Intrinsic Foot Muscle With and Without Hip Abductor Muscle Strengthening Training in Overweight Females

NCT ID: NCT06761040

Last Updated: 2025-01-07

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-09-15
• Study Completion Date: 2025-01-15

Brief Summary

pronation distortion syndrome is a common postural distortion of the lower extremity, involving the anterior part of the leg. It may cause pain in the leg and disturbances in the tarsal part, in addition to distal and proximal parts. In this deformity, the head of the talus and navicular bones are rotated inward and downward, and the body's center of gravity shifts inward, resulting in flat feet. It is also associated with a union and increased pressure on the medial parts of the first and second metatarso phalangeal joints. The characteristics of pronation distortion syndrome due to excessive foot pronation include inward rotation of the tibia, internal rotation of the thighs associated with flat feet, genu valgum (knock-knee), and increased lordosis in case of hyperpronation. The randomized clinical trial study design will be used with the sample of 48 womens. The data will be collected from ganga ram hospital and mukhtara rafique welfare hospital by using convenient sampling technique.The inclusion criteria Ages 30-35 years, Female gender, BMI of overweight women (25-29.9). Foot pronation on observation, Navicular Drop Test more than 10mm (measured in weight bearing and non-weight bearing positions distance between ground and navicular tuberosity and difference calculated), Increased Q angle :females 15-18. The exclusion criteria is Other deformities such as tarsal coalition and vertical talus, BMI under weight,normal,obese.Any history of surgery involving both lower extremities.and Neuromuscular disorder(GBS,MG,Muscular dystrophies extremities)|.The tools used is Numeric Pain Rating Scale (NPRS), Navicular drop test, Goniometer for Q angle measurement, and Lower extremity functional scale (LEFS). Data will be analyzed by using SPSS version 26,0.

Conditions

Pronation Distotion Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Intrinsic foot muscle training

Technique In intrinsic foot muscle training, there are following exercises:

1. Toe spread out

2. First toe extension

3. Second to fifth toe extension

Group Type: EXPERIMENTAL

Intrinsic foot muscle training

Intervention Type: OTHER

Technique In intrinsic foot muscle training, there are following exercises:

1. Toe spread out

2. First toe extension

3. Second to fifth toe extension The exercise would be performed in following positions 1. Sitting position for the first 2 weeks (3sec hold; 4 sets ×15 reps) 2. Standing position on the 3rd and 4th weeks (8sec hold; 4 sets × 8 reps) 3. One-leg standing position during the 5th and 6th week (20 sec hold;4 sets ×3 reps)

hip abductor muscle training with intrinsic foot muscle training.

Hip abductor muscle training consists of the following two exercise using

1. Resisted hip abduction 90° (2 sec hold; 3 sets × 10 reps)

2. Resisted hip abduction 45° (2 sec hold; 3 sets × 10 reps)

Group Type: ACTIVE_COMPARATOR

Intrinsic foot muscle training

Intervention Type: OTHER

Technique In intrinsic foot muscle training, there are following exercises:

1. Toe spread out

2. First toe extension

3. Second to fifth toe extension The exercise would be performed in following positions 1. Sitting position for the first 2 weeks (3sec hold; 4 sets ×15 reps) 2. Standing position on the 3rd and 4th weeks (8sec hold; 4 sets × 8 reps) 3. One-leg standing position during the 5th and 6th week (20 sec hold;4 sets ×3 reps)

hip abductor muscle training with intrinsic foot muscle training

Intervention Type: OTHER

Hip abductor muscle training consists of the following two exercise

1. Resisted hip abduction 90° (2 sec hold; 3 sets × 10 reps)

2. Resisted hip abduction 45° (2 sec hold; 3 sets × 10 reps)

Standard treatment

• Shoe insoles (eight hours a day, medial longitudinal arch support,raised for by about 1.8 cm)
• Stretching of Hamstrings and Calf muscles (3 times for 30 seconds hold) Number of Sessions Per Week : 3 times Per week for 6 weeks

Interventions

Intrinsic foot muscle training

Technique In intrinsic foot muscle training, there are following exercises:

1. Toe spread out

2. First toe extension

3. Second to fifth toe extension The exercise would be performed in following positions 1. Sitting position for the first 2 weeks (3sec hold; 4 sets ×15 reps) 2. Standing position on the 3rd and 4th weeks (8sec hold; 4 sets × 8 reps) 3. One-leg standing position during the 5th and 6th week (20 sec hold;4 sets ×3 reps)

Intervention Type: OTHER

hip abductor muscle training with intrinsic foot muscle training

Hip abductor muscle training consists of the following two exercise

1. Resisted hip abduction 90° (2 sec hold; 3 sets × 10 reps)

2. Resisted hip abduction 45° (2 sec hold; 3 sets × 10 reps)

Standard treatment

• Shoe insoles (eight hours a day, medial longitudinal arch support,raised for by about 1.8 cm)
• Stretching of Hamstrings and Calf muscles (3 times for 30 seconds hold) Number of Sessions Per Week : 3 times Per week for 6 weeks

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Ages 30-35 years
• Female gender
• BMI of overweight women (25-29.9)
• Foot pronation on observation
• Navicular Drop Test more than 10mm (measured in weight bearing and non-weight bearing positions distance between ground and navicular tuberosity and difference calculated).(16)
• Increased Q angle :females 15-18

Exclusion Criteria

• • Other deformities such as tarsal coalition and vertical talus.

• BMI underweight,normal ,obese.
• Any history of surgery involving both lower extremities.
• Neuromuscular disorder(GBS,MG,Muscular dystrophies extremities.).

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Rabiya Noor, PHD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Ganga Ram Hospital

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

IQBAL TARIQ, PHD

Role: CONTACT

iqbal.tariq@riphah.edu.pk

03338236752

IMRAN AMJAD, PHD

Role: CONTACT

Imran.amjad@riphah.edu.pk

03324390125

Facility Contacts

Sidra Afzal, PP-DPT

Role: primary

sidra.afzal@riphah.edu.pk

03124378540

References

Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther. 2013 Oct;18(5):425-30. doi: 10.1016/j.math.2013.02.007. Epub 2013 Apr 28.

Reference Type: BACKGROUND

PMID: 23632367 (View on PubMed)

Pabon-Carrasco M, Castro-Mendez A, Vilar-Palomo S, Jimenez-Cebrian AM, Garcia-Paya I, Palomo-Toucedo IC. Randomized Clinical Trial: The Effect of Exercise of the Intrinsic Muscle on Foot Pronation. Int J Environ Res Public Health. 2020 Jul 7;17(13):4882. doi: 10.3390/ijerph17134882.

Reference Type: BACKGROUND

PMID: 32645830 (View on PubMed)

Lee DR, Choi YE. Effects of a 6-week intrinsic foot muscle exercise program on the functions of intrinsic foot muscle and dynamic balance in patients with chronic ankle instability. J Exerc Rehabil. 2019 Oct 28;15(5):709-714. doi: 10.12965/jer.1938488.244. eCollection 2019 Oct.

Reference Type: BACKGROUND

PMID: 31723561 (View on PubMed)

Other Identifiers

REC/RCR&AHS/24/0517

Identifier Type: -

Identifier Source: org_study_id