Toe Separators as a Therapeutic Tool in Physiotherapy-A Systematic Review.

Area of Science:

• Physiotherapy
• Orthopedics
• Podiatry

Background:

• Foot deformities present a significant clinical challenge.
• Toe separators are utilized in conservative treatment for conditions like hallux valgus, neurological issues, and dermatological problems.

Purpose of the Study:

• To critically evaluate the existing scientific literature on the therapeutic application of toe separators in physiotherapy.

Main Methods:

• A systematic literature search was performed across major databases (PubMed, Science Direct, Web of Science).
• Included studies were randomized controlled trials, quasi-experimental studies, and observational studies.
• Methodological quality was assessed by two independent reviewers.

Main Results:

• Ten studies out of 1020 identified met the inclusion criteria, with sample sizes ranging from 9 to 90 participants.
• Toe separators are primarily used for hallux valgus correction.
• Promising results were observed for applications in neurology, dermatology, and their effect on lower leg muscles during gait.

Conclusions:

• Toe separators can be beneficial for conservative management of hallux valgus and related deformities.
• Current research lacks standardization in describing separator types, materials, and application methods.
• Further research is necessary to precisely establish the efficacy of toe separators in various foot disorders.