Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: orthosis Application
exercise Regime: patients are given two types of orthosis, that is Prefabricated and custom made orthosis, which is to be worn for certain period and the exercise t
Sponsors
Kasturba medical college HospitalManipal
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 35-70 years. 2.Current complaints of pain in the ankle and foot at least for period of 3 months or more. 3.On clinical examination flexible plano-valgus deformity 4.PTTD of stage I or stage II according to Johnson and storm 5. Radiological assessment with longitudinal arch flattening Lateral view:Lateral Talo-first metatarsal angle- >10 degrees Antero-posterior view: Anteroposterior Talo-first metatarsal angle- >10 degree
Exclusion criteria
Exclusion criteria: 1.Rigid foot deformity 2.PTTD of stage III and IV according to Johnson and storm 3. Patients with preexisting fixed foot deformities 4.Previous history of surgery on the same ankle and foot 5.Presence of neurovascular, peripheral vascular, musculoskeletal abnormality
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of pain,swelling and deformity of the foot and ankle by Conservative Management with a cost effective custom-made Orthosis combined with Exercise regime. Timepoint: After initial recruitment of Participant First 3 weeks of intervention phase first review at 6 weeks next review at 3 months last review at 6 months. At 6 months review if the patient improves, then review at every 6 months for 4 years. If at 6 months review,,patients condition is status-co or worsens then, patient goes out(excluded) of the study and alternative surgical option offered. | — |
Secondary
| Measure | Time frame |
|---|---|
| improvement in quality of life and cease the progression of the diseaseTimepoint: After initial recruitment of Participant First 3 weeks of intervention phase first review at 6 weeks next review at 3 months last review at 6 months. At 6 months review if the patient improves, then review at every 6 months for 4 years. If at 6 months review,,patients condition is status-co or worsens then, patient goes out(excluded) of the study and alternative surgical option offered. | — |
Countries
India
Contacts
Public ContactKrishnaprasad P R
Kasturba Medical college,Manipal, MAHE(Manipal Academy of Higher Education)University
Outcome results
None listed