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NCT Number: NCT07177768

Acute Effects of Prolonged Walking on Hallux Valgus

Hallux valgus is a progressive foot deformity characterized by lateral deviation of the great toe and medial displacement of the first metatarsal head. While pain is a common symptom among individuals with HV, alterations in plantar pressure distribution and impaired balance are also frequently observed. These symptoms and biomechanical changes can negatively impact posture and gait mechanics. The aim of this study is to investigate the acute effects of prolonged walking on pain, balance, posture, and gait in individuals with hallux valgus deformity.

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Key information

Conditions

Hallux Valgus Foot Deformities Musculoskeletal Diseases

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bezmialem Vakif University

Istanbul, Eyup, Turkey (Türkiye)

About this study

Hallux valgus is a progressive foot deformity commonly seen in adults. Patients typically report pain, most prominently in the first metatarsophalangeal joint, which is often exacerbated by weight-bearing activities such as walking. Due to the deformity, alterations in plantar pressure distribution occur, which in turn affect plantar sensory input and postural control. This may lead to decreased postural stability, impaired balance, and compromised control during walking. HV is also thought to accelerate biomechanical changes that negatively impact gait patterns. The aim of this study is to evaluate the acute effects of prolonged walking on pain, balance, posture, and gait in individuals with hallux valgus deformity. A total of 32 participants, including individuals with HV and healthy controls, will be included in the study. All participants will walk on a treadmill for 60 minutes. Assessments will be conducted at three time points: before walking, immediately after walking, and 20 minutes post-walking.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Hallux Valgus Group Criteria:

  • Individuals aged between 18 and 55 years
  • Being diagnosed with hallux valgus

Control Group Criteria:

  • Individuals aged between 18 and 55 years
  • Classified as grade A according to the Manchester Scale
  • Being a volunteer

Exclusion criteria

  • History of previous foot or ankle surgery
  • Having a systemic diseases
  • Having a neurological disorders
  • Having a vestibular pathologies that may affect balance

Treatment and study plan

Prolonged walking

Other

walking on a treadmill for 60 minutes

Primary outcomes

  1. Pain intensity

    Time frame: Baseline, immediately after intervention, 20 minutes after intervention

    Pain intensity will be evaluated with visual analog scale (VAS). Patients will be asked to mark the intensity of the pain they feel on a 10 cm line, where "0" means no pain and "10" means the worst pain.

  2. Pressure pain threshold

    Time frame: Baseline, immediately after intervention, 20 minutes after intervention

    It will be measured with algometer. Higher values indicate a higher perceived pain threshold.

  3. Single-leg stance test

    Time frame: Baseline, immediately after intervention, 20 minutes after intervention

    The single leg stability will be assessed by using Biodex Balance System® (Biodex Medical Systems, Inc. USA). Low values of the stability index indicate better balance and stability.

  4. Postural Assessment

    Time frame: Baseline, immediately after intervention, 20 minutes after intervention

    Posture will be assessed using mobile application. It marks and measures angles at the ear, shoulder, anterior superior iliac spine (ASIS), knee, and ankle alignment to identify any pathological deviations or asymmetries.

  5. Gait analysis

    Time frame: Baseline, immediately after intervention, 20 minutes after intervention

    Gait analysis will be performed using mobile application. Subjects are asked to walk at their normal walking speed over a 10-meter surface, and measurements are taken using video recording and evaluated using the software. The assessment records right and left step lengths, double step length, stride width, and walking speed.

Study contacts

Contact information is provided by the study sponsor or research team.

Kubra Alpay, PhD

CONTACT

[email protected]

+902124012600 ext. 4638

Sponsors and collaborators

Lead sponsor

Bezmialem Vakif University

Other

Registry information

Official study title

Acute Effects of Prolonged Walking on Pain, Balance and Posture in Individuals With Hallux Valgus Deformity

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Sep 17, 2025
Registry last updated
Sep 17, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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