{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:43:48Z","timestamp":1788281028561,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Approximately one\u2010third 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Electronic 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 8166 titles and abstracts were screened, and 66 full\u2010text 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\u2010bearing, dynamic metatarsal splinting and transcutaneous ultrasound appeared to improve patient outcomes, whereas rigid\u2010soled footwear improved patient satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There 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.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jfa2.70083","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T03:44:52Z","timestamp":1757648692000},"source":"Crossref","is-referenced-by-count":3,"title":["Preoperative and Postoperative Physical and Mechanical Rehabilitation Interventions in Hallux Valgus: A Systematic Review"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7757-8682","authenticated-orcid":false,"given":"Oya","family":"Gumuskaya","sequence":"first","affiliation":[{"name":"School of Health Sciences Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"School of Nursing and Midwifery College of Health, Medicine and Wellbeing University of Newcastle  Newcastle Australia"},{"name":"School of Nursing and Midwifery Western Sydney University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5301-4674","authenticated-orcid":false,"given":"Benjamin","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Podiatry School of Health, Medical and Applied Sciences Central Queensland University  Rockhampton Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4027-8950","authenticated-orcid":false,"given":"Hailey","family":"Donnelly","sequence":"additional","affiliation":[{"name":"School of Health Sciences College of Health Medicine and Wellbeing University of Newcastle  Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banu","family":"Unver","sequence":"additional","affiliation":[{"name":"Physical Therapy and Rehabilitation Faculty of Health Sciences Lokman Hekim University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Lafferty","sequence":"additional","affiliation":[{"name":"School of Health Sciences College of Health Medicine and Wellbeing University of Newcastle  Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peta","family":"Tehan","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Clinical Sciences Monash University  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"275","volume-title":"Coughlin and Mann\u2019s Surgery of the Foot and Ankle","author":"Hunt K. 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