Effect of foot posture on foot-specific health-related quality of life
Article Sidebar
Main Article Content
Abstract
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.
Article Details
Copyright (c) 2018 Külünkoğlu B, et al.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Ferrari J, Eiff P, Grayzel J. Hallux valgus deformity (bunion). Consultado el. 2014; 22.
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
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
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
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
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
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
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
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
Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2007; 28: 759-777. Ref.: https://goo.gl/Y4VHNT
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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