Comparison of the Effects of Different Exercise Protocols in Individuals with Hallux Valgus

Comparison of the Effects of Standard and Resisted Protocols of Toe Spread Out Exercise on Hallux Valgus Angle, Muscular Activation, Balance and Physical Performance in Individuals with Hallux Valgus.

The aim of this study was to determine the effects of 8 weeks of supervised in addition to stretching exercise resisted concentric and eccentric contraction protocol of toe spread out exercise on the angular severity of hallux valgus deformity, changes in the cross-sectional area, stiffness and thickness of the abductor hallucis muscle, electromyographic activities, plantar pressure distribution, foot morphology and gait characteristics, balance and physical performance at the end of the medium and long term.

Inclusion Criteria:

• Being between the ages of 18-65,
• Being diagnosed with mild or moderate HV according to the radiographic evaluation result,
• Having flexible HV,
• Being a volunteer

Exclusion Criteria:

• Having a neurological disease,
• Having a systemic disease,
• Having cognitive disorders such as dementia, Alzheimer's, etc.,
• Having spinal problems such as disc herniation, lumbar stenosis, scoliosis, etc.,
• Having claudication,
• Having idiopathic numbness, tingling, etc. complaints in the lower extremity,
• Having had lower extremity surgery before,
• Having a fracture, ligament, or muscle injury in the lower extremity within the last 6 months,
• Having received foot-related treatment within the last 6 months.
• Not understanding the exercises,
• Not being able to continue with exercise sessions,
• Low homework exercise compliance,
• Foot structure not suitable for elastographic US examination,
• Incorrectly measured elasticity values in SWE,
• Not participating in the first or last evaluation.