The Efficacy of Adjustable Toe Splint on Decreasing
Metatarsalgia in Patients with Lesser Toe Deformity:
A Prospective, Randomized Single-Blinded Controlled Trial
Navaporn Chadchavalpanichaya MD, C.Ped*, Wanrachada Katchamart MD**,
Thanatat Charatrungolan CPO***, Pakwan Nualnim CPO****
Affiliation :
* Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
** Department of Internal Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
*** Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital,
Mahidol University, Bangkok, Thailand
**** Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital,
Mahidol University, Bangkok, Thailand
Objective : To study the effectiveness in application of adjustable toe splint in decreasing metatarsalgia in patients with
lesser toe deformity and the complication of adjustable toe splint usage.
Material and Method: Thirty-six patients who had claw toes or hammer toes with metatarsalgia were enrolled in a prospective,
randomized single-blinded controlled trial at the Out Patient Rehabilitation Medicine Clinic, Siriraj Hospital, Bangkok,
Thailand between March and September 2011. Patients were randomized into two groups, the study group (using adjustable
toe splint for 2 weeks) and the control group. Patients in both groups were advised as well to use proper shoes.
Results : All patients in each group completed the study. The baseline characteristics of the patients in both groups were
similar. The present study group reported more decrease pain at metatarsal heads and dorsum of toes than the control group
(p < 0.05). Two patients reported complications from toe splint usage as toe abrasions.
Conclusion : Using adjustable toe splint can decrease the metatarsalgia in patient with lesser toe deformity.
Keywords : Toe splint, Metatarsalgia, Claw toe, Hammer toe
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