Metatarsal bars more effective than metatarsal pads in reducing impulse on the second metatarsal head |
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Authors: | Annie Deshaies Patrice Roy Panagiotis D Symeonidis Bernard LaRue Norman Murphy Éric Anctil |
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Institution: | aUniversity of Sherbrooke Hospitals, Orthopaedic Service, CHUS-Hôtel Dieu, 580, rue Bowen sud, Sherbrooke, Québec J1G 2E8, Canada;bClinique Podiatrique de l’Estrie, 1135 Boul Jacques-Cartier, Sherbrooke, Québec J1J 3A8, Canada;cE.Amynis 18, 54621 Thessaloniki, Greece;dTekscan, 4710 des Chanterelles, Rock-Forest, Québec J1N 4J6, Canada |
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Abstract: | BackgroundThe second metatarsal head is commonly involved in cases of metatarsalgia. As part of the conservative treatment, metatarsal bars and metatarsal pads are often prescribed.ObjectiveTo compare the effectiveness of metatarsal bars and metatarsal pads in reducing impulse on the second metatarsal head.MethodThirty-five healthy subjects were monitored with an insole scanning system during walking in four different conditions: (a) wearing shoes only, (b) shoes plus metatarsal pads and shoes plus metatarsal bars, placed either (c) perpendicular to the foot axis or (d) oblique to the foot axis. The impulse under the second metatarsal head was measured using the first condition as a control. Both feet were examined in each subject resulting in a total of 840 measurements.ResultsBoth metatarsal bars and metatarsal pads were effective in reducing impulse when compared with the control (P < 0.01). Metatarsal bars were found to be more effective in reducing impulse as compared to the metatarsal pads (P < 0.01), and the oblique position of the bars was more effective than the perpendicular one (P < 0.01).ConclusionsThe greatest reduction of impulse on the second metatarsal head in healthy subjects is achieved with the use of metatarsal bars in an oblique position. |
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Keywords: | Metatarsalgia Impulse Pads Bars |
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