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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(1):148-152.
Shoe and Insole Modification for Hallux Valgus and Its Associated Foot Deformities.
Ko, Young Jin , Kim, Hye Won , Lee, Jung Soo , Lee, Jong In , Park, No Kyung , Kang, Sae Yoon
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea.
무지외반증과 흔히 동반되는 발 질환에 대한 신발과 안창 조절
고영진, 김혜원, 이정수, 이종인, 박노경, 강세윤
가톨릭대학교 의과대학 재활의학교실
Abstract

Objective
To evaluate outcomes of treatment of hallux valgus and its associated foot deformities with shoe and insole modification


Method
We present the short-term follow-up of 32 symptomatic hallux valgus deformities in 20 patients. The patients were all female and 32 to 77 years in age at the time of modification of shoe and insole. Twenty patients were evaluated on an average of 4 weeks following their shoe and insole modification. Hallux valgus angles and first-second intermetatarsal angle were evaluated as well as the range of motion of the first metatarsophalangeal joint and patient's satisfaction. Outcome was measured using changes in visual analogue scale (VAS) on twenty occasions during 4 weeks.


Results
Hallux valgus was commonly associated with the lesser (2nd∼5th) toe deformity (21 cases, 65.5%), pes planus (12 cases, 37.5%), Achilles tightness (12 cases, 37.5%) and great toe pronation (10 cases, 31.5%). The result obtained was highly significant (p<0.002), suggesting that the shoe and insole modification were as effective in reducing the level of pain due to hallux valgus and its associated foot deformities.


Conclusion
The shoe and insole modification can be an effective treatment of reducing pain of hallux valgus and its associated deformities.

Key Words: Hallux valgus, Foot deformity, Shoe modification
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