Hello,
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After much reading I think I have a basic understanding of the concept and biomechanics of FnHL and the role of reduced first ray dorsiflexion stiffness.... however I just can't seem to translate that into an effective clinical test.
I am pretty confident that I personally have FnHL bilaterally and already have the very early signs degenerative changes in the joints.
Non-weightbearing I have a good 60*+ of dorsiflexion. Using one clinical method of assessment, I stand in relaxed stance and try to lift / dorsiflex my hallux it is near on impossible - suggesting a FnHL. But when I take one of my feet and place it in a neutral position and load up the 1st met head forcefully with my thumb (dorsiflex the first ray) and then load the plantar aspect of the hallux to dorsiflex it, the hallux dorsiflexes fairly easily and the met head plantarflexes and the windlass engages properly.
Why the negative result using one clinical method and the positive result using another? What is the best and most reliable test for FnHL? And should we be testing everybody for FnHL?
Thanks
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Increased Tibial Strain in Forefoot Striking
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Help please! Lateral heel strike with dorsiflexed hallux
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Increased Tibial Strain in Forefoot Striking
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Help please! Lateral heel strike with dorsiflexed hallux
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