Tang Simon F, Chen Carl P, Pan Jen-Li, Chen Jean-Lon, Leong Chau-Peng, Chu Ngok-Kiu
Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan.
Arch Phys Med Rehabil. 2002 Dec;83(12):1792-5. doi: 10.1053/apmr.2002.34835.
To assess the effects of a new foot-toe orthosis on painful hallux valgus.
Uncontrolled intervention study.
An outpatient clinic in a tertiary medical center with an orthotic laboratory in Taiwan.
Seventeen patients with painful hallux valgus.
Application of a new total contact insole with fixed toe separator.
The hallux valgus angle, an 11-point numeric rating scale (NRS-11) for pain assessment, and walking ability scale.
The average hallux valgus angle reduction +/- standard deviation was 6.5 degrees +/-3.8 degrees after insole application (P<.001). An improvement on the NRS-11 pain scale from 4.06+/-2.8 to 0.88+/-1.17 (P<.001) was noted after immediate insole application and was.42+/-.67 (P=.002) 3 months later for the 12 patients who completed the study. The walking ability scale improved at least 1 grade or more after the insole was worn for 3 months (P=.002). All patients tolerated the insole well without any clinical evidence of skin ulcers or blisters.
Our new total contact insole with fixed toe separator reduced pain, and improved walking ability and the hallux valgus angle. It is an effective alternative treatment for patients with painful hallux valgus.
评估一种新型足趾矫形器对疼痛性拇外翻的影响。
非对照干预研究。
台湾一家三级医疗中心的门诊诊所及矫形实验室。
17例疼痛性拇外翻患者。
应用一种带有固定趾分离器的新型全接触鞋垫。
拇外翻角度、用于疼痛评估的11点数字评定量表（NRS - 11）以及步行能力量表。
应用鞋垫后，拇外翻角度平均减小±标准差为6.5度±3.8度（P <.001）。应用鞋垫后即刻，NRS - 11疼痛量表评分从4.06±2.8改善至0.88±1.17（P <.001），对于完成研究的12例患者，3个月后为0.42±0.67（P = 0.002）。佩戴鞋垫3个月后步行能力量表至少提高1个等级或更多（P = 0.002）。所有患者对鞋垫耐受性良好，无皮肤溃疡或水泡的临床证据。
我们新型的带有固定趾分离器的全接触鞋垫减轻了疼痛，改善了步行能力和拇外翻角度。它是疼痛性拇外翻患者的一种有效替代治疗方法。
