Comparison of the Effects of Two Different Orthoses on Individuals With Hallux Valgus
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Hallux valgus angle
研究概览
简要总结
Hallux valgus (HV) is a tri-planar, painful and common foot deformity characterized by the medial orientation of the first metatarsal, lateral deviation and pronation of the big toe at the level of the first metatarsophalangeal joint. Due to the increase in the severity of hallux valgus deformity, dissatisfaction with the appearance of the foot, difficulty choosing shoes due to bunions and pain, difficulty walking and accordingly, restriction in daily activities, the functional levels and health-related quality of life of individuals are negatively affected. The aim of this study is to compare the effect of using a toe separator orthosis and dynamic orthosis for 1 month on hallux valgus angle and plantar pressure in individuals with hallux valgus.
详细描述
If left untreated, hallux valgus becomes a painful and progressive disease of the big toe that severely restricts the patient's daily activities and disrupts the aesthetic appearance of the foot. As the deformity progresses, dissatisfaction with the appearance of the foot, difficulty in choosing shoes, difficulty in walking and, accordingly, limitation in daily activities, arch pathologies Individuals' health-related quality of life and functional levels are negatively affected due to problems such as nail problems, bunions and callus formations.
Surgical and conservative treatment methods are used in the treatment of hallux valgus deformity. Conservative treatment methods are more preferred due to possible complications of surgical treatment methods such as infection, skin problems, bone nonunion, bone malunion, hallux valgus and complex regional pain syndrome. Conservative treatment methods aim to reduce the hallux valgus angle (HVA) in individuals with hallux valgus deformity, reduce pain and prevent the severity of the deformity from increasing.
Different orthosis applications are used in the conservative treatment of hallux valgus deformity. In the literature, it is reported that finger spreader orthosis, dynamic orthosis, and night orthosis are effective in the treatment of mild and moderate hallux valgus deformities. The most commonly used finger separator orthoses and dynamic orthoses in clinics are orthoses with proven effectiveness in the treatment of hallux valgus deformity, but there is no study comparing the effectiveness of these orthoses. The purpose of this study is to examine the effect of toe separation orthosis and dynamic orthosis on hallux valgus angle and plantar pressure.
The individuals included in the study will be randomly divided into two groups: those using the finger separation orthosis and those using the dynamic orthosis.
Foot pressure analysis after the participants use the toe separation orthosis and dynamic orthosis for 1 month will be evaluated. Pressure analysis evaluation will be performed 3 times; before using the orthosis, when first wearing the orthosis, and 1 month after using the orthosis.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being between the ages of 18-65,
- •Having mild to moderate hallux valgus deformity.
排除标准
- •Individuals have cognitive, mental or psychological problems,
- •Having previously used orthosis treatment for hallux valgus,
- •Having a history of surgery on the foot,
- •Presence of rheumatoid arthritis disease,
- •Hallux valgus deformity is rigid.
结局指标
主要结局
Hallux valgus angle
时间窗: 2 minute
A goniometer will be used to measure the participants' degree of hallux valgus. Hallux valgus measurement of all participants will be performed by a single researcher. In measurement with goniometer; The hallux valgus angle will be obtained by placing the pivot part of the goniometer on the participant's foot parallel to the metatarsophalangeal joint, one arm parallel to the first metatarsophalangeal joint and the other parallel to the proximal phalanx, and measuring the angle between them.
Plantar pressure
时间窗: 2 minute
To measure the pressure distribution of the participants, the Sensor Medica device, the Free Step software compatible with the device will be used. The platform of the device is the FreeMed Maxi Baropodometric Platform. It is a pedobarographic evaluation device with a size of 60x50 cm, made of platform aluminum, capable of measuring a maximum pressure of 150 N/cm², with 2.5 dpi XY, 8 bit Z resolution, 3,000 sensors, and a sensor life of 1,000,000 cycles. In our study, static pressure analysis will be performed. During the analysis, the individual will be asked to stand on the platform facing forward, press the 'start' button in the program while his eyes are open on the platform as specified, and the patient will be asked to stand on the platform for 5 seconds without moving. Within the scope of static analysis measurements; Left-right forefoot, hindfoot and total foot loading percentages, left-right forefoot, hindfoot weight ratio percentage data will be recorded.
次要结局
- Foot Questionnaire(5 minute)
- Evaluation of orthosis satisfaction(It takes the participant a maximum of 2 minutes to fill out the form.)
研究者
sena ozdemir
Assistant Prof.
Istanbul Medipol University Hospital