{"title":"双侧拇外翻患者的体位稳定性——合并症锤状趾影响稳定性吗?","authors":"Ken Tanaka, Hiroaki Shima, Kosho Togei, Yoshihiro Hirai, Toshito Yasuda, Shuhei Otsuki","doi":"10.1016/j.fas.2025.05.002","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hallux valgus (HV) has been reported to impair postural stability. However, whether comorbid hammer toe affects postural stability in patients with HV remains unclear.</p><p><strong>Methods: </strong>This study assessed static and dynamic postural stability in 45 patients with HV, divided into two groups: those with (H(+)) and without (H(-)) comorbid hammer toe. Static stability was evaluated using stabilometer, whereas dynamic stability was assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Falls Efficacy Scale-International (FES-I).</p><p><strong>Results: </strong>Static stability parameters showed no significant differences between groups H(-) and H(+). The BBS score was lower in group H(+) than in group H(-) (P = .002), whereas the TUG and FES-I scores were higher in group H(+) than in group H(-) (P = .033 and.017, respectively).</p><p><strong>Conclusions: </strong>Comorbid hammer toe affects dynamic postural stability and increases the risk of falls in patients with moderate-to-severe bilateral HV.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Postural stability in patients with bilateral hallux valgus-Does the comorbid hammer toe affect stability?\",\"authors\":\"Ken Tanaka, Hiroaki Shima, Kosho Togei, Yoshihiro Hirai, Toshito Yasuda, Shuhei Otsuki\",\"doi\":\"10.1016/j.fas.2025.05.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Hallux valgus (HV) has been reported to impair postural stability. However, whether comorbid hammer toe affects postural stability in patients with HV remains unclear.</p><p><strong>Methods: </strong>This study assessed static and dynamic postural stability in 45 patients with HV, divided into two groups: those with (H(+)) and without (H(-)) comorbid hammer toe. Static stability was evaluated using stabilometer, whereas dynamic stability was assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Falls Efficacy Scale-International (FES-I).</p><p><strong>Results: </strong>Static stability parameters showed no significant differences between groups H(-) and H(+). The BBS score was lower in group H(+) than in group H(-) (P = .002), whereas the TUG and FES-I scores were higher in group H(+) than in group H(-) (P = .033 and.017, respectively).</p><p><strong>Conclusions: </strong>Comorbid hammer toe affects dynamic postural stability and increases the risk of falls in patients with moderate-to-severe bilateral HV.</p><p><strong>Level of evidence: </strong>Level 3.</p>\",\"PeriodicalId\":48743,\"journal\":{\"name\":\"Foot and Ankle Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot and Ankle Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.fas.2025.05.002\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot and Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.fas.2025.05.002","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
背景:有报道称拇外翻(HV)会损害体位稳定性。然而,合病锤状趾是否影响HV患者的姿势稳定性仍不清楚。方法:本研究评估了45例HV患者的静态和动态姿势稳定性,分为两组:有(H(+))和没有(H(-))合并症的锤状趾。静态稳定性采用稳定计进行评估,动态稳定性采用Berg平衡量表(BBS)、Timed Up and Go (TUG)测试和国际跌倒效能量表(FES-I)进行评估。结果:H(-)组和H(+)组的静态稳定性参数差异无统计学意义。H(+)组BBS评分低于H(-)组(P = .002),H(+)组TUG和FES-I评分高于H(-)组(P = )。033年,。017年,分别)。结论:合并症锤状趾影响中重度双侧HV患者动态姿势稳定性,增加跌倒风险。证据等级:三级。
Postural stability in patients with bilateral hallux valgus-Does the comorbid hammer toe affect stability?
Background: Hallux valgus (HV) has been reported to impair postural stability. However, whether comorbid hammer toe affects postural stability in patients with HV remains unclear.
Methods: This study assessed static and dynamic postural stability in 45 patients with HV, divided into two groups: those with (H(+)) and without (H(-)) comorbid hammer toe. Static stability was evaluated using stabilometer, whereas dynamic stability was assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and Falls Efficacy Scale-International (FES-I).
Results: Static stability parameters showed no significant differences between groups H(-) and H(+). The BBS score was lower in group H(+) than in group H(-) (P = .002), whereas the TUG and FES-I scores were higher in group H(+) than in group H(-) (P = .033 and.017, respectively).
Conclusions: Comorbid hammer toe affects dynamic postural stability and increases the risk of falls in patients with moderate-to-severe bilateral HV.
期刊介绍:
Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society.
The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.