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Complex therapy of hallux valgus
CHRÁSTKOVÁ, Petra
This bachelor thesis deals with the most common static deformity of the forefoot - hallux valgus and the therapy of this deformity in a complex concept with a focus on the overall posture of individual patients. Hallux valgus is characterized as a valgus position of the thumb with rotation at the MTP joint and with prominence of the head of the first metatarsal medially. This deformity rarely occurs alone and other static deformities are associated with it - transverse and longitudinal flatfoot or deformities of individual toes. Causes include wearing inappropriate footwear, genetics and other congenital predisposing factors, but from a functional and physiotherapist's point of view, the often neglected deep stabilization system (HSSP) and its overall alignment and functionality also play a crucial role. It is therefore important to get the word out to the general public, in addition to the experts, and to dispel the common population's perception that bunions are only a matter of wearing inappropriate footwear and that this common problem needs to be approached holistically across the entire posture. The main objectives of this study were to comprehensively map this issue from a physiotherapy perspective and to further design an individual exercise unit for patients with hallux valgus with respect to their overall posture. In the theoretical part, the anatomy and kinesiology of the foot is described, then the most common static deformities of the foot are presented with emphasis on the issue of hallux valgus. Towards the end, selected physiotherapeutic methods that can be used to influence this deformity are presented. The practical part was developed by means of qualitative research, in the form of several kinesiological analyses of selected patients with hallux valgus findings. The research population consisted of 3 probands (women). The research includes detailed initial and output kinesiological analyses of probands and individually designed exercise unit. The research was conducted in 9 therapy sessions and sessions. The results of the research are summarised in the practical section of this bachelor thesis. The probands improved in a number of the tests studied after the therapies and their general posture and physical condition were positively affected. This thesis can be used as study material for students of physiotherapy, but also as a summary of information for patients with hallux valgus or the public.
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Possibilities of physiotherapy in patients with hallux valgus
KINCLOVÁ, Kamila
The bachelor thesis deals with a problem of hallux valgus and how is it possible to influence this deformity by physiotherapy. Hallux valgus is a deformity of a forefoot, specifically the I. metatarsal joint, in which a toe goes out towards another toe. This deformity is caused by several causes, of which inheritance, an effect of a static load on a foot, and finally also a shape of a footwear plays its role. In total, 4 patients participated in the research, all had hallux valgus deformity, but also other associated problems. Each respondent had his or her own individual therapy, which consisted of entry and exit examinations, including examination by podoscop, more of soft techniques used were reflexology therapy, mobilization and exercise. Patients were followed for three months. The aim of the thesis was to map out possibilities of physiotherapy that may affect hallux valgus. To map out the different possibilities I performed a literature review. The results show that differentiated treatments are appropriate for each responder with hallux valgus concerning their individual responses. For example, I used the concept of DNS, exercises with an overball, PNF, or post-izometric relaxation. The bachelor thesis can be used as an educational material for physiotherapists, but also for public, who are focused or interested in this topic.
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