Does Adding Blood Flow Restriction Training to the Physical Therapy Program Improve Outcomes in Adolescents With Spasmodic Flatfoot Deformity?
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Assiut University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- American Orthopedic Foot and Ankle score (AOFAS)
Overview
Brief Summary
The goal of this randomized clinical trial is to evaluate the efficiency and results of adding blood flow restriction (BFR) training to the physical therapy program for managing adolescents presented with spasmotic flatfoot deformities compared to the Standard physical therapy program without blood flow restriction.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 10 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adolescents presented with idiopathic, rigid, spasmodic flatfeet.
- •Age should be younger than 18 years old. 3- Patients who did not respond to initial medical treatment for three weeks.
Exclusion Criteria
- •generalised tarsal arthritis
- •neurological disorder.
- •secondary rigid flatfoot deformity
- •patients who did not complete the follow up or evaluation protocol
- •Patients who will refuse to participate
Outcomes
Primary Outcomes
American Orthopedic Foot and Ankle score (AOFAS)
Time Frame: baseline and 2 months
Ankle-Hindfoot Scale: a standard method of reporting the clinical and functional status of the ankle and foot. The systems incorporate both subjective and objective factors into numerical scales to describe function, alignment, and pain. A score of 100 points is possible in a patient with no pain, full range of sagittal and hindfoot motion, no ankle or hindfoot instability, good alignment, ability to walk more than six blocks, ability to ambulate on any walking surface, no discernible limp, no limitation of daily or recreational activities, and no assistive devices needed for ambulation. Fifty points were assigned to function, 40 to pain, and 10 to alignment.
Range of motion (ROM)
Time Frame: baseline and at last follow up, 2 months
Ankle range of motion of the sagittal plane (dorsiflexion and plantar flexion) and in the coronal plane (inversion and eversion), using a goniometer.
Secondary Outcomes
- Muscle power(baseline and at last follow up, 2 months)
- Numerical Pain Rating Scale (NPRS).(baseline and at last follow-up, 2 months)
- Patient satisfaction(last follow up, 2 months)
Investigators
Mariam ibrahim
Physical tharapist
Assiut University