Metatarsalgia
Conditions
Brief summary
The pilot study was conducted in the form of an open prospective single-arm observational study with 28 patients who received physiotherapy at the Spiraldynamik® Med Center in Zurich.
Detailed description
The pilot study was conducted in the form of an open prospective single-arm observational study. The data of 28 patients who received physiotherapy at the Spiraldynamik® Med Center in Zurich was evaluated. The endpoints of Visual Analog Scale Foot and Ankle (VAS FA), Activity Index (AI), plantar and inter-metatarsal pres-sure pain, rearfoot angle and dorsal extension capability of the upper ankle joint were individually compared and analyzed before and after therapy.
Interventions
physiotherapeutic intervention according to the principles of the Spiraldynamik® concept
Sponsors
Study design
Eligibility
Inclusion criteria
* main diagnosis: Metatarsalgia * secondary diagnosis: Hallux rigidus,Hallux valgus, Knick-Senk-Spreizfuß, Hohlfuß * age 30-75 Jahre, gender both * chronic ( ≥ 3 month), * pain ≥ 1 visuell analog scale (VAS) * no other complementary therapy
Exclusion criteria
* local: trauma, fracture, tumore, infectionen * pain after forefoot - operation * neurological diseases * generell: somatoform, pension covet
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale Foot and Ankle (VAS FA) | 9 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Activity Index (AI) | 3, 8 weeks | — |
| plantar and inter-metatarsal pressure pain - measured dichotom | 9 weeks | measured dichotom - pain triggered or not |
| rearfoot angle measured in degree ° | 9 weeks | measured in degree, during standing: the angle for pes valgus (measured at the position of calcaneus) |
| dorsal extension capability of the upper ankle joint measured in degree ° | 9 weeks | — |