Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional area of abductor hallucis muscle in subjects with hallux valgus.

Kim, Moon-Hwan; Yi, Chung-Hwi; Weon, Jong-Hyuck; Cynn, Heon-Seock; Jung, Do-Young; Kwon, Oh-Yun
Journal of physical therapy science
2015Apr ; 27 ( 4 ) :1019-22.
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Kim, Moon-Hwan - Department of Physical Therapy, Graduate School, Yonsei University, Republic of Korea.
Yi, Chung-Hwi - Department of Physical Therapy, College of Health Science, Yonsei University, Republic of Korea.
Weon, Jong-Hyuck - Department of Physical Therapy, College of Tourism and Health Science, Joongbu University, Republic of Korea.
Cynn, Heon-Seock - Department of Physical Therapy, College of Health Science, Yonsei University, Republic of Korea.
Jung, Do-Young - Department of Physical Therapy, College of Tourism and Health Science, Joongbu University, Republic of Korea.
Kwon, Oh-Yun - Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, Republic of Korea.
ABSTRACT
[Purpose] This study investigated whether the toe-spread-out exercise affects the hallux valgus angle, the cross-sectional area of the abductor hallucis muscle, and the hallux valgus angle during active abduction. [Subjects and Methods] Twenty-four subjects with hallux valgus were randomly assigned to orthosis and orthosis plus toe-spread-out exercise groups. The orthosis group wore the orthosis for 8 weeks, while the orthosis plus toe-spread-out group also performed the toe-spread-out exercise. The hallux valgus angle, the cross-sectional area of the abductor hallucis muscle, and the hallux valgus angle during active abduction were measured initially and after 8 weeks by radiography and ultrasonography. [Results] While there were no significant changes in the three parameters in the orthosis group, there were significant differences in the orthosis plus toe-spread-out exercise group after 8 weeks. In addition there were significant differences in the three measures between the two groups. [Conclusion] The toe-spread-out exercise reduces the hallux valgus angle and hallux valgus angle during active abduction, and increases the cross-sectional area of the abductor hallucis muscle. The toe-spread-out exercise is recommended for patients with mild to moderate hallux valgus.
keyword
Hallux valgus; Radiography; Toe-spread-out exercise
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The toe-spread-out exercise reduces the hallux valgus angle.
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DOI
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