Halluks Valgusu Olan ve Olmayan Bireylerde Pedobarografik Değerlendirme ve Yaşam Kalitesinin İncelenmesi

Öz

Amaç: Halluks valgus (HV), birinci metatarsal medial deviasyonu ile birlikte birinci metatarsofalangeal eklemin (MTF) lateral deviasyonu ve pronasyonu ile belirgin üç boyutlu kompleks bir deformitedir. Ayaktaki bu deformite, ayak kemiklerinin yanlış hizalanması nedeniyle plantar basınç dağılımını doğrudan etkilemektedir. Bu bilgiler göz önüne alınarak, bu çalışmanın birincil amacı halluks valgusu olan ve olmayan bireyler arasında plantar basınçtaki değişiklikleri analiz etmektir. Yöntem: Çalışmaya 60 HV'li ayak ve 60 HV'li olmayan ayak dahil edilmiştir. Tüm değerlendirmeler aynı fizyoterapist tarafından Halluks Valgus Açısı (HVA), SF-36 Kısa Formu ve plantar basınç değerlendirmeleri için pedobarografi cihazı ile yapılmıştır. İstatistiksel yazılım IBM Statistical Package for Social Sciences Version 22.0 (SPSS Inc., Chicago, IL, ABD) kullanılmıştır. Sürekli değişkenler ortalama ± standart sapma olarak sunulurken, nitel değişkenler sayı ve yüzde (%) olarak ifade edilmiştir. Bağımsız değişken (IV), her iki yöndeki tüm ölçümler için p ≤ 0,05 istatistiksel anlamlılık ile Student's t-testi kullanılarak analiz edilmiştir. Bulgular: Çalışmada, HV'li bireyler arasında HV'li olmayan bireylere kıyasla yaşam kalitesinin tüm alt parametrelerinde anlamlı bir düşüş gözlemlenmiştir (p <0,05). HV'li bireyler halluks ve birinci metatars başı altındaki plantar basınçta belirgin bir azalma gösterirken, ikinci ve üçüncü metatars başları, ikinci ve üçüncü ayak parmakları ile dördüncü ve beşinci ayak parmakları altındaki plantar basınçta bu rahatsızlığı olmayan bireylere kıyasla belirgin bir artış göstermiştir (p = ,001). Sonuç: Halluks valguslu bireylerde halluks üzerindeki plantar basıncın azalmasının etkilenen bölgedeki ağrı ve enflamasyona bağlı olduğu düşünülmektedir. Bundan dolayı etkilenen bölgeye bağlı olarak ayağın lateralinde plantar basıncının artışına neden olduğu görülmüştür. Ayrıca, halluks valguslu bireylerin yaşam kalitesindeki düşüşün ağrı, enflamasyon ve halluksun plantar basınçtaki değişikliklerle bağlantılı olduğunu bulunmuştur.

Anahtar Kelimeler

• Halluks valgus
• pedobarografi
• plantar basınç
• yaşam kalitesi

The Pedobarographic Assessment and Investigation of Quality of Life in Individuals With and Without Hallux Valgus

Öz

Aim: Hallux valgus (HV) is a complex three-dimensional deformity characterised by medial deviation of the first metatarsal and lateral deviation and pronation of the first metatarsophalangeal joint (MTF). This deformity of the foot directly affects the distribution of plantar pressure due to misalignment of the bones of the foot. Considering this information, the primary aim of this study was to analyze the changes in plantar pressure between individuals with and without hallux valgus. Method: The study included 60 feet with HV and 60 feet without HV. All assessments were performed by the same physiotherapist using a pedobarography device for Hallux Valgus Angle (HVA), SF-36 Short Form and plantar pressure assessments. Statistical software IBM Statistical Package for Social Sciences Version 22.0 (SPSS Inc., Chicago, IL, USA) was used. Continuous variables are presented as mean ± standard deviation, while qualitative variables are expressed as number and percentage (%). The independent variable (IV) was analysed using Student's t-test with a statistical significance of p ≤ 0.05 for all measurements in both directions. Results: In the study, a significant decrease was observed in all sub-parameters of quality of life among individuals with HV compared to individuals without HV (p < 0.05). Individuals with HV showed a significant decrease in plantar pressure under the hallux and first metatarsal head but a significant increase in plantar pressure under the second and third metatarsal heads, second and third toes, and fourth and fifth toes compared to individuals without this condition (p = .001). Conclusion: It is thought that the decrease in plantar pressure on the hallux in individuals with hallux valgus is due to pain and inflammation in the affected area. Therefore, it was observed that the plantar pressure on the lateral side of the foot increased depending on the affected area. In addition, it was found that the decrease in the quality of life of individuals with hallux valgus was associated with pain, inflammation and changes in the plantar pressure of the hallux.

Anahtar Kelimeler

• Hallux valgus
• pedobarography
• plantar pressure
• quality of life

Kaynakça

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