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    ASSESSMENT OF GAIT AND QUALITY OF LIFE IN WOMEN WITH HALLUX VALGUS DEFORMITY
    (Turkey Assoc Physiotherapists, 2015) Talu, Burcu; Bayramlar, Kezban; Bek, Nilgun
    Purpose: This study was conducted to evaluate gait and quality of life in women with the hallux valgus deformity. Methods: To study, ranging between 18-55 years of age, according to the Manchester Scale-deformation degree 2 and on, 30 volunteers who have been diagnosed with hallux valgus (experimental group) and 30 healthy subjects (control group) were included. Individuals were evaluated in terms of demographic charecteristics, gait and quality of life. Evaluation of gait used method of foot print, evaluation of quality of life used SF-36. Results: When time-distance characteristics of gait were compared, the difference in favor of control group was observed about step width, foot angle, cadance, gait speed (p < 0,05). When viewed in terms of individual for quality of life, in the experimental group was found to be adversely affected in terms of parameters of physical functionning, physical role, bodily pain, vitality, social functionning, emotional role, physical parts summary, emotional parts summary of the SF-36 quality of life questionnaire (p < 0,05). Discussion: In the light of the results obtained from the study, it has been concluded, hallux valgus deformity has negative impact on gait and quality of life in women.
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    Effects of hallux valgus deformity on rear foot position, pain, function, and quality of life of women
    (Soc Physical Therapy Science, 2016) Coskun, Gursoy; Talu, Burcu; Bek, Nilgun; Bayramlar, Kezban Yigiter
    [Purpose] To investigate the relationship between hallux valgus (HV) deformity and the position of rearfoot joints, and its effects on the quality of life, pain, and related functional status of women with bilateral hallux valgus (HV). [Subjects and Methods] The subjects were 27 right-dominant women. Demographic data, HV angle, weight-bearing and non-weight-bearing subtalar pronation (SP), and navicular height were recorded. Visual Analog Pain Scale, Foot Function Index (FFI), and the American Orthopaedic Foot and Ankle Society (AOFAS) first metatarsophalangeal-interphalangeal (MTP-IP) and AOFAS Mid foot (MF) Scales, and SF-36 were also used. [Results] HV angle, weight-bearing SP, and pain intensity of the left foot were higher. HV angle of left foot was correlated with all sub-scales of FFI, the pain parameter of AOFAS MTP-IP, and pain and total scores of AOFAS-MF Scale. HV angle of the left foot correlated with physical role, pain, and social function sub-domains of SF-36. Right HV angles were correlated with right foot pain and non-weight-bearing SP. [Conclusion] Increasing HV angle and pathomechanical changes in the rear foot are correlated, resulting in increasing pain and thus decreasing functional status as well as decreasing quality of life. Although all the participants were right-dominant, their left foot problems were more prominent.
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    Validity and reliability of the Turkish version of the Manchester-Oxford Foot Questionnaire for hallux valgus deformity evaluation
    (Turkısh assoc orthopaedıcs traumatology, tıp fakultesı ortopedı ve travmatolojı klınıgı, ıstanbul, topkapı 34390, turkey, 2016) Talu, Burcu; Bayramlar, Kezban; Bek, Nilgun; Yakut, Yavuz
    Objective: The aim of this study was to evaluate the reliability and validity of the Turkish version of the Manchester-Oxford Foot Questionnaire (MOXFQ) in patients affected by hallux valgus in order to assess the accuracy of this cross-cultural adaption. Methods: Thirty female volunteers aged between 18 and 55 years were included in the study. Subjects with hallux valgus were asked to complete the MOXFQ and the Short-Form 36 Health Survey (SF-36). After receiving permission from the author, the MOXFQ was translated into Turkish twice and then back translated to English, after which its compatibility was evaluated. The Turkish version of the MOXFO was applied twice, 1-3 days apart, to the study subjects. Internal consistency and test-retest reliability were assessed using Cronbach's alpha and intraclass correlation coefficient (ICC), respectively. Construct validity was assessed with the use of Spearman's rank correlation coefficient, using a priori hypothesized correlations with SF-36 domains. Results: Subjects achieved similar scores at the first and second administration of the questionnaire (<0.001). The internal consistency reliability was acceptable for all MOXFQ domains (pain, walking/standing, social interaction), with Cronbach's alpha coefficients ranging from 0.775 to 0.779. The assessment of test-retest reliability revealed satisfactory values, with ICCs ranging from 0.91 to 0.96. Construct validity was supported by the presence of all the hypothesized correlations, with SF-36 within its physical parameters. Conclusion: The Turkish version of the MOXFQ is a valid and reliable tool for evaluating foot pain and functional status in patients affected by hallux valgus.