A comparison of the effectiveness of splinting, exercise and electrotherapy in women patients with hallux valgus: A randomized clinical trial

Külünkoğlu, Bahar Anaforoğlu; Akkubak, Yasemin; Çelik, Derya; Alkan, Afra

doi:10.1016/j.foot.2021.101828

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…Our study presents a new customised insole model for individuals with symptomatic HV that includes a retrocapital bar and an infracapital bar in the first metatarsal. With these supporting structures, we hypothesise a decreased overload in the metatarsal region due to the reallocation of pressures in foot structures, contributing to pain reduction 29 37 47…”

Section: Discussionmentioning

confidence: 99%

“…Cognitive and mental disorders affecting the ability to read, understand and answer the questionnaires and terms related to the study. 37 …”

Section: Methodsmentioning

confidence: 99%

“…9 33 ► Cognitive and mental disorders affecting the ability to read, understand and answer the questionnaires and terms related to the study. 37 Discontinuity criteria ► Individuals not showing up to remove the insole after the first assessment (T0). ► Individuals reporting the use of the insole for less than 6 hours/day.…”

Section: Exclusion Criteriamentioning

confidence: 99%

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Effects of custom insoles for symptomatic hallux valgus: protocol for a sham-controlled randomised trial

et al. 2023

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IntroductionHallux valgus (HV) is one of the most prevalent forefoot deformities, and its frequency increases with age, reaching nearly 23% in adulthood (females are usually more affected). Studies on customised insoles and orthoses for HV showed inconclusive results. There is no consensus in literature regarding the ideal insole or length of use for pain relief or functional improvement in individuals with HV. This study will assess the effects of a customised insole with retrocapital bar associated with an infracapital bar of the first metatarsal on pain and function of individuals with symptomatic HV.MethodsThis is the protocol for a blinded, sham-controlled randomised clinical trial. Eighty participants with symptomatic HV will be randomised into two groups (40 per group): customised insole or sham insole. Assessments will be performed at baseline (T0), six (T6) and 12 weeks (T12) of intervention. A follow-up will occur after 4 weeks of intervention (T16). The primary and secondary outcomes will be pain (Numerical Pain Scale) and function (Foot Function Index), respectively.Statistical analysisAnalysis of variance with a mixed design or Friedman’s test will be considered according to data distribution; post-hoc analyses will be performed using Bonferroni test. Time × group interaction and within-group and between-group differences will also be assessed. The intent-to-treat analysis will be used. A significance level of 5% and 95% s will be adopted for all statistical analyses.Ethics and disseminationThis protocol was approved by the research ethics committee of the Faculty of Health Sciences of Trairi/Federal University of Rio Grande do Norte (UFRN/FACISA; opinion number 5411306). The study results will be disseminated to participants, submitted to a peer-reviewed journal and presented in scientific meetings.Trial registrations numberNCT05408156.

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Section: Discussionmentioning

confidence: 99%

“…Cognitive and mental disorders affecting the ability to read, understand and answer the questionnaires and terms related to the study. 37 …”

Section: Methodsmentioning

confidence: 99%

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Effects of custom insoles for symptomatic hallux valgus: protocol for a sham-controlled randomised trial

et al. 2023

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“…(2) Results of comparative study between splinting, exercise and electrotherapy revealed that splinting exhibits much better results to improve hallux valgus angle as compared with exercise and electrotherapy. (8) Studies also show the importance of dynamic splint in reducing pain and its role in delaying subjective deterioration of the great toe in hallux valgus deformity. (1) Customized orthosis found better results than prefabricated in terms of correction of hallux valgus angle and patients' satisfaction.…”

Section: Hallux Valgus (Hv) Anglementioning

confidence: 98%

“…In such condition foot orthoses are believed to reduce the medial pressures that produce the hallux valgus deformity and symptoms associated with it. 8 Orthoses have been used to reduce the factors that are disturbed by the foot condition. In case of hallux valgus deformity studies suggest that after using static and dynamic orthoses, orthoses helps to reduce the hallux valgus angle by approximately 2-3 0 among patients with HV after one-month intervention.…”

Section: Hallux Valgus (Hv) Anglementioning

confidence: 99%

A Review of the Efficacy of Different Types of Orthoses on Hallux Valgus Angle and Pain Among the People with Hallux Valgus Deformity

Mehra,

Kataria

2023

Int J Health Sci Res

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Background: Hallux valgus is a lateral deviation of the great toe, which results in a bony prominence at the MTP joint. It is one of the most prevalent diagnoses affecting up to 23% of women, aged 18 to 65 and around 35% of women over 65 years of age are at risk of developing hallux valgus. It appears that hallux valgus is multifactorial etiology and not yet completely investigated (1). Hallux valgus has been linked with severe toe pain, impaired foot function, difficulty in fitting footwear, and decreased quality of life due to health issues. Several complicated and multifaceted variables can contribute to Hallux valgus, including wearing inappropriate footwear, abnormalities in the anatomy and mechanics of the foot, limb inequality, work-related risks, inflammatory joint disease, and genetics. (4) Due to the first metatarsal & lateral deviation in hallux valgus, the first metatarsophalangeal joint gradually subluxes. Hallux lateral deviation increases hallux valgus angle leading to the rotation of the metatarsals and the metatarsophalangeal joint to experience valgus torque, which pulls the hallux away from its articular surface resulting in pain. (2) For first-line treatment, various conservative options have been suggested, including various kinds of orthoses, splints, and physical therapy. (1) Objective: The objective of this literature review is to assess the effect of splinting on hallux valgus angle and pain among the individual with hallux valgus deformity. Study design: Literature Review Significance: The review was done to investigate the effect of splints or orthoses on hallux valgus angle and associated pain among the individuals with hallux valgus deformity because hallux valgus angle and pain are the main primary factor which are affected in this condition. Thereby reviewing the literature on the hallux valgus angle and pain will provide a clear protocol so that the application of splinting can be incorporated in a more efficient manner. Method: An electronic database search was conducted using google scholar, science direct, PubMed, Cochrane library and reference list from all the retrieved articles. Results & discussion: A total 36 research papers were quality rated. After exclusion of the studies without reported measurement reliability for associated factor for hallux valgus angle and pain, data were extracted and analyzed from 15 studies. It was found from the review of data that there was significant improvement in pain after using orthosis. About 8 studies stated significant improvement in hallux valgus angle after the use of orthoses in which type of orthosis used were 3D printed orthosis, toe separator with insole, static & dynamic splints, designed slippers with toe separator and hallufix splint. Whereas one study showed that splint can decrease subjective deterioration of the greater toe in hallux valgus deformity with the use of dynamic splint. Out of 15 studies, 5 studies clearly state that orthosis had no effect on hallux valgus angle. Conclusion: There is significant correlation between the reduction of the hallux valgus angle and pain intensity after using orthoses for hallux valgus. Toe separator and dynamic orthosis have better outcome results as compared to various other orthoses used for hallux valgus in improving the hallux valgus angle and pain. Thereby orthosis plays an important role as a conservative management by preserving the great toe’s anatomical alignment in hallux valgus deformity. Key words: hallux valgus, hallux valgus angle, splint, orthoses, pain

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Additional effect of neuromuscular electrical stimulation in a conservative intervention on morphology and strength of abductor hallucis muscle and correction of hallux valgus deformity: a randomized controlled trial

Moulodi,

Sarrafzadeh,

Azadinia

et al. 2024

Physiotherapy Theory and Practice

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A comparison of the effectiveness of splinting, exercise and electrotherapy in women patients with hallux valgus: A randomized clinical trial

Cited by 4 publications

References 26 publications

Effects of custom insoles for symptomatic hallux valgus: protocol for a sham-controlled randomised trial

Effects of custom insoles for symptomatic hallux valgus: protocol for a sham-controlled randomised trial

A Review of the Efficacy of Different Types of Orthoses on Hallux Valgus Angle and Pain Among the People with Hallux Valgus Deformity

Additional effect of neuromuscular electrical stimulation in a conservative intervention on morphology and strength of abductor hallucis muscle and correction of hallux valgus deformity: a randomized controlled trial

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