Evidence map›Paper›PMID 38254082›Full record

ArticleBMC musculoskeletal disorders2024

The effect of varus rearfoot wedges on hallux dorsiflexion resistance.

Álvaro Gómez-Carrión, José Manuel Reguera-Medina, Ignacio Ayerra-Andueza, Juan Francisco Cortés-Morán, Alfonso Martínez-Nova, Rubén Sánchez-Gómez

Erratum issuedAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Álvaro Gómez-CarriónNursing Department, Faculty of Nursing, Physiotherapy, and Podiatry, Universidad Complutense de Madrid, Madrid, 28040, Spain. alvgom25@ucm.es.
José Manuel Reguera-MedinaClinical Sanipie, Utrera, Sevilla, 41704, Spain.
Ignacio Ayerra-AnduezaClinical Ayerra, Almeria, 04001, Spain.
Juan Francisco Cortés-MoránNursing Department, Universidad de Extremadura, Plasencia, 10600, Spain.
Alfonso Martínez-NovaNursing Department, Universidad de Extremadura, Plasencia, 10600, Spain.
Rubén Sánchez-GómezNursing Department, Faculty of Nursing, Physiotherapy, and Podiatry, Universidad Complutense de Madrid, Madrid, 28040, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe first metatarsophalangeal joint (MTPJ), which includes the first metatarsal and proximal phalanx, plays a crucial role in gait and impacts the windlass mechanism. Disruptions to this mechanism are implicated in various foot pathologies. Jack's Test serves as a valuable tool for clinicians to assess the functionality of the MTPJ. Varus rearfoot wedges (VRFWs) are a common treatment employed in the management of lower limb pathologies. The impact of VRFWs on the resistance of the first MTPJ during Jack´s Test is currently unknown. This study aimed to measure the influence of VRFWs on the resistance of the first MTPJ during Jack´s Test. The secondary objective was to validate a new measurement method using a digital force gauge.

methodsThirty participants (17 women and 13 men) were enrolled. A digital force gauge measured the weight-bearing force needed for Jack's Test, thereby evaluating the effects of VRFWs of different angulations. The Kolmogorov-Smirnov test confirmed that the data followed a normal distribution (p > 0.05). The nonparametric Friedman test (p < 0.001) showed that there were significant differences among all VRFWs, while the Wilcoxon test (p < 0.001) showed that there were differences between barefoot conditions and 3°, 5°, and 8° VRFWs.

resultsThe use of 8° VRFWs yielded a statistically significant reduction in the passive dorsiflexion force of hallux during Jack's Test (12.51 N ± 4.12, p < 0.001).

conclusionsThe use of VRFWs has been observed to reduce dorsiflexion resistance in the proximal phalanx of the first MTPJ during Jack's Test. Additionally, the digital force gauge was proven to be a valid tool for conducting Jack's Test, thus offering a reliable measurement method.

Indexed as

HalluxMetatarsal BonesFemaleFootGaitHumansLower ExtremityMaleForceJack´s TestMetatarsophalangeal jointProximal phalanxResistanceVarus rearfoot wedges

Identifiers

PMID38254082
PMCPMC10801971

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.