PTOTOtherJournal of physical therapy science2025

Noncontact of the unilateral hallux with the ground reduces forward limits of stability while standing.

Hidehito Tomita, Mizuho Tsukeshiba, Yuna Matsukura and 5 others

PMID 39764301

WHAT IT FOUND

Taping the big toe off the ground reduced how far people could lean forward without stepping.

This effect was stronger when leaning toward the taped side. Quiet standing balance was unaffected, suggesting the toe matters mainly during forward reaching tasks.

Key findings

01Noncontact of the unilateral hallux with the ground significantly reduced the forward limit of stability in both younger and older adults.

02The reduction in forward limit of stability was greater when leaning toward the side of the taped toe compared to the opposite side.

03Quiet standing balance did not change significantly when the hallux was taped off the ground.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The study used taping to simulate toe noncontact, which does not replicate the full pathology of conditions like hallux valgus, including pain or muscle weakness. Only the right toe was manipulated, so results may not apply to bilateral noncontact. The sample size was relatively small, and sex-related differences were not examined. Participants were healthy adults without existing foot deformities, so findings may not generalize directly to patients with severe pathology.

Declared interests

The authors declare no competing financial interests. The study was supported by a research grant from Toyohashi SOZO University for English editing.

The easy way to misread this

Do not assume that taping the toe off the ground fully mimics the balance deficits of patients with hallux valgus or floating toes. The study simulated only the mechanical loss of contact, not the pain, weakness, or sensory loss that often accompany these conditions.

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