Effect of modified toe-spread-out exercises in female patients with hallux valgus
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 Univer-sity 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 interven-tion,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 hal-lucis in both the TSO and modified TSO groups after four weeks and eight weeks of intervention was significant-ly 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.
hallux valgushallux valgus anglesabductor hallucisfascia releasetoe-spread-out exercise