Purpose of this study is to measure Change in Hallux valgus angle (HVA )as measured by kinovea software Change in pain as measured by numerical pain rating scale (NPRS) Change in function as measured by Foot function index (FFI )Egyptian version With the peroneus longus strengthening exercise versus the use of conventional physical therapy programme in cases of hallux valgus patients
All patients must be diagnosed as having mild to moderate Hallux valgus (with Hallux valgus angle between 15-40 degrees)
patients aging between 18-60 .
patients must report pain and limited function .
patients must report that they are not undergoing physiotherapy , not using orthosis , dynamic splinting exercises for Hallux valgus
Patients diagnosed with systematic diseases such as rheumatoid arthritis .
Cognitive or mental illness.
Hallux rigidus or limitus .
History of surgery to foot of Hallux .
Parallel
Selective Peroneus longus excercise
Other interventionWeight bearing peroneus longus exercise
Conventional physical therapy programme
Other intervention* Passive abduction of the Hallux with traction * short foot exercise * toe spread outs
Hallux valgus angle HVA
Hallux valgus angle will be measures musing kinovea software
Level of pain
Will be measured using numerical pain rating scale Where 0 represents no pain and 10 represents worst pain imaginable
Foot function
Will be measured using Foot Function Index FFI Egyptian version Which is divided into 3 sub categories Pain 0 no pain , 10 worst pain Disability 0 least 10 worst Activity limitation 0 no limitation , 10 worst limitation For the total score, the minimum score is 0% (no pain or difficulty), and maximum score is 100% (worst pain and extreme difficulty requiring assistance).
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