- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01989338
Effects of Hallux Valgus Deformity on Rear Foot Position, Pain, Function, and Quality of Life in Women
November 14, 2013 updated by: Gursoy Coskun, Hacettepe University
To investigate relationship between HV deformity and position of rearfoot joints, and its effects on the quality of life, pain, and related functional status in women with bilateral hallux valgus (HV).
Study Overview
Status
Completed
Conditions
Detailed Description
To investigate relationship between HV deformity and position of rearfoot joints, and its effects on the quality of life, pain, and related functional status in women with bilateral hallux valgus (HV).
Study included 27 right-dominant women.
Demographic data, HV angle, weight-bearing and non-weight-bearing subtalar pronation (SP), and navicular height were recorded.
Visual Analog Scale, Foot Function Index (FFI), and the American Orthopaedic Foot and Ankle Society (AOFAS) MTP-IP along with AOFAS Mid foot (MF) Scales, and SF-36 were used.
HV angle, weight-bearing SP, and pain intensity of the left foot were higher.
HV angle of left foot was correlated with all sub-sections of FFI, pain parameter of AOFAS MTP-IP, and pain and total score of AOFAS-MF Scale ).
HV angle of left foot was correlated with physical role, pain, and social function sub-domains of SF-36.
Right HV angles were correlated with right foot pain and non-weight-bearing SP.Increasing HV angle and pathomechanical changes in rear foot were correlated.
Besides, although all participants were right-dominant, their left foot problems were more highlighted.
Study Type
Observational
Enrollment (Actual)
27
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 55 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Sampling Method
Non-Probability Sample
Study Population
Effects of hallux valgus deformity in women
Description
Inclusion Criteria:Inclusion criteria were as follows:
- Women in an age range of 18-55 years,
- Having bilateral deformity with right-dominance,
- First MTP angle of > 15° as radiologically determined by the referring physician,
- Deformity intensity > 2 based on the Manchester scale,
- Muscle forces on ankle and foot > 4
- Having no systemic disease that affects foot biomechanics with no history of surgery,
- Having no neurological problems,
- Having no cognitive, mental, or psychological problems.
Exclusion Criteria:
-
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
Hallux valgus patients
Females patients with hallux valgus asses for pain, function, and quality of life
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain
Time Frame: baseline
|
Pain was measured using by Visual Analog Scale
|
baseline
|
AOFAS Mid foot (MF) Scales
Time Frame: baseline
|
baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HV angle and navicular height
Time Frame: baseline
|
HV angle was measured by using Universal Goniometers
|
baseline
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Foot Function Index
Time Frame: baseline
|
Using the Foot Function Index
|
baseline
|
American Orthopaedic Foot and Ankle Society (AOFAS)MTP-IP
Time Frame: baseline
|
baseline
|
|
weight-bearing and non-weight-bearing subtalar pronation (SP)
Time Frame: baseline
|
baseline
|
|
SF-36
Time Frame: baseline
|
baseline
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Burcu TALU, PT. MSc, İnönü University, School of Malatya Health, Department of Physiotherapy and Rehabilitation
- Principal Investigator: Gürsoy COŞKUN, PT. PhD., Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, TURKEY
- Study Chair: Nilgün BEK, PT. PhD., Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, TURKEY
- Study Chair: Kezban BAYRAMLAR, PT. PhD, Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, TURKEY
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
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- Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007 Jul;28(7):759-77. doi: 10.3113/FAI.2007.0759.
- Bock P, Kristen KH, Kroner A, Engel A. Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint. J Bone Joint Surg Br. 2004 Jul;86(5):669-73. doi: 10.1302/0301-620x.86b5.14766.
- Robinson AH, Limbers JP. Modern concepts in the treatment of hallux valgus. J Bone Joint Surg Br. 2005 Aug;87(8):1038-45. doi: 10.1302/0301-620X.87B8.16467. No abstract available.
- Menz HB, Lord SR. Foot problems, functional impairment, and falls in older people. J Am Podiatr Med Assoc. 1999 Sep;89(9):458-67. doi: 10.7547/87507315-89-9-458.
- Coughlin MJ. Hallux valgus. J Bone Joint Surg Am. 1996 Jun;78(6):932-66. No abstract available.
- Bek N, Kürklü B. Comparison of the effects of different conservative treatment methods in treatment of hallux valgus. [Halluks valgus tedavisinde kullanılan farklı konservatif yöntemlerin etkinliklerinin karşılaştırılması.] Article in Turkish. Artroplasti Artroskopik Cerrahi 2002;13:90-93.
- Coughlin MJ. Hallux valgus. Causes, evaluation, and treatment. Postgrad Med. 1984 Apr;75(5):174-8, 183, 186-7. doi: 10.1080/00325481.1984.11698000. No abstract available.
- Uchiyama E, Kitaoka HB, Luo ZP, Grande JP, Kura H, An KN. Pathomechanics of hallux valgus: biomechanical and immunohistochemical study. Foot Ankle Int. 2005 Sep;26(9):732-8. doi: 10.1177/107110070502600911.
- Coughlin MJ, Thompson FM. The high price of high-fashion footwear. Instr Course Lect. 1995;44:371-7. No abstract available.
- Roddy E, Zhang W, Doherty M. Prevalence and associations of hallux valgus in a primary care population. Arthritis Rheum. 2008 Jun 15;59(6):857-62. doi: 10.1002/art.23709.
- Mann RA, Coughlin MJ. Hallux valgus--etiology, anatomy, treatment and surgical considerations. Clin Orthop Relat Res. 1981 Jun;(157):31-41.
- Dawson J, Thorogood M, Marks SA, Juszczak E, Dodd C, Lavis G, Fitzpatrick R. The prevalence of foot problems in older women: a cause for concern. J Public Health Med. 2002 Jun;24(2):77-84. doi: 10.1093/pubmed/24.2.77.
- SIM-FOOK L, HODGSON AR. A comparison of foot forms among the non-shoe and shoe-wearing Chinese population. J Bone Joint Surg Am. 1958 Oct;40-A(5):1058-62. No abstract available.
- BARNICOT NA, HARDY RH. The position of the hallux in West Africans. J Anat. 1955 Jul;89(3):355-61. No abstract available.
- Menz HB, Morris ME. Footwear characteristics and foot problems in older people. Gerontology. 2005 Sep-Oct;51(5):346-51. doi: 10.1159/000086373.
- Piggott H. The natural history of hallux valgus in adolescence and early adult life. J Bone Joint Surg. 1960;42(B):749-60.
- Saro C, Jensen I, Lindgren U, Fellander-Tsai L. Quality-of-life outcome after hallux valgus surgery. Qual Life Res. 2007 Jun;16(5):731-8. doi: 10.1007/s11136-007-9192-6. Epub 2007 Mar 7.
- Abhishek A, Roddy E, Zhang W, Doherty M. Are hallux valgus and big toe pain associated with impaired quality of life? A cross-sectional study. Osteoarthritis Cartilage. 2010 Jul;18(7):923-6. doi: 10.1016/j.joca.2010.03.011. Epub 2010 Apr 22.
- Menz HB, Roddy E, Thomas E, Croft PR. Impact of hallux valgus severity on general and foot-specific health-related quality of life. Arthritis Care Res (Hoboken). 2011 Mar;63(3):396-404. doi: 10.1002/acr.20396. Epub 2010 Nov 15.
- Lazarides SP, Hildreth A, Prassanna V, Talkhani I. Association amongst angular deformities in halluks valgus and impact of the deformity in health-related quality of life. Foot and Ankle Surgery. 2005;11:193-6.
- Annett M. The distribution of manual asymmetry. Br J Psychol. 1972 Aug;63(3):343-58. doi: 10.1111/j.2044-8295.1972.tb01282.x. No abstract available.
- Karadağ A, Kutlu M. Effects of long-term football exercises on auido-visual reaction times on players' dominant and non-dominant feet [Uzun dönem futbol antrenmanların futbolcuların baskın ve baskın olmayan ayaklarının görsel işitsel reaksiyon zamanlarına etkileri]. Article in Turkish. Fırat Tıp Dergisi. 2006;11:26-29.
- Gabbard C. Foot laterality during childhood: a review. Int J Neurosci. 1993 Oct;72(3-4):175-82. doi: 10.3109/00207459309024106.
- Garrow AP, Papageorgiou A, Silman AJ, Thomas E, Jayson MI, Macfarlane GJ. The grading of hallux valgus. The Manchester Scale. J Am Podiatr Med Assoc. 2001 Feb;91(2):74-8. doi: 10.7547/87507315-91-2-74.
- Mendell JR, Florence J. Manual muscle testing. Muscle Nerve. 1990;13 Suppl:S16-20. doi: 10.1002/mus.880131307. No abstract available.
- Lamur KS, Huson A, Snijders CJ, Stoeckart R. Geometric data of hallux valgus feet. Foot Ankle Int. 1996 Sep;17(9):548-54. doi: 10.1177/107110079601700907.
- Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther. 1987 Dec;67(12):1867-72. doi: 10.1093/ptj/67.12.1867.
- Giladi M, Milgrom C, Stein M. The low arch: A protective factor in stress fractures: A prospective study of 295 military recruits. Orthop Rev. 1985;14:81-4.
- Dahle LK, Mueller MJ, Delitto A, Diamond JE. Visual assessment of foot type and relationship of foot type to lower extremity injury. J Orthop Sports Phys Ther. 1991;14(2):70-4. doi: 10.2519/jospt.1991.14.2.70.
- Hills AP, Hennig EM, McDonald M, Bar-Or O. Plantar pressure differences between obese and non-obese adults: a biomechanical analysis. Int J Obes Relat Metab Disord. 2001 Nov;25(11):1674-9. doi: 10.1038/sj.ijo.0801785.
- Knutzen KM, Price A. Lower extremity static and dynamic relationships with rearfoot motion in gait. J Am Podiatr Med Assoc. 1994 Apr;84(4):171-80. doi: 10.7547/87507315-84-4-171.
- McPoil T, Cornwall MW. Relationship between neutral subtalar joint position and pattern of rearfoot motion during walking. Foot Ankle Int. 1994 Mar;15(3):141-5. doi: 10.1177/107110079401500309.
- Menz HB. Alternative techniques for the clinical assessment of foot pronation. J Am Podiatr Med Assoc. 1998 Mar;88(3):119-29. doi: 10.7547/87507315-88-3-119.
- Agel J, Beskin JL, Brage M, Guyton GP, Kadel NJ, Saltzman CL, Sands AK, Sangeorzan BJ, SooHoo NF, Stroud CC, Thordarson DB. Reliability of the Foot Function Index:: A report of the AOFAS Outcomes Committee. Foot Ankle Int. 2005 Nov;26(11):962-7. doi: 10.1177/107110070502601112.
- Baumhauer JF, Nawoczenski DA, DiGiovanni BF, Wilding GE. Reliability and validity of the American Orthopaedic Foot and Ankle Society Clinical Rating Scale: a pilot study for the hallux and lesser toes. Foot Ankle Int. 2006 Dec;27(12):1014-9. doi: 10.1177/107110070602701202.
- Koçyiğit H, Aydemir Ö, Ölmez N, Memiş A. Turkish reliability and validity of SF-36. [SF-36 nın Türkçe için güvenilirliği ve geçerliliği.] Article in Turkish. İlaç ve Tedavi Dergisi 1999;12:102-6.
- Budiman-Mak E, Conrad KJ, Roach KE. The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol. 1991;44(6):561-70. doi: 10.1016/0895-4356(91)90220-4.
- SooHoo NF, Shuler M, Fleming LL; American Orthopaedic Foot and Ankle Society. Evaluation of the validity of the AOFAS Clinical Rating Systems by correlation to the SF-36. Foot Ankle Int. 2003 Jan;24(1):50-5. doi: 10.1177/107110070302400108.
- Tüzün Ç, Tıkız C. Foot problems in the elderly. Turkish Journal of Geriatrics. 2003;6:135-41.
- Scott G, Menz HB, Newcombe L. Age-related differences in foot structure and function. Gait Posture. 2007 Jun;26(1):68-75. doi: 10.1016/j.gaitpost.2006.07.009. Epub 2006 Sep 1.
- HARDY RH, CLAPHAM JC. Observations on hallux valgus; based on a controlled series. J Bone Joint Surg Br. 1951 Aug;33-B(3):376-91. doi: 10.1302/0301-620X.33B3.376. No abstract available.
- Nork SE, Coughlin RR. How to examine a foot and what to do with a bunion. Prim Care. 1996 Jun;23(2):281-97. doi: 10.1016/s0095-4543(05)70276-1.
- Wong YS. Influence of the abductor hallucis muscle on the medial arch of the foot: a kinematic and anatomical cadaver study. Foot Ankle Int. 2007 May;28(5):617-20. doi: 10.3113/FAI.2007.0617.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2012
Primary Completion (ACTUAL)
September 1, 2012
Study Completion (ACTUAL)
February 1, 2013
Study Registration Dates
First Submitted
October 11, 2013
First Submitted That Met QC Criteria
November 14, 2013
First Posted (ESTIMATE)
November 21, 2013
Study Record Updates
Last Update Posted (ESTIMATE)
November 21, 2013
Last Update Submitted That Met QC Criteria
November 14, 2013
Last Verified
September 1, 2013
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- LUT09/37-26
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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