Hallux Valgus, Pain
Conditions
Keywords
hallux valgus, pain, conservative, treatment
Brief summary
The main aim of this study was to find the initial effects of kinesiotaping on pain and joint alignment used in the conservative treatment of hallux valgus. 22 female patients diagnosed with hallux valgus participated in this study. Kinesiotaping was implemented after the first assessment and renewed in the 3rd, 7th and 10th days. The main outcome measures were the pain hallux adduction angle. Kinesiotaping may be an effective treatment option in decreasing pain and deformity in hallux valgus deformity who are conservatively treated. In future studies this method might be shown in larger sample groups at longer periods of treatment comparing with alternative treatment approaches like exercise or orthotics.
Detailed description
Hallux valgus is a common pathologic entity affecting the great toe. Taping is an alternative method used to treat hallux valgus. The main aim of this study was to find the initial effects of kinesiotaping on pain and joint alignment used in the conservative treatment of hallux valgus. 22 female patients diagnosed with 13 bilateral, 7 right, 2 left totally 35 with hallux valgus participated in this study. Kinesiotaping was implemented after the first assessment and renewed in the 3rd, 7th and 10th days. The main outcome measures were the change in pain was assessed by using Visual Analogue Scale (VAS) and hallux adduction angle was measured by the universal goniometry. Secondary outcome measures were Patients' functional status was measured by Foot Function Index (FFI) and AOFAS. The plain radiographic results were also measured before and after 1-month of treatment. Pain and disability was controlled by KinesioTape® implementation in patients with hallux valgus. Kinesiotaping may be an effective treatment option in decreasing pain and deformity in hallux valgus deformity who are conservatively treated. In future studies this method might be shown in larger sample groups at longer periods of treatment comparing with alternative treatment approaches like exercise or orthotics.
Interventions
DEVICEkinesiotaping
correction method was used to align hallux.
Sponsors
Hacettepe University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Hallux adduction angle between 15-40º * Pain intensity higher than 5 according to VAS * 20- 45 years age female * No trauma, surgery history * Surgery is indicated but the patient is willing to try conservative treatment options
Exclusion criteria
* Fracture, surgery history on the great toe * Systematic disease (Rheumatoid Arthritis, Systematic Lupus Erythematosus Diabetes) * Using NSAID, analgesic drug * Hallux rigidus diagnosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adduction Angle of Hallux With X RAY | up to 30 days after the treatment | X ray was obtained in non-weight bearing sitting position. It's aimed to see the treatment effects kinesio taping |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FFI | baseline, on the 3rd, 7th, 10th and 30th days during the treatment | We aimed to see the change in functional status with FFI (Foot function index) scale The FFI is a self-administered index consisting of 23 items divided into 3 sub-scales used to score each question on a scale from 0 (no pain or difficulty) to 10 (worst pain imaginable or so difficult it required help) that best describes the patients' foot over the past week. Patients were instructed to mark a VAS score for each question. The total score was calculated using only the questions answered. |
| Adduction Angle | baseline and 30th days. | we aimed to see the change in hallux valgus angle during treatment. |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Kinesiotaping all patients were implemented a kinesiotaping to align the hallux to correct position
kinesiotaping: correction method was used to align hallux. | 22 |
| Total | 22 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 2 |
Baseline characteristics
| Characteristic | Kinesiotaping |
|---|---|
| Age, Continuous | 43.3 years STANDARD_DEVIATION 13.3 |
| Sex: Female, Male Female | 22 Participants |
| Sex: Female, Male Male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 22 |
| serious Total, serious adverse events | 0 / 22 |
Outcome results
Primary
Adduction Angle of Hallux With X RAY
X ray was obtained in non-weight bearing sitting position. It's aimed to see the treatment effects kinesio taping
Time frame: up to 30 days after the treatment
Population: 35 feet's X Ray results were obtained from 22 patients before treatment protocol was performed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Kinesiotaping Implementation | Adduction Angle of Hallux With X RAY | before treatment protocol | 22.6 degrees | Standard Deviation 5 |
| Kinesiotaping Implementation | Adduction Angle of Hallux With X RAY | after treatment was ceased | 19.3 degrees | Standard Deviation 5.3 |
Secondary
Adduction Angle
we aimed to see the change in hallux valgus angle during treatment.
Time frame: baseline and 30th days.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Kinesiotaping Implementation | Adduction Angle | before treatment protocol | 20.2 degrees | Standard Deviation 4.7 |
| Kinesiotaping Implementation | Adduction Angle | after treatment was ceased (30th day) | 14.3 degrees | Standard Deviation 5 |
Secondary
FFI
We aimed to see the change in functional status with FFI (Foot function index) scale The FFI is a self-administered index consisting of 23 items divided into 3 sub-scales used to score each question on a scale from 0 (no pain or difficulty) to 10 (worst pain imaginable or so difficult it required help) that best describes the patients' foot over the past week. Patients were instructed to mark a VAS score for each question. The total score was calculated using only the questions answered.
Time frame: baseline, on the 3rd, 7th, 10th and 30th days during the treatment
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Kinesiotaping Implementation | FFI | before treatment protocol | 3.2 units on a scale | Standard Deviation 1.6 |
| Kinesiotaping Implementation | FFI | after treatment was ceased (30th day) | 0.84 units on a scale | Standard Deviation 1.24 |