Protocol: a randomized parallel-group study of women after hallux valgus correction surgery to compare the effects of „core foot system” training vs. traditional rehabilitation methods

• Autorzy: Baran Mateusz , Kołodziejski Paweł , Kaczmarczyk Katarzyna

Identyfikatory

DOI

10.37190/ABB-02332-2023-03

• Języki publikacji: EN

Abstrakty

EN

The aim of this study is to compare the effects of Core Foot System muscle training vs. traditional rehabilitation methods in female patients after a hallux valgus correction surgery. Methods: The project will involve 60 women who have undergone a Scarf osteotomy to correct the deformity. Participants will be divided into a control and experimental group. The experimental group will follow the Core Foot System protocol, whereas the control group will perform standard lower-limb exercises. Outcome measures will be collected twice: before the intervention and after eight weeks. Gait will be assessed using the Zebris FDM-2 platform, measuring ground reaction forces during walking. Results: The effects of the exercises on the cross-sectional area of the abductor hallucis muscle and the flexor digitorum brevis muscle will be measured. Foot architecture and arch height will be measured using a podoscope. In addition, the participants will complete the Short Form Health Survey and the American Orthopaedic Foot and Ankle Society questionnaires. Conclusions: The study is expected to provide evidence of the effectiveness of foot muscle training using the protocol. The findings may lead to an improved protocol of rehabilitation in patients after a correction surgery that may result in improved gait parameters and quality of daily life. In the future, an improved therapeutic method should make it possible to boost the effectiveness of physiotherapy in patients after a corrective surgery in the forefoot area. The study has been registered with clinicaltrials.org (NCT05210127; 13 January 2022).

Słowa kluczowe

EN

investigation; muscle; physiotherapy; forefoot; gait

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2023
• Tom: Vol. 25, no. 4
• Strony: 103--109
• Opis fizyczny: Bibliogr. 44 poz., tab.

Twórcy

autor

Baran Mateusz

• Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland

autor

Kołodziejski Paweł

• CM Medicum, Warsaw, Poland

autor

Kaczmarczyk Katarzyna

• Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland

Bibliografia

• [1] BAYAR B., EREL S., ŞIMŞEK I.E., SÜMER E., BAYAR K., The effects of taping and foot exercises on patients with hallux valgus: a preliminary study, Turkish Journal of Medical Sciences, 2011, 41 (3), 403–409, DOI: 10.3906.
• [2] BIZ C., CORRADIN M., KUETE KANAH W.T., DALMAU-PASTOR M., ZORNETTA A., VOLPIN A., RUGGIERI P., Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia: Do Maestro Criteria Have a Predictive Value in the Preoperative Planning for This Percutaneous Technique?, BioMed Research International, 2018, 1947024, PMID: 30581846.
• [3] BIZ C., FOSSER M., DALMAU-PASTOR M., CORRADIN M., RODÀ M.G., ALDEGHERI R., RUGGIERI P., Functional and radiographic outcomes of hallux valgus correction by mini-invasive surgery with Reverdin-Isham and Akin percutaneous osteotomies: a longitudinal prospective study with a 48-month followup, Journal of Orthopaedic Surgery and Research, 2016, 11 (1), 157, PMID: 27919259.
• [4] BRODSKY J.W., BAUM B.S., POLLO F.E., MEHTA H., Prospective gait analysis in patients with first metatarsophalangeal joint arthrodesis for hallux rigidus, Foot and Ankle International, 2007, 28 (2), 162–165, PMID: 17296132.
• [5] CATANI O., FUSINI F., ZANCHINI F., SERGIO F., CAUTIERO G., VILLAFANE J.G., LANGELLA F., Functional outcomes of percutaneous correction of hallux valgus in not symptomatic flatfoot: a case series study, Acta Biomedica, 2020, 91 (3), e2020065, PMID: 32921761.
• [6] CHAN A.W., TETZLAFF J.M., ALTMAN D.G., LAUPACIS A., GØTZSCHE P.C., KRLEŽA-JERIĆ K., HROBJARTSSON A., MANN H., DICKERSIN K., BERLIN J.A., DORE C.J., PARULEKAR W.R., SUMMERSKILL W.S.M., GROVES T., SHULZ K.F., HAROLD S.C., ROCKHOLD F.W., RENNIE D., MOHER D., SPIRIT 2013 statement: defining standard protocol items for clinical trials, Annals of Internal Medicine, 2013, 158 (3), 200–207, PMID: 23295957.
• [7] COLÒ G., FUSINI F., SAMAILA E.M., RAVA A., FELLI L., ALESSIO-MAZZOLA M., MAGNAN B., The efficacy of shoe modifications and foot orthoses in treating patients with hallux rigidus: a comprehensive review of literature, Acta Biomedica, 2020, 91, Suppl. 14, e2020016, PMID: 33559617.
• [8] COLÒ G., FUSINI F., ZOCCOLA K., RAVA A., SAMAILA E.A., MAGNAN B., May footwear be a predisposing factor for the development of hallux rigidus? A review of recent findings, Acta Biomedica, 2021, 92 (S3), PMID: 34313670.
• [9] COLÒ G., MAZZOLA M.A., PILONE G., DAGNINO G., FELLI L., Lateral open wedge calcaneus osteotomy with bony allograft augmentation in adult acquired flatfoot deformity. Clinical and radiological results, European Journal of Orthopaedic Surgery and Traumatology, 2021, 31, 1395–1402, PMID: 33576876.
• [10] DIGIOVANNI C.W., GREISBERG J., Foot and Ankle: core knowledge in orthopaedics, Elsevier Health Sciences, 2007, 394, 104–119.
• [11] DYGUT J., PIWOWAR M., Muscles systems and their influence on foot arches and toes alignment-towards the proper diagnosis and treatment of Hallux Valgus, Diagnostics, 2022, 12 (12), 2945, PMID: 36552952.
• [12] DYGUT J., PIWOWAR P., DETYNA J., POPIELA T., KOGUT W., BOROŃ W., DUDEK P., PIWOWAR M., Correction of foot deformities with hallux valgus by transversal arch restoration, Biocybernetics and Biomedical Engineering, 2020, 40 (4), 1556–1567, http://doi.org/10.1016/j.bbe.2020.09.066
• [13] FIOŁKOWSKI P., BRUNT D., BISHOP M., WOO R., HORODYSKI M., Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study, Journal of Foot and Ankle Surgery, 2003, 42 (6), 327–333, PMID: 14688773.
• [14] GLASOE W.M., Treatment of Progressive First Metatarsophalangeal Hallux Valgus Deformity: A Biomechanically Based Muscle-Strengthening Approach, Journal of Orthopaedic and Sports Physical Therapy, 2016, 46 (7), 596–605, Epub. 2016/06/06, PMID: 27266887.
• [15] HEADLEE D.L., LEONARD J.L., HART J.M., INGERSOLL C.D., HERTEL J., Fatigue of the plantar intrinsic foot muscles increases navicular drop, Journal of Electromyography and Kinesiology, 2008, 18 (3), 420–425, Epub. 2007/01/08, PMID: 17208458.
• [16] JEDYNAK T., Treating hallux abducto valgus conservatively through foot mobilization techniques and exercise therapy. A case study, Podiatry Now, 2009, 12–15.
• [17] JUNG D.Y., KOH E.K., KWON O.Y., Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a random- Protocol: a randomized parallel-group study of women after hallux valgus correction surgery to compare the effects... 109 ized controlled trial, Journal of Back and Musculoskeletal Rehabilitation, 2011, 24 (4), 225–231, PMID: 22142711.
• [18] KACZMARCZYK K., BARTON G.J., WISZOMIRSKA I., WYCHOWANSKI M., Women after Bilateral Surgical Correction of Hallux Valgus Do Not Show Improvement in Spatiotemporal Gait Parameters at 18 Weeks Postoperatively, Journal of Clinical Medicine, 2021, 10, 608, https:// doi.org/10.3390/jcm10040608
• [19] KLUGAROVA J., JANURA M., SVOBODA Z., SOS Z., STERGIOU N., KLUGAR M., Hallux valgus surgery affects kinematic parameters during gait, Clinical Biomechanics, 2016, 40, 20–26, Epub. 2016/10/06, PMID: 27792950.
• [20] KUNI B., WOLF S.I., ZEIFANG F., THOMSEN M., Foot kinematics in walking on a level surface and on stairs in patients with hallux rigidus before and after cheilectomy, Journal of Foot and Ankle Research, 2014, 13, 7(1): 13, PMID: 24524773.
• [21] KURYLISZYN-MOSKAL A., KANIEWSKA K., DZIĘCIOŁ-ANIKIEJ Z., KLIMIUK P.A., Evaluation of foot static disturbances in patients with reumatic diseases, Reumatologia, 2017, 55 (2), 73–78, Epub. 2017/04/28, PMID: 28539678.
• [22] LANN VEL LACE K., BŁAŻKIEWICZ M., KOŁODZIEJSKI P., The effects of hallux valgus and hallux rigitus surgery on gait biomechanics: a systematic review, Advances in Rehabilitation, 2021, 35 (3), 37–55, DOI: 10.5114/areh.2021.106434.
• [23] LATEY P.J., BURNS J., NIGHTINGALE E.J., CLARKE J.L., HILLER C.E., Reliability and correlates of cross-sectional area of abductor hallucis and the medial belly of the flexor hallucis brevis measured by ultrasound, Journal of Foot and Ankle Research, 2018, 11, 28, PMID: 29977344.
• [24] LEE D.R., CHOI Y.E., Effects of a 6-week intrinsic foot muscle exercise program on the functions of intrinsic foot muscle and dynamic balance in patients with chronic ankle instability, Journal of Exercise Rehabilitation, 2019, 15 (5), 709–714, PMID: 31723561.
• [25] LEE E., CHO J., LEE S., Short-foot exercise promotes quantitative somatosensory function in ankle instability: A randomized controlled trial, Medical Science Monitor, 2019, 25, 618–626, Epub: 2019/01/21, PMID: 30665229.
• [26] LOBO C.C., MARÍN A.G., SANZ D.R., LÓPEZ D.L., LÓPEZ P.P., MORALES C.R., CORBALAN I.S., Ultrasound evaluation of intrinsic plantar muscles and fascia in hallux valgus: A case-control study, Medicine, 2016, 95 (45), e5243, PMID: 27828846.
• [27] LOPEZ-VIGIL M., SUAREZ-GARNACHO S., MARTÍN V., NARANJO- -RUIZ C., RODRIGUEZ C., Evaluation of results after distal metatarsal osteotomy by minimal invasive surgery for the treatment of metatarsalgia: patient and anatomical pieces study, Journal of Orthopaedic Surgery and Research, 2019, 14 (1), 121, PMID: 31068197.
• [28] LYNN S.K., PADILLA R.A., TSANG K.K., Differences in static- and dynamic-balance task performance after 4 weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise, Journal of Sports Rehabilitation, 2012, 21 (4), 327–333, Epub 2012/06/18, PMID: 22715143.
• [29] MARCHENA-RODRIGUEZ A., MORENO-MORALES N., RAMIREZ- -PARGA E., LABAJO-MANZANARES M.T., LUQUE-SUAREZ A., GIJON-NOGUERON G., Relationship between foot posture and dental malocclusions in children aged 6 to 9 years. A crosssectional study, Medicine, 2018, 97, 19, PMID: 29742725.
• [30] MCKEON P.O., HERTEL J., BRAMBLE D., DAVIS I., The foot core system: a new paradigm for understanding intrinsic foot muscle function, British Journal of Sports Medicine, 2015, 49 (5), 290, Epub 2014/03/21, PMID: 24659509.
• [31] MOERENHOUT K., CHOPRA S., CREVOISIER X., Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study, Clinical Biomechanics, 2019, 61, 205–210, Epub 2018/12/20, PMID: 30594769.
• [32] MOULODI N., AZADINIA F., EBRAHIMI-TAKAMJANI I., ATLASI R., JALALI M., KAMALI M., The functional capacity and morphological characteristics of the intrinsic foot muscles in subjects with Hallux Valgus deformity: A systematic review, Foot, 2020, 45, 101706, Epub 2020/06/15, PMID: 33039908.
• [33] MULLIGAN E.P., COOK P.G., Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function, Manual Therapy, 2013, 18 (5), 425–430, Epub 2013/04/28, PMID: 23632367.
• [34] NORDIN M., FRANKLE V.H., Basic Biomechanics of the musculoskeletal system, Health, 2012, 4, 238–251. [
• [35] PALOMO-LÓPEZ P., BECERRO-DE-BENGOA-VALLEJO R., LOSA- -IGLESIAS M.E,. RODRÍGUEZ-SANZ D., CALVO-LOBO C., LÓPEZ-LÓPEZ D., Impact of Hallux Valgus related of quality of life in Women, International Wound Journal, 2017, 14 (5), 782–785, Epub 2016/12/07, PMID: 27928895.
• [36] ROTHERMEL S., HALE S.A., HERTEL J., DENEGAR C.R., Effect of active foot positioning on the outcome of a balance training program, Physical Therapy in Sport, 2004, 5 (2), 98–103.
• [37] SADRA S., FLEISCHER A., KLEIN E., GREWAL G.S., KNIGHT J., WEIL L.S. Sr., WEIL L. Jr., NAJAFI B., Hallux valgus surgery may produce early improvements in balance control: results of a cross-sectional pilot study, Journal of the American Podiatric Medical Association, 2013, 103 (6), 489–497, PMID: 24297985.
• [38] SCHUH R., HOFSTAETTER S.G., ADAMS S.B. JR., PICHLER F., KRISTEN K.H., TRNKA H.J., Rehabilitation after hallux valgus surgery: importance of physical therapy to restore weight bearing of the first ray during the stance phase, Physical Therapy, 2009, 89 (9), 934–945, Epub 2009/07/16, PMID: 19608631.
• [39] SCHULZ K., ALTMAN D.G., MOHER D., the CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomized trials, BMC Medicine, 2010, 8, 18, PMID: 20332509.
• [40] STEVENS J., MEIJER K., BIJNENS W., FUCHS M.C., VAN RHIJN L.W., HERMUS J.P. et al., Gait Analysis of Foot Compensation After Arthrodesis of the First Metatarsophalangeal Joint, Foot and Ankle International, 2017, 38 (2), 181–191, Epub 2016/10/23, PMID: 27770063.
• [41] TAŞ S., ÜNLÜER N.Ö., ÇETIN A., Thickness, cross-sectional area, and stiffness of intrinsic foot muscles affect performance in single-leg stance balance tests in healthy sedentary young females, Journal of Biomechanics, 2020, 99, 109530, Epub 2019/11/20, PMID: 31785820.
• [42] TYLKA J., PIOTROWICZ R., Kwestionariusz oceny jakości życia SF-36 – Wersja polska [Quality of life questionnaire SF-36 – Polish version], Kardiologia Polska, 2009, 67 (10), 1166–1169, PMID: 20209678. Polish.
• [43] World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects, JAMA, 2013, 310 (20), 2191–2194, PMID: 24141714.
• [44] YOUNG K.W., LEE H.S., PARK S.C., Modified Proximal Scarf Osteotomy for Hallux Valgus, Clinics in Orthopedic Surgery, 2018, 10 (4), 479–483, Epub 2018/11/21, PMID: 30505417.