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Effects of global postural reeducation on postural control, dynamic balance, and ankle range of motion in patients with hallux abducto valgus. A randomized controlled trial
Author(s) -
EstepaGallego Alejandro,
IbañezVera Alfonso Javier,
EstudilloMartínez María Dolores,
CastelloteCaballero Yolanda,
Bergamin Marco,
Gobbo Stefano,
LéridaOrtega Miguel Ángel,
CruzDíaz David
Publication year - 2022
Publication title -
journal of orthopaedic research®
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1002/jor.25156
Subject(s) - range of motion , physical medicine and rehabilitation , balance (ability) , medicine , ankle , valgus , physical therapy , randomized controlled trial , dynamic balance , orthodontics , surgery , engineering , mechanical engineering
Hallux abducto valgus (HAV) is a common musculoskeletal disorder that has been addressed surgically. Nevertheless, the manual therapy approach may play an important role in the management of this condition. The present study aimed to determine the effectiveness of global postural reeducation (GPR) in subjects with symptomatic mild to moderate HAV in static postural control, dynamic stability, and ankle dorsiflexion range of motion (DFROM). A total of 80 patients with mild to moderate symptomatic HAV were allocated to the intervention group (GPR) or control group (CG) (no treatment) for 8 weeks. Outcome measures were assessed at baseline at 4 and 8 weeks including static postural control (Romberg test), dynamic balance (Star Excursion Balance Test [SEBT]), and ankle DFROM (Weight‐Bearing Lunge Test [WBLT]). No improvements were observed at 4 weeks, but there were improvements at 8 weeks in: static postural control mediolateral displacement (X) of center of pressure (CoP) in both eyes open (EO) and eyes closed (EC): XEO ( t (36) = 2.892, p = .006, d = 0.67); XEC ( t (68) = 2.280, p = .026, d = 054); and velocity (V) of CoP displacement: VEO ( t (68) = 2.380, p = .020, d = 0.57); VEC ( t (36) = 2.057, p = .047, d = 0.37). It were also improvements in: WBLT ( t (36) = −2.869, p = .007, d = 0.54) and SEBT at three directions (anterior, ANT; posteromedial, PM; and posterolateral, PL): SEBT.ANT ( t (36) = −2.292, p = .028, d = 0.23); SEBT.PM ( t (36) = −4.075, p < .001, d = 0.43); SEBT.PL ( t (62) = −3.506, p = .001, d = 0.34). The present study showed that GPR compared to the CG might be effective in enhancing ankle function including postural control, dynamic balance, and DFROM.