Hallux Valgus Deformity
Conditions
Keywords
hallux valgus, toe spread out, physiotherapy, ultrasound, surface electromyography
Brief summary
The aim of this study was to determine the effects of 8 weeks of supervised in addition to stretching exercise resisted concentric and eccentric contraction protocol of toe spread out exercise on the angular severity of hallux valgus deformity, changes in the cross-sectional area, stiffness and thickness of the abductor hallucis muscle, electromyographic activities, plantar pressure distribution, foot morphology and gait characteristics, balance and physical performance at the end of the medium and long term.
Interventions
OTHERResisted Toe Spread Out Exercise
new resistance exercise phase in addition to the standard protocol
Standart protocol of toe spread out exercise
OTHERStretching exercise
Toe stretching
Sponsors
Bahar Anaforoglu
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
Randomised controlled
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Being between the ages of 18-65, * Being diagnosed with mild or moderate HV according to the radiographic evaluation result, * Having flexible HV, * Being a volunteer
Exclusion criteria
* Having a neurological disease, * Having a systemic disease, * Having cognitive disorders such as dementia, Alzheimer's, etc., * Having spinal problems such as disc herniation, lumbar stenosis, scoliosis, etc., * Having claudication, * Having idiopathic numbness, tingling, etc. complaints in the lower extremity, * Having had lower extremity surgery before, * Having a fracture, ligament, or muscle injury in the lower extremity within the last 6 months, * Having received foot-related treatment within the last 6 months. * Not understanding the exercises, * Not being able to continue with exercise sessions, * Low homework exercise compliance, * Foot structure not suitable for elastographic US examination, * Incorrectly measured elasticity values in SWE, * Not participating in the first or last evaluation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hallux Valgus Angle | Before treatment, after 6 months | A radiographic measurement (°) The angle created between the lines that longitudinally bisect the proximal phalanx and the first metatarsal. |
| Intermetatarsal angle | Before treatment, after 6 months | A radiographic measurement (°) The term intermetatarsal angle alone typically refers to assessment of the first and second metatarsals |
| Hallux Interphalangeal Angle | Before treatment, after 6 months | A radiographic measurement (°) The hallux interphalangeal angle is between the proximal and distal phalanx of the great toe and serves for the evaluation of toe deformity at the level of the first interphalangeal joint. |
| Distal Metatarsal Articular Angle | Before treatment, after 6 months | A radiographic measurement (°) The distal metatarsal articular angle (DMAA) evaluates the relationship between the longitudinal axis and the articular surface of the first metatarsophalangeal joint and thus metatarsophalangeal coverage or joint congruity on a weight-bearing dorsoplantar radiograph of the foot. |
| Sesamoid Position Classification | Before treatment, after 6 months | A radiographic measurement (1-7 grades) The medial sesamoid position would be classified into 7 grades by the respective circle as the position of the medial sesamoid. |
| Length of the First Metatarsal | Before treatment, after 6 months | A radiographic measurement Length of the first metarsal (centimeter) |
| Surface Electromyography | Before first treatment, after 8 weeks, and after 6 months | Maximum volunteer isometric contarction (MVIC) of m. abductor hallucis |
| Cross Sectional Area | Before treatment, after 8 weeks, after 6 months | CSA of m. abductor hallucis with ultrasound (cm²) CSA: In muscle physiology, physiological cross-sectional area (PCSA) is the area of the cross section of a muscle perpendicular to its fibers, generally at its largest point |
| Dorsoplantar Thickness | Before treatment, after 8 weeks, after 6 months | Measurement muscle thickness (m. abductor hallucis) with ultrasound (cm) |
| Mediolateral Width | Before treatment, after 8 weeks, after 6 months | Measurement muslce width (m. abductor hallucis) with ultrasound (cm) |
| Shear Wave Elastography | Before treatment, after 8 weeks, after 6 months | Measurement SWE with ultrasound (m. abductor hallucis) (cm) |
| Plantar load | Before treatment, after 8 weeks, after 6 months | Measurement with plantar pressure distrubiton analysis (kg/cm²) |
| Loads per unit of plantar segments | Before treatment, after 8 weeks, after 6 months | Measurement with plantar pressure distrubiton analysis (kg/cm²) |
| Changes of loads during gait | Before treatment, after 8 weeks, after 6 months | Measurement with plantar pressure distrubiton analysis (kg/cm²) |
| Gait-time graph | Before treatment, after 8 weeks, after 6 months | Measurement with plantar pressure distrubiton analysis (%) |
| Maximum and average pressures | Before treatment, after 8 weeks, after 6 months | Measurement with plantar pressure distrubiton analysis (kg/cm²) |
| Plantar Contact area | Before treatment, after 8 weeks, after 6 months | Measurement with plantar pressure distrubiton analysis (cm²) |
| Plantar contact time | Before treatment, after 8 weeks, after 6 months | Measurement with plantar pressure distrubiton analysis (msn) |
| Balance measurement | Before first treatment, after 8 weeks, and after 6 months | Y-balance test |
| Physical performance tests | Before first treatment, after 8 weeks, and after 6 months | Gait speed (10 meter), Climbing stairs speed (10 meter) |
| Multidimensional Nil Hallux Valgus Scale | Before first treatment, after 8 weeks, and after 6 months | The scale has a score range of 0-60, with higher score indicating increased HV symptoms, complaints, and functional disorder. |
Contacts
Primary ContactBahar Anaforoğlu Anaforoğlu, Associate Professor
Backup ContactMahmut Beşli, Master of Physical Therapy
Outcome results
None listed