Hammertoe
Conditions
Keywords
Hammertoe, Plantar pressure
Brief summary
This study looks at how hammertoe deformities affect foot pressure distribution and whether proper treatment can improve quality of life.
Detailed description
Hammertoe deformities often lead to pain, discomfort, and difficulty with walking. People affected by these deformities are also at a higher risk for developing pressure-related ulcers on their feet. It is essential for clinicians to be aware of this risk and to assess the degree of plantar pressure reduction following both conservative and surgical treatments, as alleviating this pressure may help prevent the development of foot ulcers. Individuals diagnosed with hammertoes will participate in two data collection sessions-one visit before the intervention begins (pre-intervention) and another visit three months after the intervention (post-intervention).
Interventions
OTHERConservative
Patients with hammertoe deformities will undergo conservative treatments, including wearing proper shoes, insoles, and custom orthotics.
PROCEDURESurgical
Patients with hammertoe deformities will undergo surgical treatments.
Sponsors
University of Texas Rio Grande Valley
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Confirmed distal symmetric sensory neuropathy. * MTPJ hyperextension deformity. * Claw or hammer toe deformity in toes.
Exclusion criteria
* Non-hammertoe foot deformities affecting metatarsal head pressure. * Limited joint mobility, lower-limb amputation, or Charcot neuro-osteoarthropathy. * Peripheral vascular disease * Non-diabetic neuropathies * Significant lower-limb musculoskeletal issues * Rheumatoid arthritis * Current foot ulcer or edema * Inability to walk unaided * MRI contraindications * Morton's neuroma * History of foot surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In-shoe Peak Plantar Pressure | Pre-intervention, Post-intervention (3 months) | In-shoe peak plantar pressure data will be recorded as patients walk with a pressure-measuring sensor placed inside their shoes. The unit will be Kilopascal (kPa). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life Questionnaire | Pre-intervention, Post-intervention (3 months) | Medical Outcomes Study 36-item Short Form questionnaires (SF-36) will be used to assess the quality of life. The SF-36 form has four subsections: pain, distance, walking speed, and stair climbing. Each subsection score ranges from 0 to 100 (where 0 is the worst, and 100 is the best health status). |
Countries
United States
Contacts
Primary ContactHafizur Rahman, PhD
Outcome results
None listed