Analyzing the Effect of Varus Forefoot Wedge in Addition to Arch Support on Self-Reported Pain, Function, and Quality of Life in Patients with Moderate Hallux Valgus: A Pilot Study

IF 0.4 Q4 ORTHOPEDICS

Journal of Prosthetics and Orthotics Pub Date : 2022-01-12 DOI:10.1097/JPO.0000000000000412

Ehsan Norouzi, Mahtab Bagheri, Behnaz Alafchi, N. Tafti

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Abstract

ABSTRACT Introduction The hallux valgus, a painful forefoot deformity, is defined as lateral deviation of the hallux, which is highly correlated with forefoot pronation. This study aimed to compare the effect of two types of foot orthoses, one with and one without a varus forefoot wedge, on self-reported outcomes of pain, function, and QOL (by FAOS questionnaire) in patients with moderate hallux valgus. Materials and Methods Sixteen patients with hallux valgus were assigned to two equal groups randomly in a before-after trial. Results The within-group comparison showed significant improvements in all subscales of the FAOS questionnaire for both groups (P < 0.05). The between-group analysis showed no statistically significant difference. Conclusions It seems the addition of varus forefoot wedge to foot orthoses may have no adverse effect on self-reported outcomes. Clinical Relevance It seems in conservative treatment of hallux valgus by medical insoles to correct forefoot pronation may be useful for relieving pain.

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分析足弓楔加足弓支撑对中度外翻患者自述疼痛、功能和生活质量的影响：一项初步研究

摘要引言拇外翻是一种疼痛的前掌畸形，被定义为拇外侧偏斜，与前掌内旋高度相关。本研究旨在比较两种类型的足矫形器（一种带和一种不带前足内翻楔）对中度拇外翻患者自我报告的疼痛、功能和生活质量（通过FAOS问卷）的影响。材料与方法将16例拇外翻患者随机分为两组。结果两组FAOS问卷各分量表组内比较均有显著改善（P<0.05），组间分析无统计学差异。结论在足矫形器上加用前掌内翻楔可能对自我报告的结果没有不良影响。临床相关性在保守治疗拇外翻中，用医用鞋垫矫正前掌内旋可能有助于缓解疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Prosthetics and Orthotics Medicine-Rehabilitation

CiteScore

1.30

自引率

16.70%

发文量

期刊介绍： Published quarterly by the AAOP, JPO: Journal of Prosthetics and Orthotics provides information on new devices, fitting and fabrication techniques, and patient management experiences. The focus is on prosthetics and orthotics, with timely reports from related fields such as orthopaedic research, occupational therapy, physical therapy, orthopaedic surgery, amputation surgery, physical medicine, biomedical engineering, psychology, ethics, and gait analysis. Each issue contains research-based articles reviewed and approved by a highly qualified editorial board and an Academy self-study quiz offering two PCE''s.