SynthesisJournal of foot and ankle research2025
Does Hallux Valgus Impair Medial Forefoot Loading? A Meta-Analysis of Plantar Pressure Distribution.
Synthesis in Journal of foot and ankle research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does Hallux Valgus Impair Medial Forefoot Loading? A Meta-Analysis of Plantar Pressure Distribution.Journal of foot and ankle research · 2025Pooled it
- Immediate Effects of Dynamic and Rigid Taping on Static and Dynamic Plantar Pressure Distribution in Individuals with Hallux Valgus: A Cross-Over Study.Journal of clinical medicine · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundHallux valgus is a common foot deformity that may alter plantar pressure distribution. This study aimed to determine whether hallux valgus consistently reduces medial forefoot (hallux and medial metatarsal) load and impulse through a meta-analysis of plantar pressure data and increases central metatarsal loading.
methodsA systematic review and meta-analysis were conducted following PRISMA guidelines. PubMed, Web of Science, Scopus, CINAHL, and Embase were searched for studies comparing plantar pressure distribution between hallux valgus and non-hallux valgus feet. Random-effects meta-analyses were performed using standardized mean differences (SMD) for load (force and pressure) and impulse (force and pressure-time integrals) measures in hallux, medial metatarsal, and central metatarsal regions. Risk of bias was assessed using the JBI critical appraisal checklist for analytical cross-sectional studies.
resultsTwenty-one studies (3911 participants and 6407 feet) were included. In-shoe measurements showed significant reductions in hallux loading (force SMD: -0.78 [95% CI: -1.08, -0.49]; force-time integral SMD: -0.39 [-0.71, -0.07]). Platform-based measurements yielded inconsistent results. No conclusive evidence was found for reduced medial metatarsal loading or increased central metatarsal loading. Measurement modality significantly influenced results, with platform-based systems generally showing higher heterogeneity than in-shoe sensors. Nine (43%) and 12 studies (57%) had a high risk of bias on statistical analysis and confounder management, respectively.
conclusionsHallux valgus is associated with reduced hallux loading in in-shoe measurements, but evidence for load redistribution to other forefoot regions is inconclusive. The choice of measurement modality significantly impacts results, highlighting the need for standardized assessment protocols in hallux valgus research.
trial registrationThis study was registered in PROSPERO with the reference number CRD42024574195.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.