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An investigation of relationship between hallux valgus angle and health related quality of life and functional status

Year 2015, Volume: 2 Issue: 1 - Volume: 2 Issue: 1, 21 - 27, 23.07.2016

Abstract

Purpose: The aim of this study was to investigate the relationship between radiographic measurement and American Orthopaedic Foot and Ankle Society’s-Hallux Metatarsophalangeal-Interphalangeal Joint Scale, and Short Form-36 results in hallux valgus deformity assessment. Methods: Forty patients diagnosed the bilateral hallux valgus between ages of 17 and 74 years with 80 feet were evaluated. The first metatarsophalangeal abduction and intermetatarsal angles obtained via antero-posterior radiography for each individual were recorded. The American Orthopaedic Foot and Ankle Society’s-Hallux Metatarsophalangeal-Interphalangeal Joint Scale was applied to all individuals for functional status assessment. The Short Form-36 was applied to assess relationship between deformity and health related quality of life. Results: Results of the present study showed that while there was negative significant relationship between the first metatarsophalangeal angle and Short Form-36 subscores such as physical function, physical role limitation and pain; there was a positive correlation with mental health subscore of Short Form-36. There was a negative correlation between the first metatarsophalangeal, intermetatarsal angle values and Physical Component Score of SF-36. While there was a negative correlation between Mental Component Score of SF-36 and the first metatarsophalangeal angle and there was positively relationship with intermetatarsal angle. Coclusion: In this study, it is demonstrated that increases in angle values are especially directly related with pain and functional level rather than mental health

References

  • Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007;28:759-777.
  • Mann RA, Coughlin MJ. Adult hallux valgus. In: Mann RA, Coughlin MJ, Editors. Surgery of the Foot and Ankle. 7rd, St. Louis: C.V. Mosby; 1999:159-269.
  • Bock P, Kristen KH, Kröner A, Engel A. Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint. J Bone Joint Surg. 2004;86:669-673.
  • Mark E, Trnka HJ. Current Concepts review: hallux valgus part 1: pathomechanics, clinical assessment and nonoperative management. Foot Ankle Int. 2007;28:654-659.
  • Roukis TS, Landsman AS. Hypermobility of the first ray: A critical review of the literature. J Foot Ankle Surg. 2003;42:377-390.
  • Srivastava S, Chockalingam N, El Fakhri T. Radiographic angles in hallux valgus: comparison between manual and computerassisted measurements. J Foot Ankle Surg. 2010;49:523-528.
  • LaPorta GA, Nasser EM, Mulhern JL, Malay DS. The Mechanical Axis of the First Ray: A Radiographic Assessment in Hallux Abducto Valgus Evaluation. J Foot Ankle Surg. 2015:1-7. (article in press)
  • Baumhauer JF, Nawoczenski DA, DiGiovanni BF, et al. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int. 2006;27:1014-1019.
  • Kınıklı Gİ, Coşkun G, Gür G, et al. Halluks valguslu olgularda ayağa ilişkin sorunlar sağlıkla ilişkili yaşam kalitesini etkiler mi? Turk J Physiother Rehabil. 2014;25:23.
  • Kocyigit H, Aydemir O, Fisek G, et al. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorders. İlaç ve Tedavi Derg. 1999;12:102-106.
  • Ware JE, Sherborne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-83.
  • Bek N, Coşkun G, Kınıklı G, et al. Çok boyutlu halluks valgus derecelendirme ölçeğinin geliştirilmesi: Nil Halluks Valgus Derecelendirme Ölçeği. Acta Orthop Traumatol Turc. 2014;48:52.
  • Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther. 1987;67:1867-1872.
  • Hardy RH, Clapham JC. Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br. 1951;33-B:376-91.
  • Baumhauer JF, Nawoczenski DA, DiGiovanni BF, et al. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int. 2006;27:1014-1019.
  • Coughlin MJ, Shurnas PS. Hallux valgus in men. Part II: First ray mobility after bunionectomy and factors associated with hallux valgus deformity. Foot Ankle Int. 2003;24:73-78.
  • 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;38:564-571.
  • Lazarides SP, Hildreth A, Prassanna V, et al. Association amongst angular deformities in halluks valgus and impact of the deformity in health-related quality of life. J Foot Ankle Surg. 2005;11:193-196.
  • Menz HB, Roddy E, Thomas E, et al. Impact of hallux valgus severity on general and foot specific health-related quality of life. Osteoarthritis Cartilage. 2010;18;374 suppl:129.
  • Thordarson DB, Ebramzadeh E, Rudicel SA, et al. Age adjusted baseline data for women with hallux valgus undergoing corrective surgery. J Bone Joint Surg Am. 2005;87:66-75.
  • Parker J, Nester CJ, Long AF, et al. The problem with measuring patient perceptions of outcome with existing outcome measures in foot and ankle surgery. Foot Qual Life Res. 2007;16:731-73

Halluks valgus açısı ile sağlıkla ilişkili yaşam kalitesi ve fonksiyonel durum arasındaki ilişkinin incelenmesi

Year 2015, Volume: 2 Issue: 1 - Volume: 2 Issue: 1, 21 - 27, 23.07.2016

Abstract

Amaç: Çalışmanın amacı, halluks valgus deformitesinde oluşan eklemsel değişikliklerin değerlendirilmesinde kullanılan radyografik ölçüm, Amerikan Ortopedik Cerrahları Ayak ve Ayak Bileği Derneği - Halluks Metatarsofalangeal-Interfalangeal Eklemler Skalası ve Kısa Form-36 ile elde edilen sonuçların birbirleriyle ilişkilerinin incelenmesidir. Yöntem: 17-74 yaş aralığında bilateral halluks valgus tanılı 40 bireyde 80 ayak değerlendirildi. Her bir bireyin ön-arka radyografilerle elde edilen 1. Metatarsofalangeal abduksiyon ve intermetatarsal açı değerleri kaydedildi. Fonksiyonel durumun belirlenmesi için Amerikan Ortopedik Cerrahları Ayak ve Ayak Bileği Derneği-Halluks MetatarsofalangealInterfalangeal Eklemler skalası uygulandı. Deformitenin sağlıkla ilişkili yaşam kalitesiyle olan ilişkisini değerlendirebilmek için Kısa Form-36 uygulandı. Bulgular: I. Metatarsofalangeal açısal değerleri ile Kısa Form-36 ölçeğinin fiziksel fonksiyon, fiziksel rol kısıtlılığı ve ağrı alt başlıkları arasında negatif yönde anlamlı ilişki bulunurken; Kısa Form-36 ölçeğinin mental sağlık alt başlığı ile pozitif yönde ilişki bulundu. İntermetatarsal açı ile Kısa Form-36 fiziksel fonksiyon alt başlığı ile negatif yönde ilişki; yaşamsallık ve mental sağlık alt başlıklarıyla ise pozitif ilişki vardı. Kısa Form-36’nın Mental Bileşen Özet skoru ile I. Metatarsofalangeal açı arasında negatif ilişki bulunurken, intermetatarsal açı ile arasında ise pozitif ilişki bulundu (p

References

  • Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007;28:759-777.
  • Mann RA, Coughlin MJ. Adult hallux valgus. In: Mann RA, Coughlin MJ, Editors. Surgery of the Foot and Ankle. 7rd, St. Louis: C.V. Mosby; 1999:159-269.
  • Bock P, Kristen KH, Kröner A, Engel A. Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint. J Bone Joint Surg. 2004;86:669-673.
  • Mark E, Trnka HJ. Current Concepts review: hallux valgus part 1: pathomechanics, clinical assessment and nonoperative management. Foot Ankle Int. 2007;28:654-659.
  • Roukis TS, Landsman AS. Hypermobility of the first ray: A critical review of the literature. J Foot Ankle Surg. 2003;42:377-390.
  • Srivastava S, Chockalingam N, El Fakhri T. Radiographic angles in hallux valgus: comparison between manual and computerassisted measurements. J Foot Ankle Surg. 2010;49:523-528.
  • LaPorta GA, Nasser EM, Mulhern JL, Malay DS. The Mechanical Axis of the First Ray: A Radiographic Assessment in Hallux Abducto Valgus Evaluation. J Foot Ankle Surg. 2015:1-7. (article in press)
  • Baumhauer JF, Nawoczenski DA, DiGiovanni BF, et al. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int. 2006;27:1014-1019.
  • Kınıklı Gİ, Coşkun G, Gür G, et al. Halluks valguslu olgularda ayağa ilişkin sorunlar sağlıkla ilişkili yaşam kalitesini etkiler mi? Turk J Physiother Rehabil. 2014;25:23.
  • Kocyigit H, Aydemir O, Fisek G, et al. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorders. İlaç ve Tedavi Derg. 1999;12:102-106.
  • Ware JE, Sherborne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473-83.
  • Bek N, Coşkun G, Kınıklı G, et al. Çok boyutlu halluks valgus derecelendirme ölçeğinin geliştirilmesi: Nil Halluks Valgus Derecelendirme Ölçeği. Acta Orthop Traumatol Turc. 2014;48:52.
  • Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther. 1987;67:1867-1872.
  • Hardy RH, Clapham JC. Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br. 1951;33-B:376-91.
  • Baumhauer JF, Nawoczenski DA, DiGiovanni BF, et al. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int. 2006;27:1014-1019.
  • Coughlin MJ, Shurnas PS. Hallux valgus in men. Part II: First ray mobility after bunionectomy and factors associated with hallux valgus deformity. Foot Ankle Int. 2003;24:73-78.
  • 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;38:564-571.
  • Lazarides SP, Hildreth A, Prassanna V, et al. Association amongst angular deformities in halluks valgus and impact of the deformity in health-related quality of life. J Foot Ankle Surg. 2005;11:193-196.
  • Menz HB, Roddy E, Thomas E, et al. Impact of hallux valgus severity on general and foot specific health-related quality of life. Osteoarthritis Cartilage. 2010;18;374 suppl:129.
  • Thordarson DB, Ebramzadeh E, Rudicel SA, et al. Age adjusted baseline data for women with hallux valgus undergoing corrective surgery. J Bone Joint Surg Am. 2005;87:66-75.
  • Parker J, Nester CJ, Long AF, et al. The problem with measuring patient perceptions of outcome with existing outcome measures in foot and ankle surgery. Foot Qual Life Res. 2007;16:731-73
There are 21 citations in total.

Details

Other ID JA64EA57VG
Journal Section Articles
Authors

Nilgün Bek This is me

Gizem İrem Kınıklı This is me

Gürsoy Coşkun This is me

Sevilay Karahan This is me

Publication Date July 23, 2016
Submission Date July 23, 2016
Published in Issue Year 2015 Volume: 2 Issue: 1 - Volume: 2 Issue: 1

Cite

Vancouver Bek N, Kınıklı Gİ, Coşkun G, Karahan S. Halluks valgus açısı ile sağlıkla ilişkili yaşam kalitesi ve fonksiyonel durum arasındaki ilişkinin incelenmesi. JETR. 2016;2(1):21-7.