Investigation of the Relationship Between Pes Planus and Piriformis Syndrome: A Case-Control Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Foot Posture Index (FPI-6)
研究概览
简要总结
The aim of this study is to investigate the relationship between Pes Planus and Piriformis Syndrome. The study will be conducted on individuals aged 18-65 years who are native Turkish speakers, have Turkish reading and writing skills, have been diagnosed with piriformis syndrome, and voluntarily agree to participate. Participants will consist of individuals who have not previously undergone lumbar, hip, or lower extremity surgery and have not received injection therapy (corticosteroids, PRP) or any other physiotherapy program within the last three months.
详细描述
In the literature, the effects of pes planus deformity on the lower extremity kinetic chain, especially its relationship with patellofemoral pain syndrome and non-specific low back pain, have been widely studied. However, case-control studies examining the direct relationship between increased tibial and femoral internal rotation caused by pes planus, the compensatory hypertrophy in the piriformis muscle which tries to stabilize the hip joint, and the resulting 'Piriformis Syndrome' are quite limited. This study aims to fill this gap in the literature by revealing the effect of foot postural disorders on deep gluteal region pathologies with clinical tests and to provide a biomechanical perspective to treatment protocols.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Piriformis group
- •18-50 years old
- •Clinical diagnosis of piriformis syndrome
- •Positive FAIR test
- •Piriformis tenderness on palpation Control group
- •No piriformis syndrome
- •No hip or lower back pain
- •No neurological disease
排除标准
- •Herniated disc (L5-S1 radiculopathy),
- •previous hip surgery,
- •inflammatory joint diseases
- •neurological deficits…
研究组 & 干预措施
healthy group
Investigation of pes planus in healthy individuals
piriformis sendrom group
Investigation of pes planus in individuals with piriformis syndrome.
结局指标
主要结局
Foot Posture Index (FPI-6)
时间窗: Baseline
To comprehensively assess the static foot posture of the participants, the Foot Posture Index, which has proven reliability in the literature, will be used. During the assessment, the participant will be fixed in a relaxed standing position with their arms at their sides and facing forward, distributing their weight equally on both feet.
Navicular Drop Test(NDT)
时间窗: Baseline
In evaluating the foot posture of the participants, the Navicular Drop Test (NDT), which has proven reliability and validity in the literature, will be used (10). The Navicular Drop Test is a clinical measurement method used to evaluate the arch structure and dynamic stability of the foot.The measurement process consists of two stages: First, with the foot unloaded, the height of this marked point from the ground is measured with a millimeter ruler or caliper. Then, the participant is asked to stand up without changing the foot position and distribute their body weight evenly between both legs. In this loaded position, the distance of the navicular tubercle from the ground is measured again. Finally, the difference between the height in the seated position and the height in the standing position is calculated. This drop, recorded in millimeters, indicates how much the foot flexes or collapses under load.
次要结局
- Pain assessment(Baseline)
- Demographic information(Baseline)
研究者
Asiya Uzun
Assistant Proffesor
Kahramanmaras Sutcu Imam University