The Influence of Hallux Valgus Severity on postural stability and risk of fall.

Document Type : Review Article

Authors

1 Demonstrator at Faculty of Physical Therapy for Basic Science, Faculty of Physical Therapy, Deraya University, Minya, Egypt.

2 Physical therapy department, Benha university hospital ,Benha university. Orthopaedic physical therapy department Deraya university

3 Biomechanics department, Faculty of physical therapy, Sphinx University,Assuit,Egypt.

4 Basic Science department, Physical Therapy, Deraya University, Minya, Egypt.

Abstract

Background: Hallux valgus (abductovalgus), an irreversible foot deformity, is defined in the International Classification of Disease (ICD) as an acquired deformity of toes (big toe). It is characterized by lateral deviation of the hallux and medial deviation of the first metatarsal. Another term, Bunion, which is often used to describe the same condition, more preciously describes the enlargement and chronic swollen of the medial projected eminence. Almost hallux valgus deformity leads to progressive kinematic impairments, balance dysfunction, and increasing the risk of falls that has become a growing concern worldwide. Hallux valgus influences on foot kinematics, and musculoskeletal articulations` axis has been described in some detail, its effect on the hallux valgus remains poorly understood. Severity of hallux valgus and extend of its progression fortunately influences static and dynamic balance, postural stability in addition positively associated with extra painful complains those accompanied with excess dysfunctional deficits, aggravated falling incidences. Therefore, comprehensive understood of both kinetics and kinematics of hallux valgus and its severity correlation with both static and dynamic balance, and postural stability permits caregivers valuable chances to conduct the most proper rehabilitation programs.

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