Health-related quality of life in people with hallux valgus and hallux rigidus

JFAR · Dec 11, 2008

Members do not see these Ads. Sign Up.
Hallux valgus and hallux rigidus: a comparison of impact on health-related quality of life in patients presenting to foot surgeons in Australia

Mark F Gilheany , Karl B Landorf and Priscilla Robinson

Journal of Foot and Ankle Research 2008, 1:14doi:10.1186/1757-1146-1-14

Published: 11 December 2008

Abstract (provisional)

Background
Hallux valgus and hallux rigidus are common foot conditions that lead to a deterioration in health status. Patients with significant pain or deformity from these conditions frequently resort to surgery. In this project, the foot health status of patients with hallux valgus and hallux rigidus presenting to foot surgeons in Australia was compared.

Methods
Foot health status was measured in 120 participants using the Foot Health Status Questionnaire (FHSQ), a validated 0 - 100 point health status instrument. All participants had presented for surgical advice regarding hallux valgus / rigidus. The mean age of participants was 48.0 years (SD 14.3, range 19 - 79).

Results
In the sample, 68% of participants were diagnosed with hallux valgus and 32% with hallux rigidus. Participants with hallux rigidus had greater levels of pain and functional limitation compared with hallux valgus. The mean difference for pain was 13.8 points (95% CI 4.6 to 22.9) and the mean difference for function was 15.0 points (95% CI 5.3 to 24.7). Both conditions result in similarly negative levels of impact on shoe fit and overall foot health.

Conclusions
This study found measurable differences in foot health status between hallux valgus and hallux rigidus in participants presenting for surgical consultation. While both appear to have a negative impact on health status, hallux rigidus has a more significant impact.

Admin2 · Dec 17, 2008

Related threads:
Threads tagged with hallux rigidus
Threads tagged with hallux valgus
Threads tagged with quality of life

Frederick George · Dec 22, 2008

And so why do orthopedic surgeons routinely fuse hallux valgus again?

W J Liggins · Dec 22, 2008

Well..... they don't define either hallux rigidus or hallux valgus (I haven't read the whole paper). I'm willing to bet though, that they are dealing with hallux limitus, in which the 1st MTPJ is painful, opposed to a true hallux rigidus which is not.

Bill Liggins

Frederick George · Dec 28, 2008

Perhaps, but assuming all three of the authors don't know Latin might be a stretch. And "greater levels of . . functional limitation" (than hallux valgus) seems pretty clear. We all know what fusion does to function.

I think fusion is done just because it's easy to do. And the bunion never returns. Because so many do it, especially in public health countries, it's not substandard.

But it's second rate.

Cheers

Frederick

NewsBot · Nov 17, 2010

Impact of hallux valgus severity on general and foot-specific health-related quality of life.
Menz HB, Roddy E, Thomas E, Croft PR.
Arthritis Care Res (Hoboken). 2010 Nov 15.

OBJECTIVES: (i) to explore the prevalence of and factors associated with hallux valgus, and (ii) to assess the impact of hallux valgus severity on general and foot-specific health-related quality of life (HRQOL) in older people.

METHODS: People aged 56 years and over who participated in the six year follow-up of the North Staffordshire Osteoarthritis Project (n=2,831) completed a survey which included the Short Form 36 (SF-36) and the Manchester Foot Pain and Disability Index (FPDI). Self-reported hallux valgus severity was assessed using a validated instrument. Comparisons of SF-36 and FPDI scores were made across five severity grades of hallux valgus.

RESULTS: Hallux valgus was present in 36.3% of the study population and was associated with female sex, older age, and pain in other bodily regions. There was a progressive reduction in all SF-36 component scores as the severity of hallux valgus increased; an association that remained after adjusting for age, sex, education and body mass index. After also adjusting for pain in the back, hip, knee and foot, the strength of these associations diminished, but hallux valgus severity remained significantly associated with reduced physical function, bodily pain, general health, social function and mental health subscale scores. Amongst participants with foot pain, increasing hallux valgus severity was also significantly associated with greater impairment on the pain and function subscales of the FPDI after adjusting for age, sex and body mass index.

CONCLUSIONS: There is a progressive reduction in both general and foot-specific HRQOL with increasing severity of hallux valgus deformity.
Click to expand...

NewsBot · Feb 15, 2011

A longitudinal study of hallux valgus surgical outcomes using a validated patient centred outcome measure.
Spruce MC, Bowling FL, Metcalfe SA.
Foot (Edinb). 2011 Feb 11. [Epub ahead of print]

BACKGROUND: : Hallux valgus is a common chronic condition affecting up to a third of the population. Progressive disruption to the complex anatomy of the first ray involving metatarsal, sesamoids and hallux impose both structural and functional alteration to the foot which underpin the secondary pathologies associated with this condition. It is common for patients to seek correction of the deformity in order to alleviate pain and improve footwear tolerance. Surgical intervention remains the only viable means to restore osseous alignments. To date there remains no universally accepted standards for procedure selection.

METHODS: : A total of 179 consecutive participants were recruited into the study. Ethical approval was obtained and all participants consented to participate in the study, in accordance with the Helsinki Declaration. All patients attending the Department of Podiatric Surgery, between July 2004 and October 2007 for the surgical management of hallux valgus were invited to complete a Foot Health Status Questionnaire. Pre-operative data collection on all participants was undertaken on the day of admission, using the validated Foot Health Status Questionnaire measurement tool as with previous studies.

RESULTS: : A total of 179 complete data sets were recorded in this longitudinal study with an average participant age of 49.4 years (SD 14.5). The group comprised 164 females and 15 males. The mean days for administration of the Foot Health Status Questionnaire post operative follow up was 1045 days (149 weeks or 2.9 years). The results demonstrated that within all four foot specific domains, the minimal important differences were achieved by the majority of the group. Meanwhile, in domains relating to general health, physical activity, vigour and social capacity, the majority of participants failed to attain the calculated minimal important difference (94 [53%], 96 [54%], 93 [52%], 93 [52%], respectively).

CONCLUSIONS: : The authors have presented for the first time minimal important difference for all eight domains for the Foot Health Status Questionnaire quality of life tool in respect to hallux valgus surgery. Results demonstrate that surgical correction of hallux valgus undertaken under local anaesthetic as a Day Case procedure is an effective intervention directly benefiting patients by reducing perceived foot pain, improving foot function and general foot health for the majority of patients.
Click to expand...

NewsBot · Nov 7, 2015

Validation of the Foot and Ankle Outcome Score for Hallux Rigidus
MaCalus V. Hogan , Sriniwasan B. Mani, Jeremy Y. Chan, Huong Do, Jonathan T. Deland, Scott J. Ellis
HSS Journal ? pp 1-7 02 November 2015

Background
There is a clear call for improved patient-centered outcomes. The Foot and Ankle Outcome Score (FAOS) is a region-specific patient-reported measure that has been validated for a number of foot and ankle diagnoses, but not hallux rigidus.
Questions/Purposes
The aim of this study was to validate the FAOS in patients with hallux rigidus.
Methods
From 2007 to 2013, 211 patients with hallux rigidus (HR) were included in the study. For the construct validity portion of the study, 125 patients completed a Short-Form 12 (SF-12) and FAOS survey. Forty additional HR patients were prospectively given questionnaires to assess the relevance of each FAOS question as it pertained to their HR. Reliability was assessed in 36 HR patients via administration of a second FAOS an average 1 month following the first. In 55 patients, preoperative and postoperative FAOS scores were compared to determine responsiveness.
Results
All FAOS subscales demonstrated moderate correlation coefficients with the physical functioning, role physical, bodily pain, and physical health component scores of the SF-12, with all subscales demonstrating poor correlation with the SF-12 mental health-related domains. Content validity was high for all FAOS scores, with the exception of the daily activities subscale. All subscales achieved acceptable test–retest reliability with correlation coefficients of ≥0.72. Furthermore, all subscales were rated as responsive to change in postoperative patients (p < 0.001).
Conclusion
This study demonstrates the acceptable construct and content validity, reliability, and responsiveness of the FAOS for hallux rigidus. Due to its broad applicability and proven validation across multiple foot and ankle pathologies, the FAOS represents a patient-centered outcome measure that can be reliably used for the assessment of patients with hallux rigidus.
Click to expand...

JFAR Active Member

Admin2 Administrator Staff Member

Frederick George Active Member

W J Liggins Well-Known Member

Frederick George Active Member

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Evaluation of foot health related quality of life in individuals with foot problems by gender:

Health-Related Quality of Life in Athletes

Health-related quality of life in flatfeet

Parent health behaviours related to children's foot health

Availability of diabetes related foot health programs for Aboriginal and Torres Strait Islanders

Podiatry health

Ultrasound clinical references of the healthy toenail unit

Share This Page