From: Correlates of foot pain severity in adults with hallux valgus: a cross-sectional study
 | Total (n = 60) | Disabling foot pain (n = 16) | No disabling foot pain (n = 44) | MD (95% CI) or pvalue |
---|---|---|---|---|
Participant characteristics | Â | Â | Â | Â |
Sex (n female) | 53 | 15 | 38 | p = 0.43 |
Age (years) | 51.5 ± 15.1 | 56.6 ± 12.0 | 49.7 ± 15.7 | 6.9 (-1.8 to 15.6) |
BMI (kg/cm2) | 25.1 ± 4.3 | 25.4 ± 3.1 | 25.0 ± 4.6 | 0.3 (-2.2 to 2.8) |
Ethnicity (n Caucasian) | 50 | 12 | 38 | p = 0.55 |
Education (n)a | Â | Â | Â | Â |
   High school | 13 | 4 | 9 | p = 0.34 |
   Trade/diploma/certificate | 15 | 6 | 9 |  |
   Degree | 17 | 2 | 15 |  |
   Postgraduate | 14 | 4 | 10 |  |
General health score (SF-36v2) | 78.7 ± 14.9 | 72.3 ± 13.6 | 81.0 ± 14.8 | -8.8 (-17.3 to -0.29)* |
Physical activity (score range 1 to 5) | Â | Â | Â | Â |
   Work index | 2.63 ± 0.35 | 2.75 ± 0.29 | 2.58 ± 0.37 | 0.17 (-0.04 to 0.37) |
   Sport index | 2.68 ± 0.90 | 2.48 ± 0.88 | 2.75 ± 0.91 | -0.26 (-0.79 to 0.27) |
   Leisure index | 2.86 ± 0.61 | 2.85 ± 0.75 | 2.86 ± 0.56 | -0.01 (-0.37 to 0.35) |
Footwear examinationb | Â | Â | Â | Â |
   Relative heel height > 25 mm (n (%)) | 8 (13.8%) | 2 (13.3%) | 6 (14.0%) | p = 0.95 |
   Relative ball width (mm) | 4.7 ± 4.6 | 5.0 ± 3.3 | 4.6 ± 5.0 | 0.5 (-2.4 to 3.4) |
History of wearing high heels (n (%))a | 29 (49.2%) | 8 (53.3%) | 21 (47.7%) | p = 0.71 |
Frequency of wearing high heels (n)a | Â | Â | Â | Â |
   Never | 21 | 4 | 17 | p = 0.42 |
   Seldom | 21 | 8 | 13 |  |
   Sometimes | 12 | 3 | 9 |  |
   Often | 3 | 0 | 3 |  |
   Always | 2 | 0 | 2 |  |
Foot and ankle characteristics | Â | Â | Â | Â |
Radiographic hallux valgus angle (°) | 29.5 ± 8.0 | 31.1 ± 7.8 | 28.9 ± 8.0 | 2.2 (-2.5 to 6.8) |
Manchester Scale (n) | Â | Â | Â | Â |
   Grade 0 (none) | 1 | 0 | 1 | p = 0.57 |
   Grade 1 (mild) | 9 | 1 | 8 |  |
   Grade 2 (moderate) | 26 | 7 | 19 |  |
   Grade 3 (severe) | 24 | 8 | 16 |  |
First MTP joint dorsiflexion (°) | 83.8 ± 11.0 | 84.1 ± 9.7 | 83.6 ± 11.5 | 0.45 (-6.0 to 6.9) |
Presence first MTP joint OA (n (%)) | 11 (18.3%) | 3 (18.8%) | 8 (18.2%) | p = 0.96 |
Presence forefoot callous (n (%)) | 44 (73.3%) | 13 (81.3%) | 31 (70.5%) | p = 0.40 |
Foot Posture Index (median (min, max)) | 7 (-3, 11) | 7 (1, 11) | 7 (-3, 11) | p = 0.93c |
Dorsal arch height difference (mm) | 12.5 ± 4.3 | 14.6 ± 5.0 | 11.8 ± 3.7 | 2.9 (0.47 to 5.3)* |
Midfoot width difference (mm) | 9.0 ± 3.5 | 9.2 ± 4.4 | 9.0 ± 3.2 | 0.27 (-1.8 to 2.3) |
Foot Mobility Magnitude (mm) | 15.8 ± 4.3 | 17.8 ± 5.2 | 15.1 ± 3.8 | 2.7 (0.22 to 5.2)* |
Ankle lunge test (cm) | 11.5 ± 3.1 | 11.5 ± 2.6 | 11.5 ± 3.3 | -0.01 (-1.8 to 1.8) |
Beighton scale (median (min, max)) | 1 (0, 9) | 0 (0, 9) | 1 (0, 6) | p = 0.42c |
Paper grip test (n pass (%)) | 13 (21.7%) | 1 (6.3%) | 12 (27.3%) | p = 0.08 |
Hallux muscle strength (N) | Â | Â | Â | Â |
   Plantarflexion | 60.7 ± 28.3 | 51.6 ± 30.9 | 64.0 ± 26.8 | -12.4 (-28.8 to 3.9) |
   Abduction | 8.9 ± 6.6 | 7.5 ± 6.4 | 9.4 ± 6.7 | -2.0 (-5.8 to 1.9) |
Pressure-pain threshold (kPa) | Â | Â | Â | Â |
   Medial first MTP joint | 591.5 ± 231.4 | 552.5 ± 219.9 | 605.7 ± 236.3 | -53.2 (-188.9 to 82.5) |
   Plantar first MTP joint | 442.5 ± 193.1 | 428.9 ± 230.8 | 447.5 ± 180.3 | -18.5 (-132.2 to 95.2) |