Evidence map›Paper›PMID 40936159›Full record

SynthesisJournal of foot and ankle research2025

Preoperative and Postoperative Physical and Mechanical Rehabilitation Interventions in Hallux Valgus: A Systematic Review.

Oya Gumuskaya, Benjamin Peterson, Hailey Donnelly, Banu Unver, Damien Lafferty, Peta Tehan

Abstract readSystematic Review
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Oya GumuskayaSchool of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-7757-8682
Benjamin PetersonDepartment of Podiatry, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Australia.ORCID https://orcid.org/0000-0001-5301-4674
Hailey DonnellySchool of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, Australia.ORCID https://orcid.org/0000-0002-4027-8950
Banu UnverPhysical Therapy and Rehabilitation, Faculty of Health Sciences, Lokman Hekim University, Ankara, Turkey.
Damien LaffertySchool of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, Australia.
Peta TehanDepartment of Surgery, School of Clinical Sciences, Monash University, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately one-third of the adult population is affected by hallux valgus (HV). Surgical interventions are successful in reducing deformity; however, postoperative complications are common. There is growing evidence for prehabilitation and rehabilitation strategies in orthopaedic surgeries. However, the effectiveness of such strategies in HV surgery is currently unknown. This systematic review aimed to synthesise and determine the quality of evidence for the effectiveness of physical and mechanical prehabilitation and postoperative rehabilitation interventions for improving outcomes following HV surgery.

methodsElectronic databases: MEDLINE, Cochrane, CINAHL, Scopus, EMBASE and AMED were searched from inception until 19th May 2025, following the PRISMA guidelines. Randomised controlled trials were included to determine the effectiveness of preoperative and postoperative physical and mechanical therapies for improving outcomes in adults undergoing HV surgery. The evidence from individual studies was narratively synthesised, and data were not pooled because of the heterogeneity of interventions, methods and outcomes measures.

resultsA total of 8166 titles and abstracts were screened, and 66 full-text papers were reviewed. Five studies met the eligibility criteria and were included in this review. No randomised controlled trials examined the effectiveness of eligible preoperative physical or mechanical interventions. Postoperative early weight-bearing, dynamic metatarsal splinting and transcutaneous ultrasound appeared to improve patient outcomes, whereas rigid-soled footwear improved patient satisfaction.

conclusionThere is currently no evidence to support the effectiveness of preoperative physical and mechanical interventions for improving outcomes in HV surgery, and limited evidence supports postoperative interventions. Future trials should consider incorporating validated outcome measures.

Indexed as

Hallux ValgusPhysical Therapy ModalitiesPostoperative CarePreoperative CareAdultFemaleHumansMaleMiddle AgedPostoperative ComplicationsRandomized Controlled Trials as TopicTreatment OutcomeWeight-Bearingbunionhallux valgusorthoticperioperative carerehabilitationsurgery

Identifiers

PMID40936159
PMCPMC12425807

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.