Intrinsic Foot Muscle Training With and Without Hip Abductor Muscle Strengthening in Pronation Distortion Syndrome

Not Applicable

Completed

• Conditions: Pronation Deformity of the Foot
• Interventions: Other: Intrinsic foot muscle training; Other: Hip abductor muscle training

• Registration Number: NCT06407713
• Lead Sponsor: Riphah International University

Brief Summary

Pronation distortion syndrome is one of the most common abnormalities in the lower extremity that causes alterations in the structures of the skeletal parts of the foot. The aim of the study will be to compare the effects of intrinsic foot muscle with and without hip abductor muscle strengthening on pain and functional mobility in patients with Pronation Distortion Syndrome.

Detailed Description

A Randomized Clinical Trial will be conducted at Nawaz Sharif Social Security Hospital, Multan Road, Lahore through convenience sampling technique on 54 patients which will be allocated using simple random sampling through computer generated method into Group A and Group B. Group A will be treated with intrinsic foot muscle training at the frequency of 4 sets with 15 repetitions and Group B will be treated with hip abductor muscle strengthening at the frequency of 3 sets with 15 repetitions; session would be conducted thrice a week. Outcome measures will be conducted through numeric pain scale and lower extremity functional scale after 6 weeks. Data will be analyzed during SPSS software version 25. After assessing normality of data by Kolmogorov-Smirnov test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Study Timeline

• Study Start: 2024-05-02
• Study First Submitted: 2024-05-06
• Study First Submitted QC: 2024-05-06
• Study First Posted: 2024-05-09
• Primary Completion: 2024-07-01
• Study Completion: 2024-08-15
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-20
• Last Update Posted: 2024-12-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• Ages 20-30 years
• Both male and female gender
• Foot pronation on observation
• Navicular Drop Test more than 10 mm (measured in weight bearing and non- weight bearing positions distance between ground and navicular tuberosity and difference calculated)
• Increased Q angle : Males: > 16; females >18

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Exclusion Criteria

• Other deformities such as tarsal coalition and vertical talus
• Any history of surgery involving both lower extremities
• Neuromuscular disorder

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
intrinsic foot muscle training with hip abductor muscle training	Intrinsic foot muscle training	hip abductor muscle strengthening would be administered alongside intrinsic foot muscle training
intrinsic foot muscle training with hip abductor muscle training	Hip abductor muscle training	hip abductor muscle strengthening would be administered alongside intrinsic foot muscle training
intrinsic foot muscle training.	Intrinsic foot muscle training	Intrinsic foot muscle training would be performed

Primary Outcome Measures

Name	Time	Method
Navicular drop test	1st day	Used as an indicator of foot. Height of the navicular tuberosity from the ground is measured with the subject being non-weight bearing and then weight bearing, height of the navicular tuberosity is measured. The difference is determined. A difference of 10 \> mm will be considered as flexible flatfoot. ND test has proven valid and reliable for the assessment of the medial arch
Lower extremity functional scale	6th week	The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used by clinicians as a measure of patients' initial function, ongoing progress and outcome, as well as to set functional goals. It will be used to monitor the patient over time and to evaluate the effectiveness of the interventions.
Universal goniometer	6th week	Universal goniometer is a tool that measures an angle or permits the rotation of an object to a definite position. It- has three parts: body, fulcrum and arms (stationary and moving)
NPRS	6th week	Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

Trial Locations

Locations (1)

Nawaz Sharif social security hospital; 🇵🇰 Lahore, Punjab, Pakistan