## 4 Discussion  
In response to the question in the title of this paper, our findings demonstrated that the RMS and MCV values for the AH muscle during the TSO, SF, and FM exercises did not show significant differences between T0 and T1 in the case group. On the contrary, the FA exercise was the only one to exhibit a statistically significant improvement in both RMS and MVC scores. This finding suggests that FA effectively stimulates the intrinsic AH muscle, enhancing the coordination and control of foot movements. Assessment of the MVC values further emphasized the results observed in the RMS measurements. The patterns noted, with FA showing significant increases in muscle strength compared to the other exercises, align with literature highlighting the need for specific muscle training in pathological conditions of the foot [23]. Other studies have analyzed the significance of targeted exercises in enhancing outcomes for patients with foot diseases. A study conducted by [PERSON] et al. [24] demonstrated how intrinsic muscle strengthening exercises contributed to improving better alignment and overall function in patients with comparable foot deformities. Similarly, some studies on rehabilitation programs for other foot conditions, such as plantar fascitits and flatfoot deformities, have shown that structured exercise routines aimed at strengthening intrinsic muscles can result in favorable functional outcomes [25; 26]. These  
\begin{table} \begin{tabular}{l c c c c c} \hline  & & \multicolumn{3}{c}{**MVC TSO**} \\ \hline Control Group & 260.1 \(\pm\) 110.3 & 273.4 \(\pm\) 121.4 & & & \\  & (21.8–379.7) & (105.3–543.6) & & & \\ Case Group & 165.4 \(\pm\) 103.1 & 177.1 \(\pm\) 118.3 & 0.003 & 0.322 & 0.949 \\  & (21.8–379.7) & (22.1–442.1) & & & \\ Total & 212.8 \(\pm\) 115.9 & 225.2 \(\pm\) 128.2 & & & \\  & (21.8–489.2) & (22.1–543.6) & & & \\  & & **MVC SF** & & & \\ Control Group & 200.0 \(\pm\) 80.7 & 209.7 \(\pm\) 140.2 & & & \\  & (33.4–313.3) & (93.2–802.4) & & & \\ Case Group & 152.3 \(\pm\) 80.7 & 164.7 \(\pm\) 97.7 & 0.152 & 0.270 & 0.894 \\  & (33.4–313.3) & (37.6–458.7) & & & \\ Total & 176.2 \(\pm\) 110.9 & 187.2 \(\pm\) 110.9 & & & \\  & (33.4–760.3) & (33.4–760.3) & & & \\  & & **MVC FA** & & & \\ Control Group & 222.1 \(\pm\) 112.4 & 216.2 \(\pm\) 118.9 & & & \\  & (39.2–521.5) & (32.5–521.5) & & & \\ Case Group & 216.6 \(\pm\) 110.9 & 389.9 \(\pm\) 118.8 & 0.009 & \(<\)0.0001 & \(<\)0.0001 \\  & (34.6–521.3) & (112.6–592.6) & & & \\ Total & 219.2 \(\pm\) 114.5 & 303.3 \(\pm\) 143.5 & & & \\  & (32.5–521.5) & (34.6–592.6) & & & \\  & & **MVC FM** & & & \\ Control group & 222.9 \(\pm\) 214.9 & 219.9 \(\pm\) 187.8 & & & \\  & (18.8–898.6) & (24.4–706.4) & & & \\ Case group & 238.9 \(\pm\) 194.4 & 204.8 \(\pm\) 140.0 & 0.993 & 9244 & 0.328 \\  & (16.6–1003.2) & (52.7–649.4) & & & \\ Total & 230.9 \(\pm\) 202.9 & 212.3 \(\pm\) 164.1 & & & \\  & (16.6–1003.2) & (24.4–706.4) & & & \\ \hline \end{tabular} 
\begin{tabular}{l c c c} \hline  & & & \\ Control Group & 223.4 \(\pm\) 214.9 & 219.9 \(\pm\) 187.8 & & & \\ Control Group & (18.8–898.6) & (24.4–706.4) & & & \\ Case Group & 238.9 \(\pm\) 194.4 & 204.8 \(\pm\) 140.0 & & \\ Total & (52.7–649.4) & & & \\ Total & (52.  
studies indicate a similarity in the effectiveness of rehabilitation across various foot pathologies, demonstrating the importance of rehabilitation in personalized multidisciplinary approaches [27]. In fact, HV management requires a multifaceted approach, and rehabilitation, particularly strengthening of the AH muscle, plays a critical role both pre- and post-surgery. There is growing interest in the significance of targeted exercises to improve outcomes and prevent further progression of the deformity, improving foot function prior to surgical intervention. Recent literature explores the optimal exercises for strengthening the AH muscle, focusing on exercises such as TSO, SF, FM, and FA [28].