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Effects of Rearfoot-Controlling Orthotic Treatment on Dorsiflexion of the Hallux in Feet with Abnormal Subtalar Pronation

A Preliminary Report

Pedro V. Munuera Department of Podiatry, School of Health Sciences, University of Seville, Seville, Spain.

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Gabriel Domínguez Department of Podiatry, School of Health Sciences, University of Seville, Seville, Spain.

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Inmaculada C. Palomo Department of Podiatry, School of Health Sciences, University of Seville, Seville, Spain.

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Guillermo Lafuente Department of Podiatry, School of Health Sciences, University of Seville, Seville, Spain.

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The aim of this study was to determine whether the treatment of abnormal subtalar pronation restores functional (as opposed to structural) limited dorsiflexion of the first metatarsophalangeal joint (functional hallux limitus). We studied 16 feet of eight individuals with abnormal subtalar pronation. Orthoses were made for all of the feet, and hallux dorsiflexion was measured during weightbearing. Each patient was unshod without the orthosis, unshod with the orthosis fitted on the same day, and unshod with the orthosis fitted approximately 5 months later. The results suggest that in functional hallux limitus caused by abnormal subtalar pronation, hallux dorsiflexion will gradually be restored by the use of foot orthoses to control the abnormal subtalar pronation. (J Am Podiatr Med Assoc 96(4): 283–289, 2006)

Corresponding author: Pedro V. Munuera, DipPod, Centro Docente de Fisioterapia y Podología, Escuela Universitaria de Ciencias de la Salud, C/ Avicena, s/n 41009 Seville, Spain.
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