Trial reportBMC musculoskeletal disorders2010
Validity of self-assessment of hallux valgus using the Manchester scale.
Trial report in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Genome-wide meta-analysis identified novel variant associated with hallux valgus in Caucasians.Journal of foot and ankle research · 2020Pooled it
- Prevalence and Severity of Self-Assessed Hallux Valgus in Community-Dwelling Older South African and Flemish Individuals.Journal of foot and ankle research · 2026Observational
- The influence of hallux valgus severity on postural stability and risk of fall: a cross-sectional study design.BMC musculoskeletal disorders · 2025Article
- Relationship Between Morphofunctional Alterations of the Foot and Its Functionality in Patients with Fibromyalgia Syndrome: A Case-Control Study.Journal of clinical medicine · 2024Article
- Article
- Effects of custom insoles for symptomatic hallux valgus: protocol for a sham-controlled randomised trial.BMJ open · 2023Article
- Determination of individual factors associated with hallux valgus using SVM-RFE.BMC musculoskeletal disorders · 2023Article
- Development of Hallux Valgus Classification Using Digital Foot Images with Machine Learning.Life (Basel, Switzerland) · 2023Article
- Causal relationship between thyroid dysfunction and hallux valgus: A two-sample Mendelian randomization study.Frontiers in endocrinology · 2023Article
- The Evaluation of Orthotics in Reducing Hallux Valgus Angle in Patients with Hallux Valgus over a Twelve-Month Treatment.International journal of environmental research and public health · 2022Article
- Development of a Manual Measurement Device for Measuring Hallux Valgus Angle in Patients with Hallux Valgus.International journal of environmental research and public health · 2022Article
- The discrepancy between radiographically-assessed and self-recognized hallux valgus in a large population-based cohort.BMC musculoskeletal disorders · 2022Article
- Impact of Footwear and Foot Deformities in patients with Parkinson's disease: A Case-Series Study.International journal of medical sciences · 2021Observational
- Kinesiophobia and Pain Intensity Are Increased by a Greater Hallux Valgus Deformity Degree- Kinesiophobia and Pain Intensity in Hallux Valgus.International journal of environmental research and public health · 2020Article
- Mechanical properties and morphologic features of intrinsic foot muscles and plantar fascia in individuals with hallux valgus.Acta orthopaedica et traumatologica turcica · 2019Article
- Prevalence estimation and familial tendency of common forefoot deformities in Turkey: A survey of 2662 adults.Acta orthopaedica et traumatologica turcica · 2018Article
- Pulse-dose radiofrequency treatment in pain management-initial experience.Skeletal radiology · 2018Review
- Foot pain and foot health in an educated population of adults: results from the Glasgow Caledonian University Alumni Foot Health Survey.Journal of foot and ankle research · 2018Article
- Hallux valgus in a random population in Spain and its impact on quality of life and functionality.Rheumatology international · 2017Article
- Ultrasound evaluation of intrinsic plantar muscles and fascia in hallux valgus: A case-control study.Medicine · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHallux valgus (HV) is a common condition involving the progressive subluxation of the first metatarsophalangeal joint due to lateral deviation of the hallux and medial deviation of the first metatarsal. The objective of this study was to evaluate the re-test reliability and validity of self-assessment of HV using a simple clinical screening tool involving four standardised photographs (the Manchester scale), in order to determine whether this tool could be used for postal surveys of the condition.
methodsHV was assessed with the Manchester scale in 138 people aged 65 to 93 years of age (102 women and 36 men) as part of a larger randomised controlled trial. At the six month follow-up assessment, HV was reassessed to determine re-test reliability, and participants were asked to self-assess their degree of HV independent of the examiners. Associations between (i) baseline and follow-up assessments of the examiners and (ii) participant and examiner assessments were performed using weighted kappa statistics. Analyses were then repeated after HV was dichotomised as present or absent using unweighted kappa, and sensitivity and specificity of self-assessment of HV was determined.
resultsRe-test reliability of the examiners was substantial to almost perfect (weighted kappa = 0.78 to 0.90), and there was a substantial level of agreement between observations of the participants and the examiners (weighted kappa = 0.71 to 0.80). Overall, there was a slight tendency for participants to rate their HV as less severe than the examiners. When the Manchester scale scores were dichotomised, agreement was substantial to almost perfect for both re-test comparisons (kappa = 0.80 to 0.89) and substantial for comparisons between participants and examiners (kappa = 0.64 to 0.76). The sensitivity and specificity of self-assessment of HV using the dichotomous scale were 85 and 88%, respectively.
conclusionsThe Manchester scale demonstrates high re-test reliability, and self-assessment scores obtained by participants are strongly associated with scores obtained by examiners. These findings indicate that the tool can be used with confidence in postal surveys to document the presence and severity of HV.
trial registrationACTRN12608000065392.
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