Activity-Oriented Exercise Intervention For Hallux Valgus Deformity In Women

Abstract

Background: The aim of the current study is to investigate the effects of activity-based exercise intervention for hallux valgus deformity. Materials and Methods: Forty women with hallux valgus deformity were included in the study and the participants were divided into two groups as intervention and control (intervention group 37.8 ± 7.20 years, control group 37.3±2.61 years). Before and after the 8-week intervention programme hallux valgus angle, activity-specific balance scale, dynamic gait index and foot function index were measured. Results: According to the results of the study in the intervention group, the hallux valgus angle decreased significantly in both the right and left feet after the treatment, and a significant improvement was obtained in the activity specific balance confidence scale, foot function index, pain, disability, activity limitation, and total score of foot function index (p<0.001). When the intervention and control groups were compared after the intervention, a significant difference was found in favor of the intervention group in the foot function index and pain, disability and total score parameters of the dynamic gait index (p<0.001). Conclusions: The results of our research reveal that the exercise applied for hallux valgus is effective in terms of balance, walking and function. It has been demonstrated that activity-based exercise is a good option in the treatment of hallux valgus, which is a very common deformity that should be taken seriously.

Keywords

• Hallux Valgus
• Exercise
• Activity

Kadınlarda Hallux Valgus Deformitesine Yönelik Aktivite Odaklı Egzersiz Müdahalesi

Abstract

Amaç: Bu çalışmanın amacı, halluks valgus deformitesi için aktiviteye dayalı egzersiz müdahalesinin etkilerini araştırmaktır. Materyal ve Metod: Çalışmaya halluks valgus deformitesi olan 40 kadın dahil edildi ve katılımcılar müdahale ve kontrol olarak iki gruba ayrıldı (müdahale grubu 37.8 ± 7.20 yıl, kontrol grubu 37.3±2.61 yıl). Müdahale grubunda 8 haftalık egzersiz programı öncesi ve sonrasında halluks valgus açısı, aktiviteye özel denge skalası, dinamik yürüme indeksi ve ayak fonksiyon indeksi ölçüldü. Bulgular: Müdahale grubunda egzersiz sonrasında hem sağ, hem de sol ayakta halluks valgus açısında azalma ve aktiviteye özgü denge güvenlik ölçeği, dinamik yürüme indeksi, ayak fonksiyon indeksinin, ağrı, yetersizlik, aktivite kısıtlılığı ve toplam skor parametrelerinde anlamlı gelişme bulundu (p<0.001). Müdahale ve kontrol grupları karşılaştırıldığında, ayak fonksiyon indeksinin ağrı ile yetersizlik ve toplam skor parametrelerinde müdahale grubu lehine anlamlı fark bulundu (p<0,001). Sonuç: Araştırmamızın sonuçları, hallux valgusa yönelik olarak uygulanan egzersizin denge, yürüme ve fonksiyon açısından etkili olduğunu ortaya koymaktadır. Toplumda özellikle kadınlarda sık karşılaşılan ve ciddiye alınması gereken bir deformite olan halluks valgus tedavisinde aktiviteye dayalı egzersizin iyi bir seçenek olduğu ortaya konmuştur.

Keywords

• Hallux valgus
• Egzersiz
• Aktivite

References

1. Glasoe WM. Treatment of Progressive First Metatarsophalangeal Hallux Valgus Deformity: A Biomechanically Based Muscle-Strengthening Approach. J Orthop Sports Phys Ther. 2016; 46(7):596-605.
2. Bek N, Kınıklı Gİ, Coşkun G, Karahan S. An investigation of relationship between hallux valgus angle and health related quality of life and functional status, J Exerc Ther Rehabil. 2015; 2(1): 21-27.
3. Robinson C, Bhosale A, Pillai A. Footwear modification following hallux valgus surgery: The all-or-none phenomenon, World J Methodol. 2016; 6(2):171-80.
4. Coughlin MJ, Jones CP. Hallux valgus demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007; 28(7): 759-77.
5. Mickle KJ, Munro BJ, Lord SR, Menz HB, Steele JR. Gait, balance and plantar pressures in older people with toe deformities. Gait Posture. 2011; 34(3): 347-51.
6. Nix SE, Vicenzino BT, Collins NJ, Smith MD. and Characteristics of foot structure and footwear associated with hallux valgus: a systematic review. Osteoarthritis Cartilage. 2012; 20: 1059–1074.
7. Dunn JE, Link CL, Felson DT, Crincoli MG, Keysor JJ, McKinlay JB., Prevalence of foot and ankle conditions in a multiethnic community sample of older adults, Am J Epidemiol, 2004; 159(5) : 491-8
8. Nishimura A, Ito N, Nakazora S, Kato K, Ogura T, Sudo A. Does hallux valgus impair physical function? BMC Musculoskelet Disord. 2018; 19 (1): 174.

9. Barr EL, Browning C, Lord SR, Menz HB, Kendig H. Foot and leg problems are important determinants of functional status in community dwelling older people, Disabil Rehabil. 2005; 27(16): 917-23.
10. Kim MH, Yi CH, Weon JH, Cynn HS, Jung DY, Kwon OY. Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional area of abductor hallucis muscle in subjects with hallux valgus. J Phys Ther Sci. 2015; 27(4): 1019–1022.
11. Abdalbary SA. Foot Mobilization And Exercise Program Combined With Toe Separator Improves Outcomes In Women With Moderate Hallux Valgus At 1-Year Follow-Up. J Am Podiatr Med Assoc. 2018; 108(6): 478-486.
12. Gur G, Ozkal O, Dilek B, Aksoy S, Bek N, Yakut Y. Effects of Corrective Taping on Balance and Gait in Patients With Hallux Valgus. Foot Ankle Int. 2017; 38(5): 532-540.
13. Hurn SE, Vicenzino BT, Smith MD. Non-surgical treatment of hallux valgus: a current practice survey of Australian podiatrists, J Foot Ankle Res. 2016; 9:16.
14. Karabicak GO., Bek N., Tiftikci U., Short-Term effects of kinesiotaping on pain and joint alignment in conservative treatment of hallux valgus. J Manipulative Physiol Ther. 2015; 38(8): 564-71.
15. Yaliman, Şen EI, Eskiyurt N, Budiman-Mak E. Turkish Translation and Adaptation of Foot Function Index in Patients with Plantar Fasciitis. Turk J Phys Med Rehab. 2014; 60: 212-22.
16. Wrisley DM, Walker ML, Echternach JL, Strasnick B. Reliability of the Dynamic Gait Index in people vestibular disorders. Arch Phys Med Rehabil. 2003; 84(10):1528-33.
17. Ayhan Ç., Büyükturan Ö., Kırdı N., Yakut Y., Güler Ç. The Turkish Version Of The Activities Specific Balance Confidence (ABC SCALE): It’s Cultural Adaptation, Validation and Reliability In Older Adults, Turkish Journal of Geriatrics 2014; 17 (2): 157-163.
18. Spink MJ, Fotoohabadi MR, Wee E, Hill KD, Lord SR, Menz HB. Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Arch Phys Med Rehabil. 2011; 92(1):68-75.