Manual and manipulative therapy compared to night splint for symptomatic hallux abducto valgus: an exploratory randomised clinical trial

30 patients were randomized to preliminarily investigate the effect of manual and manipulative therapy (MMT) in patients with hallux abducto valgus. Two weeks of the Brantingham protocol (MMT) was compared to nightly splinting, with follow-up for 1 month. The results indicated that patients of both group experienced significant improvement in pain, disability, and hallux valgus at posttreatment, 1-week follow-up and 1-month follow-up assessments. However, substantial regression in improvement from 1-week to 1-month follow-up in the splint group attributed to significantly better outcome with the Brantingham protocol at 1 month.