Effects of Plantar Sensory Training in Individuals With Hallux Valgus.

NCT05344755 | Completed

• 1 other identifier: KA-20014
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Hallux valgus is a forefoot deformity with a high prevalence, which can progress to lateral deviation of the big toe, medial deviation of the first metatarsal, and subluxation of the first metatarsophalangeal joint in the future. It has been reported in studies that changes in the load distribution of the foot in hallux valgus patients, hyperkeratosis, especially first-line pain, and sensory receptors on the sole of the foot may result in the effect of sensory receptors on the sole of the foot, and thus the balance may be negatively affected, poor postural stability and an increase in the risk of falling. It is thought that increased sensitivity to the senses coming from the feet with sensory training can improve the balance and reduce the risk of falling as a result of better perception of foot orientation and position.

Conditions

Hallux Valgus; Pain; Balance; Distorted

Keywords

hallux valgus; pain; sensory training; plantar sensory

Outcome Measures

Primary Outcomes (1)

• Change in Foot-Related pain assessment

  Visual Analogue Scale will be used to evaluate the pain severity of individuals. Participants will be asked to mark their pain at rest and activity on a horizontal line of 100 millimeters, with 100 indicating maximum pain and 0 indicating no pain.

  change from baseline pain severity at 6 weeks

Secondary Outcomes (5)

• Change in Light touch sensation

  change from baseline light touch sensation at 6 weeks

• Change in foot function

  change from baseline foot function at 6 weeks

• Change in lower extremity functional level

  change from baseline Lower extremity functional level at 6 weeks

• Change in gait parameters

  change from baseline temporo-spatial gait parameters at 6 weeks

• Change in balance

  change from baseline postural sway and limits of stability at 6 weeks

Study Arms (2)

Plantar Sensorial Training

EXPERIMENTAL

In addition to hallux valgus mobilization, active thumb abduction, strengthening of the muscles around the feet, hallux valgus taping and hallux valgus night splint, sensory training (using deep plantar massage, brushing, dipping techniques) will be performed.

Other: Plantar Sensorial Training

Control Group

ACTIVE COMPARATOR

Routine hallux valgus physiotherapy approaches such as: hallux valgus mobilization, active thumb abduction, strengthening of the muscles around the feet, hallux valgus taping and hallux valgus night splint.

Other: Control Group

Interventions

Plantar Sensorial Training OTHER

In addition to the routine treatment, plantar sensorial training will be added.

Plantar Sensorial Training

Control Group OTHER

Routine physiotherapy management of the Hallux valgus

Control Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being diagnosed with mild or moderate hallux valgus;
• Volunteer to participate in the study

You may not qualify if:

• Having pathologies that may cause sensory problems such as diabetes, multiple sclerosis, myelomeningocele, severe disc herniation,
• Having an orthopedic, rheumatological or neurological disease other than hallux valgus that will prevent participation in the exercise program
• Having previous foot surgery,
• Having a cooperation problem at a level that cannot understand and apply the exercises.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, 06100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hallux Valgus; Pain

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Foot Deformities; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Gul Yazicioglu, Prof

  Hacettepe University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal İnvestigator

Study Record Dates

• First Submitted: March 26, 2022
• First Posted: April 25, 2022
• Study Start: October 1, 2020
• Primary Completion: October 27, 2022
• Study Completion: November 15, 2022
• Last Updated: September 28, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)