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Effect of Medial Arch Support Foot Orthosis on Pressure Distribution and Peak Pressure in Women with Hallux Valgus Fitri, Rahma Maulida; Triyani, Triyani; Lestari, Tri Riana; Silmia, Ana
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1251

Abstract

Background: Hallux Valgus (HV) entails a deformity of the hallux, resulting in heightened pressure on both the hallux and forefoot. One potential intervention involves utilizing foot orthoses with medial arch support. Aims: This study aimed to assess the impact of medial arch support foot orthoses on pressure distribution and peak pressure among women exhibiting mild to moderate hallux valgus. Methods: The research employed a quasi-experimental design, employing a one-group pretest-posttest methodology with 16 participants. Data collection involved recording pressure distribution and peak pressure via foot scans before and after one month of utilizing Medial Arch Support Foot Orthoses. Parametric analysis utilized a paired T-test. Results: The findings indicated a significant reduction in peak pressure, particularly in toe 1 and the metatarsal region (p < 0.005). However, there were no notable alterations in pressure distribution (p > 0.005), although a shift in mean pressure distribution from 21.94 to 22.63 was observed in the right forefoot. Conclusion: Medial arch support foot orthoses demonstrated efficacy in altering pressure distribution and mitigating peak pressure, thereby presenting as a viable intervention for individuals with hallux valgus. Future research should consider incorporating additional variables, such as spatiotemporal differences, both pre- and post-utilization of medial arch support foot orthoses.
The Effect of Prosthesis Socket Variations on Gait Deviation in Patients with Transfemoral Short Stumps: A Case Study Silmia, Ana; Hjelmström, Olle; Karma, Agusni; Ns. Widada
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (18.449 KB) | DOI: 10.36082/jpost.v1i2.872

Abstract

Background: The most common problem in patient transfemoral short stump is lack of stability during walking and creates gait deviation. One of the things that can increase the stability is which socket that used. Socket is the most important part of prosthesis for increasing stability for the patient itself. Because of that really important to decide which socket that has gait deviation close to normal especially for patient transfemoral short stump. Objectives: To know which socket that has gait deviation especially for lateral trunk bending and abducted gait those close to normal gait for patient transfemoral short stump with using quadrilateral socket and IC socket. Methods: This research is using case study method. Sample of this research is patient transfemoral short stump, male, 54 years old. Patient asked for use quadrilateral socket and IC socket 2 days each. Observation of gait deviation is using recorder. Degree of lateral trunk bending and distance of abducted gait were measured by recording in 2nd meter until 6th meter. This research has done in Clinic ortothotics prosthetics Poltekkes Kemenkes Jakarta I. Results: Result of the research shows that socket that have gait deviation less than ideal normal espsecially degree of lateral trunk bending and distance of abducted gait  is IC socket compare to quadrilateral socket. Degree of lateral trunk bending while using ic socket got 10,07° but for quadrilateral socket got 12,57° with ideal normal is 11,32°. Distance of abducted gait for IC sockets is 25,8 cm but quadrilateral is 29 cm with distance ideal normal is 27,4 cm. Conclusion: This research shows that there is any effect of difference sockets toward gait deviation especially lateral trunk bending and abducted gait for patient transfemoral short stump. From this research get results socket that better for patient transfemoral short stump is IC socket.