Assessment of Kinesio Taping Versus Phonophoresis for the Treatment of Painful Hallux Valgus: A Pilot Study

Parisa Taheri,Razieh Maghroori,Aidin Heidari

doi:10.31661/gmj.v10i0.1888

Abstract

Background: Hallux valgus (HV) is a deformity that affects the quality of life and function in a negative manner causing disturbed balance and walking and even alters the foot kinematics. Conservative treatments are the choice for mild to moderate HV, but the question about the best method has not been responded yet. In the current study, it is aimed to assess and compare the efficacy of kinesiotaping (KT) versus phonophoresis (PH) for the treatment of painful HV. Materials and Methods: This randomized clinical trial has been conducted on a total number of 37 toes (37 toes of a total number of 24 patients) randomly divided into two subgroups of either KT or PH with 1% hydrocortisone among which the total numbers of 31 toes from 20 patients fulfilled the study protocol. The variables including pain (using VAS score), function (using Manchester-Oxford Foot questionnaire)(MOXFD), hallux valgus angle (HVA), and intermetatarsal angle (IMA) were assessed and compared between two groups before and after two months following the interventions. Results: The pain score decreased significantly within the time in both groups (P-value<0.001), while the comparison of KT with PH revealed insignificant difference (P-value=0.08). MOXFD assessments showed significantly improved status within two months for both interventions (P-value<0.001) with no remarkable difference between the groups (P-value=0.55). The IMA and HVA altered following both of the techniques. KT was superior to PH for the correction of HVA, but not for IMA (P-value>0.05). Conclusion: We found both of the KT and PH techniques could successfully rehabilitate the patients’ pain and improve function, however the KT was slightly better than PH due to HVA reduction. [GMJ.2021;10:e1888]

Highlights

Hallux valgus (HV) is a pathological condition manifested as the lateral deviation of the great toe accompanying with the medial GMJKinesiotaping Versus Phonophoresis in Hallux Valgus Management have been demonstrated for hallux valgus [24], the primary etiology of this deformity is still a question
We found both of the KT and PH techniques could successfully rehabilitate the patients’ pain and improve function, the KT was slightly better than PH due to hallux valgus angle (HVA) reduction. [GMJ.2021;10:e1888] DOI:10.31661/gmj.v10i0.1888
History of diseases including rheumatoid arthritis, gout, and leprosy, diabetes mellitus, lower extremity neuropathies, history of dislocation or fracture in a metatarsophalangeal joint, chronic use of high dose corticosteroids, use of anticoagulant agents, addiction, diagnosis of hallux rigidus or osteoarthritis in the first metatarsophalangeal joint, and presence of any contraindication for ultrasound administration were considered as the unmet criteria. Patients who presented their unwillingness for participation in the study, those who refused to refer for follow-up visits, and those with more than 40 degrees of hallux valgus or more than 15 degrees of intermetatarsal angle (IMA) were excluded from the study

Summary

Introduction

Hallux valgus (HV) is a pathological condition manifested as the lateral deviation of the great toe accompanying with the medial GMJKinesiotaping Versus Phonophoresis in Hallux Valgus Management have been demonstrated for hallux valgus [24], the primary etiology of this deformity is still a question. There are studies in the literature representing the efficacy of KT on the restoration of muscle strength and function, mechanical correction, increased lymphatic drainage, improved range of motion, and reduced pain [11, 16, 17]. We have aimed to assess and compare the efficacy of KT versus PH for the treatment of HV. Hallux valgus (HV) is a deformity that affects the quality of life and function in a negative manner causing disturbed balance and walking and even alters the foot kinematics. It is aimed to assess and compare the efficacy of kinesiotaping (KT) versus phonophoresis (PH) for the treatment of painful HV. The variables including pain (using VAS score), function (using Manchester-Oxford Foot questionnaire)(MOXFD), hallux valgus angle (HVA), and intermetatarsal angle (IMA) were assessed and compared between two groups before and after two months following the interventions. Conclusion: We found both of the KT and PH techniques could successfully rehabilitate the patients’ pain and improve function, the KT was slightly better than PH due to HVA reduction. [GMJ.2021;10:e1888] DOI:10.31661/gmj.v10i0.1888

Methods

Results

Conclusion