Abstract

Research Article

Effect of foot posture on foot-specific health-related quality of life

Bahar Külünkoğlu*, Yasemin Akkubak and Afra Alkan

Published: 10 January, 2018 | Volume 3 - Issue 1 | Pages: 017-023

The purpose of this study was to determine the relationship between Navicular drop (ND) and Hallux valgus (HV) angles and their effects on foot-specific health related quality of life. Sixty female patients with bilateral HV aged between 32-60 participated in this study. The patients with the HV deformity degree of “2” or “3” according to the Manchester scale were included.

HV angle were obtained from standing (weight bearing) bilateral antero-posterior radiographs. HV angle (A angle), intermetatarsal angle (B angle), hallux interphalangeal angle (C angle) were measured. Subtalar pronation was measured the navicular drop (ND) test. ND test were performed for both feet and recorded in millimeters. Foot-specific health related quality of life was measured using the Manhester-Oxford Foot Questionnaire (MOFQ).

There was a strong positive correlation between the ND qtest and the angles A, B, and C for the right foot (rho=0.749, 0.761 and 0.749 p<0.001, respectively,). There was a strong positive correlation between the MOFQ subscales and the angles A, B, and C for the right foot (p<0.001). There was a strong positive correlation between the MOFQ subscales and the angles A, B, and C for the right foot (p<0.001).

In conclusion, there were relationship between ND, HV angular severity and foot-specific health related quality of life. As the HV angular severity increased, there was greater drop in the navicula and reduction in quality of life.

Read Full Article HTML DOI: 10.29328/journal.jsmt.1001022 Cite this Article Read Full Article PDF

Keywords:

Hallux valgus; Navicular drop; Quality of life

References

  1. Ferrari J, Eiff P, Grayzel J. Hallux valgus deformity (bunion). Consultado el. 2014; 22.
  2. Mortka K, Lisiński P. Hallux valgus-a case for a physiotherapist or only for a surgeon? Literature review. J Phys Ther Sci. 2015; 27: 3303-3307. Ref.: https://goo.gl/BtCpMH
  3. 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 & research. 2011; 63: 396-404. Ref.: https://goo.gl/q27sRq
  4. Dunn J, Link C, Felson D, Crincoli M, Keysor J, et al. Prevalence of foot and ankle conditions in a multiethnic community sample of older adults. Am J Epidemiol. 2004; 159: 491-498. Ref.: https://goo.gl/c4g638
  5. Cho N, Kim S, Kwon DJ, Kim H. The prevalence of hallux valgus and its association with foot pain and function in a rural Korean community. J Bone Joint Surg Br. 2009; 91: 494-498. Ref.: https://goo.gl/FbR5Ts
  6. Roddy E, Zhang W, Doherty M. Prevalence and associations of hallux valgus in a primary care population. Arthritis Rheum. 2008; 59: 857-862. Ref.: https://goo.gl/ot6Ncj
  7. Nguyen US, Hillstrom HJ, Li W, Dufour AB, Kiel DP, et al. Factors associated with hallux valgus in a population-based study of older women and men: the MOBILIZE Boston Study. Osteoarthritis and cartilage. 2010; 18: 41-46. Ref.: https://goo.gl/966pAf
  8. Nix S, Smith M, Vicenzino B. Prevalence of hallux valgus in the general population: A systematic review and meta-analysis. J Foot Ankle Res. 2010; 3: 21. Ref.: https://goo.gl/7mtzJe
  9. Perera A, Mason L, Stephens M. The pathogenesis of hallux valgus. The Journal of Bone & Joint Surgery. 2011; 93: 1650-1961. Ref.: https://goo.gl/1StQJC
  10. Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007; 28: 759-777. Ref.: https://goo.gl/Y4VHNT
  11. Snook AG. The relationship between excessive pronation as measured by navicular drop and isokinetic strength of the ankle musculature. Foot Ankle Int. 2001; 22: 234-240. Ref.: https://goo.gl/sZREBU
  12. Nam KS, Kwon JW, Kwon OY. The relationship between activity of abductor hallucis and navicular drop in the one-leg standing position. Journal of physical therapy science. 2012; 24: 1103-1106. Ref.: https://goo.gl/n53YNc
  13. Steinberg N, Finestone A, Noff M, Zeev A, Dar G. Relationship between lower extremity alignment and hallux valgus in women. Foot & ankle international. 2013; 34: 824-831. Ref.: https://goo.gl/2ccusV
  14. 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 and Cartilage. 2010; 18: 923-926. Ref.: https://goo.gl/XNbGEz
  15. Nix SE, Vicenzino BT, Smith MD. Foot pain and functional limitation in healthy adults with hallux valgus: a cross-sectional study. BMC Musculoskelet Disord. 2012; 13: 197. Ref.: https://goo.gl/m7NMqc
  16. Nix SE, Vicenzino BT, Collins NJ, Smith MD. Gait parameters associated with hallux valgus: a systematic review. J Foot Ankle Res. 2013; 6: 9. Ref.: https://goo.gl/pDymvW
  17. Saro C, Jensen I, Lindgren U, Felländer-Tsai L. Quality-of-life outcome after hallux valgus surgery. Qual Life Res. 2007; 16: 731-738. Ref.: https://goo.gl/cbyJhY
  18. Garrow AP, Papageorgiou A, Silman AJ, Thomas E, Jayson MI, et al. The grading of hallux valgus: the Manchester Scale. J Am Podiatr Med Assoc. 2001; 91: 74-78. Ref.: https://goo.gl/K8X91d
  19. Menz HB, Munteanu SE. Radiographic validation of the Manchester scale for the classification of hallux valgus deformity. Rheumatology (Oxford). 2005; 44: 1061-1066. Ref.: https://goo.gl/iLxPhA
  20. Loudon JK, Jenkins W, Loudon KL. The relationship between static posture and ACL injury in female athletes. Journal of Orthopaedic & Sports Physical Therapy. 1996; 24: 91-97. Ref.: https://goo.gl/uobH5L
  21. Vinicombe A, Raspovic A, Menz HB. Reliability of navicular displacement measurement as a clinical indicator of foot posture. J Am Podiatr Med Assoc. 2001; 91: 262-268. Ref.: https://goo.gl/qG5KKS
  22. Dawson J, Coffey J, Doll H, Lavis G, Cooke P, et al. A patient-based questionnaire to assess outcomes of foot surgery: validation in the context of surgery for hallux valgus. Qual Life Res. 2006; 15: 1211-1222. Ref.: https://goo.gl/sKjJKh
  23. Glasoe WM, Nuckley DJ, Ludewig PM. Hallux valgus and the first metatarsal arch segment: a theoretical biomechanical perspective. Phys Ther. 2010; 90: 110-120. Ref.: https://goo.gl/bz9t3z
  24. Mueller M, Host J, Norton B. Navicular drop as a composite measure of excessive pronation. J Am Podiatr Med Assoc. 1993; 83: 198-202. Ref.: https://goo.gl/ZU1Si1
  25. Woodford-Rogers B, Cyphert L, Denegar CR. Risk factors for anterior cruciate ligament injury in high school and college athletes. J Athl Train. 1994; 29: 343. Reg.: https://goo.gl/ut64F4
  26. Komeda T, Tanaka Y, Takakura Y, Fujii T, Samoto N, et al. Evaluation of the longitudinal arch of the foot with hallux valgus using a newly developed two-dimensional coordinate system. Journal of orthopaedic science. 2001; 6: 110-118. Ref.: https://goo.gl/9Bb52t
  27. Dawson J, Doll H, Coffey J, Jenkinson C. Responsiveness and minimally important change for the Manchester-Oxford foot questionnaire (MOXFQ) compared with AOFAS and SF-36 assessments following surgery for hallux valgus. Osteoarthritis and cartilage. 2007; 15: 918-931. Ref.: https://goo.gl/QrSzLk
  28. Taspinar O, Kabayel DD, Ozdemir F, Tuna H, Keskin Y, et al. Comparing the efficacy of exercise, internal and external shoe modification in pes planus: A clinical and pedobarographic study. J Back Musculoskelet Rehabil. 2017; 30: 255-263. Ref.: https://goo.gl/z5VB4Q
  29. González-Sánchez M, Velasco-Ramos E, Muñoz MR, Cuesta-Vargas AI. Relationship between patient-reported outcome measures (PROM) and three measures of foot-ankle alignment in patients with metatarsal head pain: a cross-sectional study. J Foot Ankle Res. 2016; 9: 49. Ref.: https://goo.gl/Fy8b22

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