Investigation of the Effectiveness of Foot Core Exercise Training With Telerehabilitation in Individuals With Rheumatoid Arthritis: A Randomized Controlled Single-Blind Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rheumatoid Arthritis
- Sponsor
- Pamukkale University
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- Foot Posture Index
- Status
- Suspended
- Last Updated
- last month
Overview
Brief Summary
The aim of this study was to investigate the effects of lower extremity exercises combined with foot core exercise training on lower extremity pain, foot functionality, static and dynamic parameters of gait, and postural stability in individuals with rheumatoid arthritis using synchronous and asynchronous telerehabilitation methods.
Investigators
Zülal TATAR
Researcher
Pamukkale University
Eligibility Criteria
Inclusion Criteria
- •Having been diagnosed with rheumatoid arthritis
- •Being between the ages of 18-65
- •Being willing to participate in the study
Exclusion Criteria
- •Having a neurological disease
- •Having a pulmonary or cardiovascular problem that may affect daily life activities
- •Sensory system disorders
- •Having a history of surgery on the lower extremities or trunk
- •Experiencing dizziness
- •Having a cognitive disorder
- •Having an additional rheumatic disease
Outcomes
Primary Outcomes
Foot Posture Index
Time Frame: Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.
It is a six-item index that determines foot posture. In this index, palpation of the distal talus medially and laterally, inequality in submalleolar and supramalleolar recesses, position of the calcaneus, medial protrusion of the navicular region in posterior observation, evaluation of the medial longitudinal arch, and the number of toes visible medially or laterally when viewed from the posterior will be evaluated. The examined regions are evaluated for each item up to (+2) according to the degree of pronation and up to (-2) according to the degree of supination, and the total score is obtained by summing these values.
Static Gait Analysis Evaluation
Time Frame: Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.
The evaluation will be made in a position where individuals stand with their arms free at their sides, their eyes fixed on a point 3 meters away in front, maintaining their posture as much as possible. In the static posture evaluation, the load on the right and left feet, and the right-left contact surface data will be evaluated and recorded. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device.
Dynamic Gait Analysis Evaluation
Time Frame: Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.
Individuals will be asked to walk at a speed they feel comfortable with, at least 8 steps on a 5-meter walking platform (3-meter platform and 2-meter walking analysis platform). The evaluation will be repeated 3 times. From the two-meter walking analysis 17 platform; left-right foot pressure percentage and left-right contact surfaces during walking will be obtained numerically and graphically. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device.
Postural Stability Assessment
Time Frame: Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.
Individuals will be asked to place their feet on the soles before measurements are taken, and the foot position of the individuals will not change during static measurements. For static load distribution measurement and bipedal balance measurement, individuals will be asked to keep their arms free next to their bodies and maintain their posture as much as possible by fixing their eyes on a point 3 meters in front. The measurement will be made with and without support, with eyes open and closed for 60 seconds. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device.
Secondary Outcomes
- Visual Analog Scale-Pain(Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.)
- Foot Function Index(Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.)