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Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis

Author

Listed:
  • Jianhua Ying

    (College of Science & Technology, Ningbo University, Ningbo 315211, China)

  • Yining Xu

    (College of Science & Technology, Ningbo University, Ningbo 315211, China
    Faculty of Sports Science, Ningbo University, Ningbo 315211, China)

  • Bíró István

    (Faculty of Engineering, University of Szeged, 6724 Szeged, Hungary)

  • Feng Ren

    (Faculty of Sports Science, Ningbo University, Ningbo 315211, China)

Abstract

Background : Hallux valgus (HV) deformity is a common, potentially debilitating deformity. And evidence with high-quality for the conservative treatments of HV deformity is still required.; AIMS: To compare the effects of different conservative treatments for hallux valgus deformity by using the method of network meta-analysis.; Study Design : A systematic review and network meta-analysis of randomized controlled trials identified by searching PubMed, EMBASE, MEDLINE, OVID, and CINAHL. The included studies should have the characteristics that: (1) participants with hallux valgus deformity of any age (2) conservative treatments (3) Reported the hallux valgus (HVA), the intermetatarsal angle (IMA), the score of the Visual Analog Scale, and the score of Foot Function Index.; Results : 11 studies were included in this review. The agreement between reviewers reached a kappa value of 0.75. The results of the network meta-analysis showed that a combination of exercise and toe separator, night splints, and dry needling are most likely to be the best choice for reducing the hallux valgus angle (HVA) and intermetatarsal angle, and toe separators (with or without exercise), dry needling, and manipulation (with or without ice treatment) have advantages in improving the subjective feeling of patients.; Conclusions : Multi-disciplinary conservative treatments have a great potential for hallux valgus deformity. More research with high-quality is needed to give a comprehensive and reasonable scheme of a holistic and long-term treatment protocol.

Suggested Citation

  • Jianhua Ying & Yining Xu & Bíró István & Feng Ren, 2021. "Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis," IJERPH, MDPI, vol. 18(7), pages 1-26, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3841-:d:531065
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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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