The role of orthotic devices in managing hallux rigidus: A systematic review and meta-analysis of clinical and biomechanical outcomes.
Hanieh Khaliliyan, Majid Ansari, Mahmood Bahramizadeh et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of orthotic devices in managing hallux rigidus among adults aged 18-65. The analysis included eleven randomized controlled trials and found that while orthotic devices moderately improved biomechanical function, clinical outcomes varied significantly due to diverse orthotic designs and outcome measures. Notably, cut-out orthoses improved first metatarsal plantarflexion during gait (SMD: 0.61; 95% CI: (0.31-0.92); p < 0.05).
Key findings
- Cut-out orthoses improved first metatarsal plantarflexion during gait (SMD: 0.61; 95% CI: (0.31-0.92); p < 0.05).
- A 3 mm support under the first MPJ significantly increased maximum extension of the hallux.
- Orthotic devices led to decreased pain in patients with hallux rigidus.
- Foot function index scores showed no significant change (SMD: -4.27; 95% CI: (-8.55-0.01); p > 0.05).
Why it matters
Understanding the effectiveness of orthotic devices in hallux rigidus can guide clinicians in selecting appropriate interventions to alleviate symptoms and improve patient mobility. The variability in outcomes highlights the need for tailored approaches based on individual patient needs and orthotic designs.