Effectiveness of the custom-mold room temperature vulcanizing silicone toe separator on hallux valgus

Chadchavalpanichaya, Navaporn; Prakotmongkol, Voraluck; Polhan, Nattapong; Rayothee, Pitchaya; Seng-Iad, Sirirat

doi:10.1177/0309364617698518

Cited by 22 publications

(47 citation statements)

References 18 publications

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“…Eighty seven full texts were screened and 76 were excluded. Eleven studies were included in the final analysis [ 42 , 43 , 44 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 ]. The identification process is shown by a flow diagram, which is in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

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Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis

Ying

Bíró

et al. 2021

IJERPH

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Background: Hallux valgus (HV) deformity is a common, potentially debilitating deformity. And evidence with high-quality for the conservative treatments of HV deformity is still required.; AIMS: To compare the effects of different conservative treatments for hallux valgus deformity by using the method of network meta-analysis.; Study Design: A systematic review and network meta-analysis of randomized controlled trials identified by searching PubMed, EMBASE, MEDLINE, OVID, and CINAHL. The included studies should have the characteristics that: (1) participants with hallux valgus deformity of any age (2) conservative treatments (3) Reported the hallux valgus (HVA), the intermetatarsal angle (IMA), the score of the Visual Analog Scale, and the score of Foot Function Index.; Results: 11 studies were included in this review. The agreement between reviewers reached a kappa value of 0.75. The results of the network meta-analysis showed that a combination of exercise and toe separator, night splints, and dry needling are most likely to be the best choice for reducing the hallux valgus angle (HVA) and intermetatarsal angle, and toe separators (with or without exercise), dry needling, and manipulation (with or without ice treatment) have advantages in improving the subjective feeling of patients.; Conclusions: Multi-disciplinary conservative treatments have a great potential for hallux valgus deformity. More research with high-quality is needed to give a comprehensive and reasonable scheme of a holistic and long-term treatment protocol.

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Section: Resultsmentioning

confidence: 99%

“…At the same time, mobilization and manipulation are often selected as treatment options or assistive treatment options. The results of two small preliminary studies suggest that graded mobilization and manipulation may improve pain and function in the short term, but further study of the long-term effects is needed [ 42 , 43 ].…”

Section: Introductionmentioning

confidence: 99%

Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis

Ying

Bíró

et al. 2021

IJERPH

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“…The static orthosis with a toe separator tested by Moulodi et al 38 also showed a significant positive HVA correction of 2.67° in the HV group (SMD: 0.75, 95% CI: 0.143 to 1.325). Chadchavalpanichaya et al 36 developed a custom-moulded room temperature vulcanising (RTV) toe separator, which helps to correct the HVA by 2.1° in the HV group (SMD: 0.41, 95% CI: −0.012 to 0.827). The pooled estimation for orthoses with a toe separator was further investigated that the effect is medium (SMD: 0.50, 95% CI: 0.189 to 0.803) with I 2 14.52%.…”

Section: Resultsmentioning

confidence: 99%

Hallux valgus orthosis characteristics and effectiveness: a systematic review with meta-analysis

et al. 2021

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ObjectiveThe treatment effect of orthoses for hallux valgus (HV) is unclear with little interventional studies, the design involves multiple complex factors, and therefore a systematic analysis with meta-analysis is necessary. The objective of this systematic review and meta-analysis is to determine whether current foot orthoses are effective in treating HV.DesignSystematic review with meta-analysis.Data sourcesElectronic databases (PubMed, Scopus, Cinahl and Medline) are searched up to February 2020.Eligibility criteria for selecting studiesInterventional studies with content focus on HV orthosis design and any of the outcomes related to effectiveness for treating HV are included. The standardised mean differences are calculated. The risk of bias in included studies is assessed using the Cochrane Collaboration’s risk of bias tools.ResultsIn total, 2066 articles are identified. Among them, nine are selected and quality rated, and data are extracted and closely examined. A meta-analysis is conducted, where appropriate. The main causes of potential bias are missing outcome data and outcome measurement error. The results show that orthosis with a toe separator has the best effect of correcting the HV angle (standardised mean difference: 0.50, 95% CI: 0.189 to 0.803).ConclusionThe orthoses design with a toe separator or an element that allows for the foot anatomic alignment is critical for reducing the HV angle and relieving foot pain. The results contribute to a better selection of treatment for patients.PROSPERO registration numberCRD42021260403.

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“…Among those, the application of foot and toe orthoses to correct the alignment of the first metatarsophalangeal joint is preferred for minor to moderately severe HVD [12,13]. However, previous studies on the effect of foot and toe orthoses in HVD have only verified relatively simple variables such as satisfaction with wearing a foot and toe orthosis or changes in the angle of the big toe spread [11][12][13]. Thus, verification of the effects of kinetic variables such as the ground reaction force (GRF) through three-dimensional (3D) gait analysis according to the various type of orthoses for HVD is lacking.…”

Section: Yong-wook Kimmentioning

confidence: 99%

Effects of Hallux Valgus Orthoses on Ground Reaction Force Using 3D Motion Analysis in Individuals With Hallux Valgus Deformity

Kim

2020

Physical Therapy Korea

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Effectiveness of the custom-mold room temperature vulcanizing silicone toe separator on hallux valgus

Cited by 22 publications

References 18 publications

Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis

Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis

Hallux valgus orthosis characteristics and effectiveness: a systematic review with meta-analysis

Effects of Hallux Valgus Orthoses on Ground Reaction Force Using 3D Motion Analysis in Individuals With Hallux Valgus Deformity

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