Effect of toe exercises and toe grip strength on the treatment of
![Effect of toe exercises and toe grip strength on the treatment of](https://media.springernature.com/m685/springer-static/image/art%3A10.1186%2Fs13018-020-02113-7/MediaObjects/13018_2020_2113_Fig2_HTML.png)
Background The relationship of metatarsalgia and toe function is poorly understood. We investigated the efficacy of toe exercises for the treatment of metatarsalgia. Methods Forty-one (56 feet) metatarsalgia patients (mean age ± SD: 63.4 ± 10.6) underwent toe strength measurement. We recorded pre- and post-treatment VAS score, AOFAS score, marble pickup, single-leg standing time (SLST), and compared in two subgroups to evaluate impact of disease duration on treatment outcome. Results Post treatment, toe plantarflexion strength improved (all p < 0.01); VAS scores decreased (p < 0.01); AOFAS scores, marble pickup, and SLST improved (all p < 0.01). Patients symptomatic for > 1 year had significantly lower changes in VAS scores (p < 0.01). Multivariate analysis showed patients with longer disease duration, and larger body mass index had significantly lower improvement in VAS scores (p = 0.029 and p = 0.036, respectively). Device consistency assessed by ICC was excellent (0.89–0.97). Conclusion Toe function and metatarsalgia are improved by toe exercises, suggesting that they are closely related.
![](https://theprehabguys.com/wp-content/uploads/2021/12/PLANTAR-FASCIITIS-EXERCISES.png)
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