Chevron Osteotomisi Geçiren Halluks Valguslu Kadınlarda Fonksiyonel Durum, Denge ve Kinezyofobinin İncelenmesi

Abstract

The aim of this study, was to investigate functional status, balance and kinesiophobia after Chevron osteotomy in patient with Hallux Valgus (HV) in comparison to non-surgical patient with HV. Nineteen women aged 20-70 years (50,8 ± 12,6 years) who underwent Chevron osteotomy surgery past mean 28 month and 19 HV women diagnosed with non-surgical were included in the study. Pain severity of the subjects was assesed with Visual Analogue Scale, range of motion in thumb joint with universal goniometer, static balance with Single Leg Standing Test, dynamic balance with Time Up and Go Test, functional status and cosmetic concern with Nil HV Scale, kinesiophobia with Tampa Kinesiophobia Scale. The AOFAS Metatarsofalangeal-İnterfalangeal Joints Scale was also used to compare the functional status in both groups. Pain severty, cosmetic concern, range of motion of the thumb and HV angle were lower in women individuals with HV following surgery than non-surgical HV women subjects (p< 0,001); functional scores were better than women subjects with non-surgical HV (p< 0,05). Balance and kinesiophobia scores were also similiar in both groups (p> 0,05). As a result, evaluation and treatment plans for the range of motion of the joints before and after chevron osteotomy surgery are needed to be included in physiotherapy and rehabilitation programs. It should be considered that the presence of kinesophobia may have a negative effect on the physiotherapy and rehabilitation process in patients with and without surgery, and kinesiophobia should be included in the physiotherapy evaluations in these individuals. In patients with HV who underwent Chevron osteotomy, physiotherapy programs including a comprehensive assessment before and after surgery are needed to establish an accurate physiotherapy and rehabilitation program and to examine the success of surgery.