Toe-in Gait, Associated Complications, and Available Conservative Treatments: A Systematic Review of Literature
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Purpose: Toe-in gait is defined as a style of walking in which the foot turns inward. It may be caused by an increase in femoral bone an- teversion, tibia torsion, and metatarsus adductus. There are some conservative treatment approaches used to correct this condition. This review aimed to determine the effects of the toe-in gait on joint loading, kinematics, and kinetic parameters while walking. Moreover, it sought to determine the efficiency of various conservative treatments used to correct the condition. Materials and Methods: A literature search was conducted in the following databases: PubMed, Institute for Scientific Information (ISI), Web of Science database, EBSCO, and Embase, using the following keywords in toe, toe-in, toeing, in-toe, pigeon toe, and conservative treatment published between 1950 and 2021. The quality of the studies was evaluated using the Down and Black tool. Results: A total of 13 papers on the impact of toe-in gait on joint contact force, kinematics, kinetic parameters, and conservative ap- proaches to management were found. The quality of the studies varied between a score of 11 and 22. The toe-in gait influences the joint contact forces and kinematics of the joints, especially the hip and pelvis. The effects of conservative treatment on the toe-in gait appear to be controversial. Conclusion: As the toe-in gait influences the joint contact force, it may increase the incidence of degenerative joint diseases. Therefore, treatment is recommended. However, there is no strong evidence on the efficacy of conservative treatments, and there are no recom- mendations for the use of these treatments in subjects with toe-in gait.
Abstract
Purpose: Toe-in gait is defined as a style of walking in which the foot turns inward. It may be caused by an increase in femoral bone an- teversion, tibia torsion, and metatarsus adductus. There are some conservative treatment approaches used to correct this condition. This review aimed to determine the effects of the toe-in gait on joint loading, kinematics, and kinetic parameters while walking. Moreover, it sought to determine the efficiency of various conservative treatments used to correct the condition. Materials and Methods: A literature search was conducted in the following databases: PubMed, Institute for Scientific Information (ISI), Web of Science database, EBSCO, and Embase, using the following keywords in toe, toe-in, toeing, in-toe, pigeon toe, and conservative treatment published between 1950 and 2021. The quality of the studies was evaluated using the Down and Black tool. Results: A total of 13 papers on the impact of toe-in gait on joint contact force, kinematics, kinetic parameters, and conservative ap- proaches to management were found. The quality of the studies varied between a score of 11 and 22. The toe-in gait influences the joint contact forces and kinematics of the joints, especially the hip and pelvis. The effects of conservative treatment on the toe-in gait appear to be controversial. Conclusion: As the toe-in gait influences the joint contact force, it may increase the incidence of degenerative joint diseases. Therefore, treatment is recommended. However, there is no strong evidence on the efficacy of conservative treatments, and there are no recom- mendations for the use of these treatments in subjects with toe-in gait.
참고문헌 (27)
- L T Staheli, "Lower-extremity rotational problems in children. Normal values to guide management", J Bone Joint Surg Am, 67(1), pp.39~47 (1985), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Sass P, "Lower extremity abnormalities in children", Am Fam Physician, 68, pp.461~468 (2004)
- Andrea Yeo, "Normal lower limb variants in children", BMJ, pp.h3394~ (2015), BMJ[DOI]
- Behrouz Fadaei, "In-toeing and out-toeing gait conservative treatment; hip anteversion and retroversion: 10-year follow-up", Journal of Research in Medical Sciences, 20(11), pp.1084~ (2015), Medknow[DOI]
- Makoto Kamegaya, "Gait disorders and leg deformities in children", Journal of Orthopaedic Science, 7(1), pp.154~159 (2002), Elsevier BV[DOI]
- James P. Blackmur, "Do children who in-toe need to be referred to an orthopaedic clinic?", Journal of Pediatric Orthopaedics B, 19(5), pp.415~417 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Gohar Naqvi, "Proximal femoral derotation osteotomy for idiopathic excessive femoral anteversion and intoeing gait", SICOT-J, 3, pp.49~ (2017), EDP Sciences[DOI]
- Zandi B, "Correlation between femoral neck anteversion in patients with osteoarthritis of the hip and normal controls", J Patient Saf Qual Improv, 3, pp.206~210 (2015)[DOI]
- John A. Sielatycki, "In-Toeing Is Often a Primary Care Orthopedic Condition", The Journal of Pediatrics, 177, pp.297~301 (2016), Elsevier BV[DOI]
- 안재기, "Therapeutic Effect of Microcurrent Therapy in Children With In-toeing Gait Caused by Increased Femoral Anteversion: A Pilot Study", Annals of Rehabilitation Medicine, 41(1), pp.104~112 (2017), 대한재활의학회
- Christof Radler, "Torsional profile versus gait analysis: Consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity", Gait Posture, 32(3), pp.405~410 (2010), Elsevier BV[DOI]
- Marina Bruderer‐Hofstetter, "Gait deviations and compensations in pediatric patients with increased femoral torsion", Journal of Orthopaedic Research, 33(2), pp.155~162 (2014), Wiley[DOI]
- J. Nyland, "Femoral anteversion influences vastus medialis and gluteus medius EMG amplitude: composite hip abductor EMG amplitude ratios during isometric combined hip abduction-external rotation", Journal of Electromyography and Kinesiology, 14(2), pp.255~261 (2004), Elsevier BV[DOI]
- Lode Bosmans, "The role of altered proximal femoral geometry in impaired pelvis stability and hip control during CP gait: A simulation study", Gait Posture, 44, pp.61~67 (2016), Elsevier BV[DOI]
- Gul Oznur Karabicak, "The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy", Journal of Physical Therapy Science, 28(6), pp.1696~1700 (2016), Society of Physical Therapy Science[DOI]
- Alessandra Carriero, "Correlation Between Lower Limb Bone Morphology and Gait Characteristics in Children With Spastic Diplegic Cerebral Palsy", Journal of Pediatric Orthopaedics, 29(1), pp.73~79 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Alessandra Carriero, "Mechanobiological prediction of proximal femoral deformities in children with cerebral palsy", Computer Methods in Biomechanics and Biomedical Engineering, 14(3), pp.253~262 (2011), Informa UK Limited[DOI]
- Markus O. Heller, "Influence of femoral anteversion on proximal femoral loading: measurement and simulation in four patients", Clinical Biomechanics, 16(8), pp.644~649 (2001), Elsevier BV[DOI]
- Taly Amichai, "The effects of femoral derotation osteotomy in children with cerebral palsy: an evaluation using energy cost and functional mobility", Journal of Pediatric Orthopaedics, 29(1), pp.68~72 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Anthony Charles Redmond, "An Evaluation of the Use of Gait Plate Inlays in the Short-Term Management of the Intoeing Child", Foot Ankle Int, 19(3), pp.144~148 (1998), SAGE Publications[DOI]
- Raquel Ehlert, "Cerebral palsy: Influence of TheraTogs ® on gait, posture and in functional performance", Fisioterapia em Movimento, 30(2), pp.307~317 (2017), FapUNIFESP (SciELO)[DOI]
- Schumacher C, "A movement manipulator to introduce temporary and local perturbations in human hopping", 7th IEEE International Conference on Biomedical Robotics and Biomechatronics (Biorob), pp.940~947 (2018)
- Ehab Mohamed Abd El-Kafy, "The clinical impact of orthotic correction of lower limb rotational deformities in children with cerebral palsy: a randomized controlled trial", Clinical Rehabilitation, 28(10), pp.1004~1014 (2014), SAGE Publications[DOI]
- Amirreza Naseri, "Neuromechanical force-based control of a powered prosthetic foot", Wearable Technologies, 1, pp.E6~ (2020), Cambridge University Press (CUP)[DOI]
- Veronica Cimolin, "Are knee kinematic anomalies in swing due to rectus femoris spasticity different from those due to femoral anteversion in children with cerebral palsy? A quantitative evaluation using 3D gait analysis", Journal of Pediatric Orthopaedics B, 19(3), pp.221~225 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Brand RA, "Joint contact stress : a reasonable surrogate for biological processes?", Iowa Orthop J, 25, pp.82~94 (2005)
- Susana Meireles, "Medial knee loading is altered in subjects with early osteoarthritis during gait but not during step-up-and-over task", PLOS ONE, 12(11), pp.e0187583~ (2017), Public Library of Science (PLoS)[DOI]
