Flat Foot; Spastic
Conditions
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.
Interventions
DEVICEblood flow restriction
The addition of BFR to low-load dynamic exercise training is effective for augmenting changes in both muscle strength and size.
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| American Orthopedic Foot and Ankle score (AOFAS) | 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) | 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
| Measure | Time frame | Description |
|---|---|---|
| Muscle power | baseline and at last follow up, 2 months | Muscle power by dynamometer for: Tibialis anterior and Toe flexors |
| Numerical Pain Rating Scale (NPRS). | baseline and at last follow-up, 2 months | Pain level using NPRS, a scale from 0 to 10, where 0 indicates no pain and 10 represents the worst pain imaginable. |
| Patient satisfaction | last follow up, 2 months | Patient satisfaction: patient satisfaction was initially collected by a simple yes or no question and if they were willing to go through the same protocol again and if they were satisfied with the results followed by detailed measurements using the 0 to 10 scale reported by Park et al., where 0 is extremely unsatisfied, and 10 is extremely satisfied. |
Countries
Egypt
Outcome results
None listed