只有一部分基底指骨完好无损，接受了康复治疗。鱼际区域表现出不稳定性，导致平衡受损和行走困难。生物力学评估显示需要对足部进行康复策略，还有膝盖,臀部,和树干。康复方案旨在增强步行和站立过程中的足内侧负荷，包括平衡和躯干力量训练。经过12周的康复期，患者的步态明显改善。具体来说,受影响侧步态周期的负载响应和单支撑阶段从46.9％增加到49.3％，而摆动前阶段则由14.6%降至11.6%。地面反作用力的垂直分量从599.8上升到647.5N。平衡训练增强的稳定性和增加的肌肉力量有助于患者改善步行和平衡。
结论：一名外伤性拇指缺损患者根据生物力学评估，通过策略性康复进行保守治疗。此病例报告强调了生物力学步态分析在保守治疗类似疾病中的价值。
