Hallux Valgus from the Physiotherapist Standpoint or Is Hallux Valgus Just a Hallux Deformity?


Authors: J. Kozáková 1;  M. Janura 1,2;  A. Gregorková 3;  Z. Svoboda 1
Authors‘ workplace: Katedra biomechaniky a technické kybernetiky, Fakulta tělesné kultury UP, Olomouc 1;  Katedra rehabilitace, Fakulta zdravotnických studií, Ostravská univerzita, Ostrava 2;  Fakultní nemocnice Ostrava - Poruba 3
Published in: Rehabil. fyz. Lék., 17, 2010, No. 2, pp. 71-77.
Category: Original Papers

Overview

Hallux valgus is a complex progressive triplanar forefoot deformity, it characterise by valgus deviation of the big toe, higher varus of the first metatarsus and a medial prominence on its head. The development of this deformity is subsequent. Its risk factors include biomechanical and structural anomalies, systemic diseases, hereditary predispositions, footwear, etc. The hallux and first metatarsophalangeal joint play the main role in a load transmission during walking. The valgus deformity of the big toe is typical first ray dynamic stabilization failure and loss of contact between the first metatarsophalangeal joint surfaces and sesamoid bones. The centralization and stabilization failure of the first metatarsophalangeal joint in the case of hallux valgus deformity does not enable to perform heel-off and toe-off optimally. It could negatively project especially at the end of a pre-swing phase during walking. The clinical examination and early diagnosis play key role in successful therapy. The aim of kinesiotherapy is to recover a hallux and foot function and their submission to function of proximal segments of lower extremities.

Key words:
hallux valgus, gait, diagnosis, kinesiotherapy


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Labels
Physiotherapist, university degree Rehabilitation Sports medicine
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