Journal of Research in Rehabilitation Sciences

Determination of the Effect of Hallufix Splint on Hallux Valgus Angle in Subjects with Mild and Moderate Hallux Valgus Compared with Night Splint: A Double-Blind Clinical Trial

Document Type : Original Articles

Authors

1 Instructor, Department of Orthosis and Prosthetics, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran

2 PhD Student, Department of Physiotherapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 MSc Student, Student Research Committee (Treata), Department of Orthosis and Prosthetics, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran

10.22122/jrrs.v13i1.2817

Abstract

Introduction: Hallux valgus is one of the most common foot disorders which is the subluxation of the first metatarsophalangeal (MTP) joint due to lateral deviation of the great toe and medial deviation of the first metatarsal bone. The most common interventions in cases with mild to moderate deformity is the use of orthosis which includes two types of splints, dynamic splint for daily use and static splint to be used during the night. The aim of this study was to compare the effect of hallufix dynamic splint on hallux valgus angle in subjects with mild and moderate hallux valgus with night splint.Materials and Methods: This quasi-experimental study was conducted on 34 subjects who had referred to orthopedic specialists in Isfahan and the surrounding towns, Iran, with complaints of hallux valgus. These subjects were divided into two groups of 17 people that were matched in terms of age, gender, and degree of deformity. Then, one group was given night splint and the other group hallufix splint, randomly. Hallux valgus angle was measured using anterior-posterior weight bearing radiograph at baseline and after 6 weeks of orthosis use.Results: The results showed that the use of both orthoses reduced the hallux valgus angle, but this reduction was not statically significant (P > 0.05). In addition, the effect of both splints on the reduction of hallux valgus angle was similar (P = 0.97).Conclusion: The use of night splint and hallufix dynamic splint for 6 weeks did not cause any improvement in hallux valgus angle.

Keywords

  1. Mann RA, Coughlin MJ. Hallux valgus--etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res 1981; (157): 31-41.
  2. Nix S, Smith M, Vicenzino B. Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res 2010; 3: 21.
  3. Kozakova J, Janura M, Svoboda Z, Elfmark M, Klugar M. The influence of hallux valgus on pelvis and lower extremity movement during gait. Acta Univ Palacki Olomuc Gymn 2011; 41(4): 49-54.
  4. Cho NH, Kim S, Kwon DJ, Kim HA. The prevalence of hallux valgus and its association with foot pain and function in a rural Korean community. J Bone Joint Surg Br 2009; 91(4): 494-8.
  5. Menz HB, Morris ME. Determinants of disabling foot pain in retirement village residents. J Am Podiatr Med Assoc 2005; 95(6): 573-9.
  6. D'Arcangelo PR, Landorf KB, Munteanu SE, Zammit GV, Menz HB. Radiographic correlates of hallux valgus severity in older people. J Foot Ankle Res 2010; 3: 20.
  7. Menz HB, Lord SR. Gait instability in older people with hallux valgus. Foot Ankle Int 2005; 26(6): 483-9.
  8. Koski K, Luukinen H, Laippala P, Kivela SL. Physiological factors and medications as predictors of injurious falls by elderly people: a prospective population-based study. Age Ageing 1996; 25(1): 29-38.
  9. Menz HB, Morris ME, Lord SR. Foot and ankle risk factors for falls in older people: a prospective study. J Gerontol A Biol Sci Med Sci 2006; 61(8): 866-70.
  10. Spink MJ, Fotoohabadi MR, Wee E, Hill KD, Lord SR, Menz HB. Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Arch Phys Med Rehabil 2011; 92(1): 68-75.
  11. Saro C, Andren B, Fellander-Tsai L, Lindgren U, Arndt A. Plantar pressure distribution and pain after distal osteotomy for hallux valgus. The Foot 2007; 17(2): 84-93.
  12. Lorei TJ, Kinast C, Klarner H, Rosenbaum D. Pedographic, clinical, and functional outcome after scarf osteotomy. Clin Orthop Relat Res 2006; 451: 161-6.
  13. Shih KS, Chien HL, Lu TW, Chang CF, Kuo CC. Gait changes in individuals with bilateral hallux valgus reduce first metatarsophalangeal loading but increase knee abductor moments. Gait Posture 2014; 40(1): 38-42.
  14. Lowery NJ, Wukich DK. Adolescent Hallux Valgus: Evaluation and Treatment. Oper Tech Orthop 2009; 19(1): 52-7.
  15. Ferrari J, Higgins JP, Prior TD. Interventions for treating hallux valgus (abductovalgus) and bunions. Cochrane Database Syst Rev 2004; (1): CD000964.
  16. Milachowski KA, Krauss A. Comparing radiological examinations between hallux valgus night brace and a new dynamic orthosis for correction of the hallux valgus. Fuss Sprunggelenk 2008; 61: 14-8.
  17. Reina M, Lafuente G, Munuera PV. Effect of custom-made foot orthoses in female hallux valgus after one-year follow up. Prosthet Orthot Int 2013; 37(2): 113-9.
  18. Chadchavalpanichaya N, Chueluecha C. Effectiveness of Hallux Valgus Strap: A Prospective, Randomized Single-Blinded Controlled Trial. Siriraj Medical Journal 2011; 63(2): 42-6.
  19. Coughlin MJ, Freund E. Roger A. Mann Award. The reliability of angular measurements in hallux valgus deformities. Foot Ankle Int 2001; 22(5): 369-79.
  20. Smith RW, Reynolds JC, Stewart MJ. Hallux valgus assessment: report of research committee of American Orthopaedic Foot and Ankle Society. Foot Ankle 1984; 5(2): 92-103.
  21. Pique-Vidal C. The first metatarsophalangeal arc circumference: correlation with angular measurements. Foot Ankle Int 2007; 28(2): 186-93.
  22. Tanaka Y, Takakura Y, Kumai T, Samoto N, Tamai S. Radiographic analysis of hallux valgus. A two-dimensional coordinate system. J Bone Joint Surg Am 1995; 77(2): 205-13.
  23. Miller JW. Distal first metatarsal displacement osteotomy. Its place in the schema of bunion surgery. J Bone Joint Surg Am 1974; 56(5): 923-31.
  24. Klein C, Kinz W, Zembsch A, Groll-Knapp E, Kundi M. The hallux valgus angle of the margo medialis pedis as an alternative to the measurement of the metatarsophalangeal hallux valgus angle. BMC Musculoskelet Disord 2014; 15: 133.
  25. Mirzashahi B, Ahmadifar M, Birjandi M, Pournia Y. Comparison of designed slippers splints with the splints available on the market in the treatment of hallux valgus. Acta Med Iran 2012; 50(2): 107-12.
  26. Tehraninasr A, Saeedi H, Forogh B, Bahramizadeh M, Keyhani MR. Effects of insole with toe-separator and night splint on patients with painful hallux valgus: a comparative study. Prosthet Orthot Int 2008; 32(1): 79-83.
  27. Rahimi A, Rezaee M, Behrouzi R. Effects of using hallux valgus (HV) splint, HV splint plus exercise or HV. Rehabilitation Medicine 2013; 1(3): 41-50. [In Persian].
Journal of Research in Rehabilitation Sciences
Volume 13, Issue 1 - Serial Number 1
March 2017
Pages 1-6
  • Receive Date: 10 June 2017
  • Revise Date: 28 April 2024
  • Accept Date: 22 May 2022