Evaluation of the Impact of Self-rehabilitation After Foot Surgery Via a Connected Application
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Hallux valgus surgery, Questionnaires, Physiotheray sessions.
- Who it may be relevant to
- Registry conditions: Hallux Valgus. Basic parameters: 18 years — 85 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Hallux valgus is the most common forefoot deformity and primarily affects women. Surgical treatment involves an osteotomy of the first metatarsal to reduce the M1-M2 angle. Often, an osteotomy of the first phalanx of the big toe is performed in conjunction to reduce the M1-P1 angle. Once the deformity has been corrected, the second objective is to restore the foot's function, particularly mobility and plantar flexion strength. To achieve this, rehabilitation is prescribed, but inconsistently due to the lack of clear guidelines and limited patient participation, especially outside of the physiotherapist's scheduled appointments. Continuous passive range of motion exercises can accelerate the return to standard footwear and normal joint mobility. This study is based on the hypothesis that an application connected with rehabilitation exercises to be done outside of sessions with a physiotherapist reproduces this mechanism of continuous passive mobility. In this context, it is hoped that patients benefiting from self-rehabilitation of the foot via the connected application, in addition to traditional care with a physiotherapist, will achieve better postoperative mobility of the metatarsophalangeal joint of the hallux compared to traditional care with a physiotherapist in patients undergoing hallux valgus surgery, with an isolated procedure on the first ray. The main objective is to compare the mobility of the metatarsophalangeal joint of the hallux 6 months after an operation for isolated hallux valgus by osteotomy in patients benefiting from optimized rehabilitation with a physiotherapist using a connected application compared to patients receiving standard care with a physiotherapist.
Interventions
- Procedure Hallux valgus surgery
Primary surgery for hallux valgus - Other Questionnaires
Different questionnaires : EFAS, EVA, EQ-5DL - Other Physiotheray sessions
Physiotherapy sessions twice a week for 10 weeks.
Primary outcome measures
- Mobility of the metatarsophalangeal joint of the hallux [Time frame: 6 months]
Eligibility criteria
Inclusion criteria
- Age > 18 years and < 85 years,
- Patient, male or female, undergoing surgery for unilateral and isolated Hallux valgus with procedure of the 1st ray,
- First-line surgery,
- Persistent mobility of the metatarsophalangeal joint of the hallux,
- Patient in possession of a smartphone or tablet,
- Patient affiliated with or beneficiary of a social security scheme,
- Patient who has signed the free and informed consent.
Exclusion criteria
- Patient not having a smartphone or tablet,
- Rheumatoid foot,
- Hallux rigidus/MTP1 osteoarthritis,
- Gestures on the lateral rays
- Surgical or traumatic history influencing MTP1 mobility.
- Minors
- Adults under guardianship, curatorship or other legal protection, deprived of liberty by judicial decision or administrative;
- Pregnant, breastfeeding or parturient woman; - Hospitalized without consent
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Other
Study locations
France · 1 center
- Clinique de l'Union — Saint-Jean
Identifiers
NCT: NCT07653828 · 2018-A03349-46