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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-06
Effects of Iliotibial Band Flexibility and Tibial Torsion Angle on Improving Asymmetric Hallux Valgus Angle
Jaspreet Kaur, Shyamal Koley
Published: June 13, 2020 | 178 118
DOI: 10.36347/sjams.2020.v08i06.012
Pages: 1439-1444
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Abstract
Background: Hallux valgus is a progressive foot deformity in which first metatarsophalangeal joint is affected and causing functional disability and foot pain. Objective: To study the effects of iliotibial band flexibility and tibial torsion angle on improving asymmetric hallux valgus angle. Methods: The study was conducted on purposively selected 30 individuals from different physiotherapeutic clinics of Amritsar. The subjects were randomly allocated into two groups, such as, Group-A (those who received muscle strengthening for hallux valgus and iliotibial band stretching exercise programme) and Group-B (those who received only muscle strengthening exercise programme) for intervention for 5 days/per week for 4 weeks. The variables considered in the study were three anthropometric (i.e. height, weight, BMI), hallux valgus angle (HVA), intermetatarsal angle (IMA), tibial torsion angle (TTA) and iliotibial band flexibility (ITBF). Results: The results indicated that post-treatment individuals with asymmetric hallus valgus who were treated in Group-A had significantly (p<0.021-0.001) lower mean values in IMA-rt, IMA-lt, ITBF-rt and ITBF-lt than their pre-treatment counterparts. Whereas, the post-treatment individuals of Group-B has significantly (p<0.002-p<0.001) lower mean values in HVA-rt, IMA-rt and IMA-lt than their pre-treatment counterparts. Conclusion: In conclusion, it can be stated that both the treatment groups showed significant improvement in hallux valgus angle, though the individuals treated in Group-A with foot exercises, greater toe stretch, iliotibial band stretching and resistive and strengthening exercises showed higher improvement in iliotibial band flexibility than the individuals of Group-B who were treated with only foot exercises, resistive and strengthening exercises without iliotibial band flexibility.