改良脚趾伸展训练对女性拇外翻患者的治疗效果

doi:10.3969/j.issn.1006-9771.2024.12.013

Abstract

Abstract:

Objective To compare the effect of toe-spread-out exercises (TSO) and modified TSO in females with hallux valgus.

Methods From September to December, 2023, a total of 45 females with hallux valgus were recruited in Capital University of Physical Education and Sports and randomly divided into blank control group (n = 15), TSO group (n = 15), and modified TSO group (n = 15). The blank control group received no intervention, the TSO group received routine TSO, and the modified TSO group received fibularis longus fascia release followed by TSO, for eight weeks. Changes in the hallux valgus angle (HVA) and the cross-sectional area (CSA) of the abductor hallucis muscle were measured before intervention, and four and eight weeks after intervention, respectively.

Results One case dropped out from the blank control group. The changes of HVA in the TSO and modified TSO groups were significantly greater than in the blank control group (F > 15.263, P < 0.05). After four weeks of intervention, the change of left HVA in the modified TSO group was significantly greater than in the TSO group (P < 0.05). The main effect of time was significant on the CSA of the abductor hallucis muscle (F > 13.245, P< 0.05). The main effect of group was significant on the left foot's CSA of the abductor hallucis (F = 3.798, P < 0.05). The interaction effect of time and group was also significant (F > 4.744, P < 0.05). The CSA of the abductor hallucis in both the TSO and modified TSO groups after four weeks and eight weeks of intervention was significantly greater than before intervention (P < 0.05). At eight weeks, the CSA of the right foot in the modified TSO group was significantly greater than in the blank control group (P < 0.05).

Conclusion Both TSO and modified TSO can improve HVA and the CSA of the abductor hallucis muscle in females with hallux valgus, and modified TSO is better.

Key words: hallux valgus, hallux valgus angles, abductor hallucis, fascia release, toe-spread-out exercise

CLC Number:

R684.2

DIAO Lianfu, ZHOU Zhicheng, LIU Mengting, ZHANG Liang, YU Zhongqi, YU Yao, WANG Chao. Effect of modified toe-spread-out exercises in female patients with hallux valgus[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(12): 1473-1478.

Figures/Tables 5

Table 1

Comparison of baseline data among three groups"

组别	n	年龄/岁	BMI/(kg $⋅$ m^-2)	左脚拇外翻角/°	右脚拇外翻角/°
空白对照组	14	23.00±2.08	21.39±3.13	19.71±2.77	20.30±3.58
TSO组	15	22.87±1.77	21.11±2.75	20.65±3.80	21.15±5.05
改良TSO组	15	22.60±1.59	20.61±2.86	20.54±4.61	22.16±5.41
F值		0.184	0.268	0.257	0.550
P值		0.833	0.766	0.774	0.581

Table 1

Table 2

Table 3

Table 4

Table 5

References 29

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组别	干预4周	干预8周
空白对照组	-0.10±1.21	0.20±1.77
TSO组	3.11±2.04^a	4.20±2.60^a
改良TSO组	4.66±2.44^a,b	5.24±3.13^a
F值	21.551	15.263
P值	< 0.001	< 0.001

组别	干预4周	干预8周
空白对照组	-0.15±1.43	-0.08±1.80
TSO组	4.19±2.88^a	5.43±2.50^a
改良TSO组	4.36±2.58^a	5.80±2.77^a
F值	18.899	26.947
P值	< 0.001	< 0.001

组别	干预前	干预4周	干预8周
空白对照组	1.68±0.39	1.66±0.35	1.63±0.35
TSO组	1.71±0.36	1.95±0.48^a	2.23±0.52^a,b,c
改良TSO组	1.69±0.39	1.98±0.44^a	2.41±0.51^a,b,c

组别	干预前	干预4周	干预8周
空白对照组	1.66±0.44	1.64±0.45	1.60±0.45
TSO组	1.67±0.30	1.99±0.44^a	2.04±0.58^a
改良TSO组	1.73±0.40	2.03±0.47^a	2.20±0.52^a,b,c

Effect of modified toe-spread-out exercises in female patients with hallux valgus

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