Effects of Plantar Sensory Training in Individuals With Hallux Valgus.
Condition: Hallux Valgus; Pain; Balance; Distorted
MeSH terms: Hallux Valgus; Bunion
Study type: Interventional

Summary: 
      Hallux valgus is a forefoot deformity with a high prevalence, which can progress to lateral
      deviation of the big toe, medial deviation of the first metatarsal, and subluxation of the
      first metatarsophalangeal joint in the future. It has been reported in studies that changes
      in the load distribution of the foot in hallux valgus patients, hyperkeratosis, especially
      first-line pain, and sensory receptors on the sole of the foot may result in the effect of
      sensory receptors on the sole of the foot, and thus the balance may be negatively affected,
      poor postural stability and an increase in the risk of falling. It is thought that increased
      sensitivity to the senses coming from the feet with sensory training can improve the balance
      and reduce the risk of falling as a result of better perception of foot orientation and
      position.
    

Detailed description: 
      Achieving balance depends on the visual, vestibular and somatosensory systems working
      together and in interaction. One of the important components of the somatosensory system is
      the cutaneous receptors. Merkel discs, Paccini corpuscles, Meissner corpuscles and Ruffini
      endings are located on the plantar surface of the foot, which makes contact with the ground.
      Plantar cutaneous receptors are sensitive to pressure during ground contact and provide
      site-specific information for cortical mapping and may affect postural responses. It is
      recommended that sensory training of the sole of the foot, rough insoles and transcutaneous
      electrical stimulation applications should be added to rehabilitation in order to increase
      the afferent sensory feedback from the sole of the foot in patients with multiple sclerosis,
      starting from the early stages of the disease. It has been reported in studies that the
      sensory input of different foot regions has an important role in the transition and timing of
      the stance and swing phase in gait. It has been suggested that cutaneous reflexes in the foot
      can provide functional locomotion and modulation of lower extremity flexor and extensor
      muscle activity. It has been reported in studies that changes in the load distribution of the
      foot in hallux valgus patients, hyperkeratosis, especially first-line pain, and sensory
      receptors on the sole of the foot may result in the effect of sensory receptors on the sole
      of the foot, and thus the balance may be negatively affected, poor postural stability and an
      increase in the risk of falling. It is thought that increased sensitivity to the senses
      coming from the feet with sensory training can improve the balance and reduce the risk of
      falling as a result of better perception of foot orientation and position. Therefore, the aim
      of our study; It was determined as the examination of the effect of plantar sensory training
      on pain, foot posture, functional activities, gait and balance parameters in individuals with
      hallux valgus.
    

Intervention name(s): Plantar Sensorial Training; Control Group
Intervention type(s): Other; Other
Intervention description(s): In addition to the routine treatment, plantar sensorial training will be added.; Routine physiotherapy management of the Hallux valgus
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: hallux valgus; pain; sensory training; plantar sensory