Kinesiophobia and hallux valgus

NewsBot · Sep 7, 2020

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Kinesiophobia and Pain Intensity Are Increased by a Greater Hallux Valgus Deformity Degree- Kinesiophobia and Pain Intensity in Hallux Valgus
Patricia Palomo-López et al
Int J Environ Res Public Health. 2020 Jan 18;17(2):626

Background: Hallux valgus (HV) has been previously associated with psychological disorders. Thus, the purposes of this study were to associate kinesiophobia and pain intensity with HV deformity degrees, as well as predict kinesiophobia and pain intensity based on HV deformity and demographic features.

Methods: A cross-sectional study was carried out recruiting 100 subjects, who were divided into HV deformity degrees, such as I-no HV (n = 25), II-mild (n = 25), III-moderate (n = 25), and IV-severe (n = 25) HV. Kinesiophobia total and domains (activity avoidance and harm) scores and levels were self-reported by the Tampa Scale of Kinesiophobia (TSK-11). Pain intensity was self-reported by the numeric rating scale (NRS).

Results: Statistically significant differences (p < 0.01; η2 = 0.132-0.850) were shown for between-groups comparison of kinesiophobia total and domain scores (activity avoidance and harm) and levels, as well as pain intensity among HV deformity degrees. Post hoc comparisons showed statistically significant differences with a large effect size (p < 0.05; d = 0.85-4.41), showing higher kinesiophobia symptoms and levels and pain intensity associated with greater HV deformity degrees, especially for III-moderate and/or IV-severe HV deformity degrees versus I-no HV and/or II-mild deformity degrees. Both statistically significant prediction models (p < 0.05) for kinesiophobia (R2 = 0.300) and pain intensity (R2 = 0.815) were predicted by greater HV deformity degree and age.

Conclusions: Greater kinesiophobia symptoms and levels and pain were associated with higher HV deformity degrees, especially severe and/or moderate HV with respect to no and/or mild HV. The kinesiophobia and pain intensity were predicted by greater HV deformity degree and age.
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NewsBot · Sep 7, 2020

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NewsBot · Jul 13, 2021

A qualitative study to understand patients' experiences of foot pain and surgical consultation for hallux valgus and/or hallux rigidus.
Lorelle Dismore, Anna Van Wersch, Rebecca Critchley, An Murty, Katherine Swainston
Source

The foot is one of the most complex musculoskeletal systems in the body, playing a pivotal role in gait and posture. Epidemiological studies indicate that a high prevalence of foot problems is associated with a greater burden of pain, disability and decreased health-related quality of life. Disabling foot pain is likely to be multifactorial in origin, however to date there is limited evidence of the psychosocial impact of forefoot problems, as such the associated burden is unknown. The study was qualitative with the use of semi-structured interviews to explore patients’ experiences of their foot problem and of undergoing surgical consultation and/or intervention for hallux valgus and/or hallux rigidus. Sixteen patients participated: 14 females and 2 males; mean age of 61 years, SD 7.23 from a National Health Service secondary care hospital within an orthopaedic department, who required surgery for hallux valgus and/or hallux rigidus. Thematic analysis generated three themes; ‘the impact of pain’, ‘the decision-making process’ and ‘body image, the self and identity’. Forefoot problems present many issues for patients and impact on their physical, social and psychological health. Forefoot problems are multifactorial and patients should be supported using a biopsychosocial approach.
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NewsBot · May 16, 2023

The Relationship between Plantar Sensation and Functional Parameters in Individuals with Hallux Valgus: A Pilot Study
Elif Kirdi, Pinar Kisacik, Gül Şener
J Clin Pract Res Volume : 45 Issue : 2 Year : 2023

Objective: Hallux valgus (HV), one of the most common forefoot deformities, may increase mechanical loading on the lateral side of the foot, leading to hyperkeratosis in these areas and deterioration of plantar sensation. Thus, the objective of this study was to investigate the relationship between plantar sensation and clinical and functional parameters, such as HV severity, foot posture, gait, and balance in individuals with HV.
Materials and Methods: A total of 29 participants were recruited for the study. The following measurements were taken: the HV angle with a universal goniometer, hallux pain with the Visual Analog Scale, plantar cutaneous sensation with Sem-mes-Weinstein monofilaments, clinical status of the forefoot with the American Orthopaedic Foot and Ankle Society (AO-FAS) Hallux-Metatarsophalangeal (MTP)-Interphalangeal (IP) Scale, foot posture with the Foot Posture Index (FPI), postural sway with a force platform, and temporospatial gait parameters with an electronic walkway. Spearman correlation analysis was applied to investigate the relationship between the parameters.
Results: Although age and plantar forefoot sensation were moderately correlated (p=001; r=0.63), the HV angle and pain intensity were not associated with any of the sensory parameters (p>0.05).
Conclusion: The present study showed that plantar forefoot sensation worsened as the patients’ age increased. It is believed that pressure neuropathy may be the reason why HV patients’ forefoot sensitivity deteriorates with age in particular.
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NewsBot The Admin that posts the news.

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