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The Impact of Hallux Valgus on Adolescent Ballet Dancer Balance and Health-Related Quality of Life Scores

Ozcan Kaya MD1, Irem Kurt PT, MsC, PhD2, Okan Ozkunt MD3, and Kerim Sariyilmaz MD4
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  • 1 Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
  • | 2 Department of Physiotherapy and Rehabilitation, Istanbul Gelisim University, Faculty of Health Science, Istanbul, Turkey.
  • | 3 Orthopedics and Traumatology, Medicana Hospital Group, Bahcelievler, Istanbul, Turkey.
  • | 4 Department of Orthopaedics and Traumatology, Acibadem MAA University, School of Medicine, Istanbul, Turkey.
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Background: It is well-known that hallux valgus (HV) alters foot biomechanics. In different populations, HV and postural stability has been studied, but HV and the adolescent ballet dancer has not been studied. The aims of this study were to explore the effect of HV on adolescent ballet dancers’ balance and to assess the health-related quality of life (HRQOL) of adolescent ballet dancers with HV.

Methods: Female ballet dancers aged 8 to 16 years were screened prospectively and divided into two groups: those with HV (group 1) and those without HV (group 2). The HV diagnosis was made clinically. The groups were compared according to balance parameters and HRQOL questionnaires.

Results: In group 1 (n = 31) and group 2 (n = 24), the mean age was 11.6 years and 12.2 years, respectively. Mean first metatarsophalangeal angle was 13.4° (range, 10°–15°) in group 2 and 19.8° (range, 16°–25°) in group 1. A statistically significant difference was found according to the nonparametric Mann-Whitney U test results in the comparison of HV angle between groups. According to Spearman rho correlation analysis, it was determined that the increase in HV angle caused deterioration in the flamingo static balance test (r = 0.552; P = .019). No significant relationship was found between HRQOL questionnaires and the presence of HV (P > .05).

Conclusions: Adolescent ballet dancers experience static balance impairment due to HV angle increase. Clinical measurement of HV and application of balance parameters made easy without need of set ups to perform evaluation with high numbers of participants in concordance with the literature.

Corresponding author: Ozcan Kaya, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Halkalı, Istanbul, 34513 Turkey. (E-mail: ozcankaya.md@gmail.com)