ASPECTS OF THE IMPORTANCE OF FIRST METATARSOPHALANGEAL JOINT IN THE PROCESS OF GAIT RECOVERY

Abstract

The purpose of the present scientific research is to take into consideration the importance of rehabilitation of the first metatarsophalangeal joint in the process of physio cycling in order to recover the gait. Hypothesis: patients over 55 age has hallux rigidus that determine the vicious angulation of the ankle by reduction of the normal range of motion. The aim of this research is to analyses the possibility of applying kinetic programs for the first metatarsophalangeal joint too, in the process of horizontal cycling. Recovering the independence of gait in order to improve the quality of life it is a crucial factor of rehabilitation. Materials and Methods: 19 patients over 55 years age, period November 2020- March 2021 diagnosed with different pathologies (excluding amputation) that affects lower limbs and with indication for physiotherapy and Visual Analog Scale maxim 4.
Determination of active dorsiflexion and active plantarflexion of the first metatarsophalangeal joint was proceed according to American Medical Association scale of grading. Pearson correlation between right and left foot of the first metatarsophalangeal joint are strong. The most common grade is 3 both for left and right foot on dorsiflexion and plantarflexion, approximately equal distribution on gender. Kinetic program can be used only for the first 3 grades according AMA and hallux rigidus severity grades 0-2. In the process of gait recovery may be possible physiotherapy for 12 patients for the 1st MTF joint among the other programs for kinetic chain.