Comparison of the Effects of Advanced Exercise Treatment Performed Under the Supervision of a Physiotherapist and Provided as a Home Program on Adduction Angle, Pain, Functional Status, Quality of Life and Kinesophobia in Individuals With Hallux Valgus

NCT05000398 | Unknown

• 1 other identifier: BMerve
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of our study is to compare the effects of progressive exercise therapy, administered as a home program under the supervision of a physiotherapist, on adduction angle, pain, functional status, quality of life, and kinesiophobia in individuals aged 18-64 years with a hallux valgus angle of 15-40 degrees (mild-moderate).

Conditions

Exercise; Hallux Valgus

Keywords

hallux valgus; exercise; home program

Outcome Measures

Primary Outcomes (1)

• hallux valgus angle

  The hallux valgus angle will be measured with a goniometer at the beginning and end of the treatment.

  Change from Baseline and at the end of 8 weeks

Secondary Outcomes (4)

• hallux valgus pain

  Change from Baseline and at the end of 8 weeks

• Functional Status

  Change from Baseline and at the end of 8 weeks

• life quality

  Change from Baseline and at the end of 8 weeks

• kinesiophobia

  Change from Baseline and at the end of 8 weeks

Study Arms (2)

exercise with a physiotherapist

ACTIVE COMPARATOR

Participants will exercise with a physiotherapist. 4 times a week for 8 weeks

Other: Stretching the intrinsic muscles; Other: Thumb Abduction with MTF Joint Traction; Other: Thumb active extension exercise; Other: Toe spread out; Other: Short foot; Other: Heel rise; Other: Towel toe curl; Other: Gastrocnemius active static stretching exercise; Other: Plantar fascia and gastrocnemius stretching exercise on step

home program

EXPERIMENTAL

The same exercises will be given to the participants as brochures. 4 times a week for 8 weeks

Other: Stretching the intrinsic muscles; Other: Thumb Abduction with MTF Joint Traction; Other: Thumb active extension exercise; Other: Toe spread out; Other: Short foot; Other: Heel rise; Other: Towel toe curl; Other: Gastrocnemius active static stretching exercise; Other: Plantar fascia and gastrocnemius stretching exercise on step

Interventions

Stretching the intrinsic muscles OTHER

Participants will be asked to dorsiflex the foot and stretch for 30 seconds. It will be done with 5 repetitions.

exercise with a physiotherapist; home program

Thumb Abduction with MTF Joint Traction OTHER

participants will be held for 30 seconds by passively abducting the thumb within the limits of pain, and will be applied with 5 repetitions.

exercise with a physiotherapist; home program

Thumb active extension exercise OTHER

An elastic band will be placed around the thumb, stretching enough to ensure proper alignment of the thumb and passively correct the position. It will be desired to move the feet away from each other without moving the heels from the ground and the extension movement of the thumbs.2 sets will be performed as 10 repetitions. 30 seconds of rest will be given to prevent fatigue between sets.

exercise with a physiotherapist; home program

Toe spread out OTHER

In the first stage, active finger extension and abduction will be requested while the heel and metatarsal heads are in contact with the ground. In the second stage, while the other fingers are in extension, the smallest finger will be brought laterally and flexed to contact the ground. In the third stage, while in the second stage position, the thumb will be brought into abduction and flexion slowly and contact with the ground will be requested. These 3 phases will be repeated sequentially.2 sets will be performed as 10 repetitions. 30 seconds of rest will be given to prevent fatigue between sets.

exercise with a physiotherapist; home program

Short foot OTHER

While standing , the medial arch will be raised by trying to bring the metatarsal heads closer to the heel . The patient will be asked to move the big toe closer to the heel without bending the toes and without lifting the heel off the ground.2 sets will be performed as 10 repetitions. 30 seconds of rest will be given to prevent fatigue between sets.

exercise with a physiotherapist; home program

Heel rise OTHER

After taking a 5 cm high tape measure against the wall, the person will be asked to stand up on her heel by at least 5 cm.2 sets will be performed as 10 repetitions. 30 seconds of rest will be given to prevent fatigue between sets.

exercise with a physiotherapist; home program

Towel toe curl OTHER

Patients will be asked to place their feet on the edge of the towel on the floor. An elastic band will be placed around the thumb, stretching enough to ensure proper alignment of the thumb and passively correct the position. Next, they will be asked to grasp the towel with their fingers, flexing their toes, and forcefully dragging them under their feet.2 sets will be performed as 10 repetitions. 30 seconds of rest will be given to prevent fatigue between sets.

exercise with a physiotherapist; home program

Gastrocnemius active static stretching exercise OTHER

The patient will be placed on the wall at eye level, 50 centimeters away from the wall. The leg that is desired to be stretched will be brought back, while the knee is straight, it will be requested to flex the front leg. During the test, it will be requested that the back heel does not rise from the ground and wait 30 seconds. 5 repetitions to be done

exercise with a physiotherapist; home program

Plantar fascia and gastrocnemius stretching exercise on step OTHER

The patient will be asked to place both feet on the step and slowly stretch the heel downwards until a stretch is felt in the arch of the foot and wait 30 seconds. 5 repetitions will be done

exercise with a physiotherapist; home program

Eligibility Criteria

• Age: 18 Years - 64 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Volunteer individuals between the ages of 18-64
• Mild to moderate (15-40 degrees) hallux valgus
• Bilateral hallux valgus
• Have not received physical therapy for hallux valgus in the last 6 months,
• Individuals who did not use orthotic devices or dynamic splints for the treatment of hallux valgus will be included in the study.

You may not qualify if:

• HVA ≥ 45°
• Rjjit hallux valgus deformity (in cases where the hallux cannot be brought to its normal position manually)
• Obesity (BMI\>30 kg/m2)
• Systemic disease and inflammatory arthritis (rheumatoid arthritis, systemic lupus, diabetes mellitus)
• Neurological disease (eg: neuropathy)
• Vestibular disorder that may affect balance
• History of standing trauma, fracture of the metatarophalangeal joint,
• He has undergone foot-ankle surgery,
• Using NSAIDs or analgesics

Sponsors & Collaborators

• Eastern Mediterranean University: lead

Study Sites (1)

Merve Betül Öztarsu

Famagusta, 99628, Cyprus

RECRUITING

MeSH Terms

Conditions

Motor Activity; Hallux Valgus

Condition Hierarchy (Ancestors)

Behavior; Foot Deformities; Musculoskeletal Diseases

Study Officials

• Sevim Öksüz, assist.prof.

  Eastern Mediterranean University

  STUDY DIRECTOR

Central Study Contacts

Merve Betül Öztarsu

CONTACT

+903926303067; mervebetuloztarsu@gmail.com

Sevim Öksüz, assist. prof.

CONTACT

+903926302473; sevim.oksuz@emu.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: physiotherapist

Study Record Dates

• First Submitted: August 8, 2021
• First Posted: August 11, 2021
• Study Start: May 24, 2021
• Primary Completion: August 16, 2021
• Study Completion: September 1, 2021
• Last Updated: August 11, 2021

Record last verified: 2021-08

Locations

CY (1)