Comparison of the effects of orthoses on hallux valgus angle and plantar pressure in individuals with hallux valgus.
OrthoEvidence Journal (OE Journal) - ACE Report
Epub Ahead of Print
Prosthet Orthot Int. 2025 01-Oct;():. 10.1097/PXR.0000000000000423What this means for my practice?
Dynamic orthoses appear more effective than toe separators for improving PP distribution and QoL in individuals with hallux valgus, although neither orthosis significantly changes deformity angle over 4 weeks. Clinicians should consider dynamic orthoses when aiming to reduce symptoms and improve function in mild to moderate hallux valgus. Key limitations include short intervention duration, small sample size, and use of goniometric rather than radiographic measurement of hallux valgus angle.
Study Summary
Thirty patients with mild to moderate hallux valgus were randomized to receive either a toe separator orthosis or a dynamic orthosis. The primary outcome of interest was hallux valgus angle (HVA). Secondary outcomes of interest included plantar pressure (PP) distribution, quality of life (QoL), and orthosis satisfaction. Outcomes were assessed at baseline and after 4 weeks of orthosis use for at least 7 hours per day. Overall, the results of the study revealed no significant changes in HVA in either group. However, the dynamic orthosis group demonstrated improved PP distribution and significant improvements in pain and QoL scores. These findings suggest that dynamic orthoses may be more effective than toe separators for improving functional outcomes and symptom-related QoL in patients with hallux valgus.
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