Effects of Foot Exercises and Hydrotherapy on Pedal Edema & Lower Extremity Function

Study Overview
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Brief Summary
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To determine the Effects of foot exercises with and without hydrotherapy on pedal Edema & lower extremity function in antenatal women.

Official Title
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Effects of Foot Exercises With and Without Hydrotherapy on Pedal Edema & Lower Extremity Function in Antenatal Women

Conditions
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Pregnancy Related

Intervention / Treatment
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* Other: hydrotherapy
* Other: foot exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Normal singleton pregnancy Gestational age 30-40 weeks Pitting edema in feet Exclusion Criteria: presence of any under lying disease e.g. Diabetes, Hypertension, High risk pregnancy Any wound or skin lesion

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Foot exercise with hydrotherapy<br>Hydrotherapy will be performed by immersing the women's foot in a container filled with 3 liters water with a temperature of 30-32°C. The water level must cover the women's feet up to ankle. During the immersion the therapist will ask the women to perform exercise with legs being fully supported, then alternatively stretch and flex the ankle for 30 times. which will be followed by circling each foot at ankle in clock wise and anticlock wise direction, 30 times each. The duration of water immersion session will be (30 min) for 5 consecutive days | Other: hydrotherapy<br>* Hydrotherapy will be performed by immersing the women's foot in a container filled with 3 liters water with a temperature of 30-32°C. The water level must cover the women's feet up to ankle. During the immersion the therapist will ask the women to perform exercise with legs being fully supported, then alternatively stretch and flex the ankle for 30 times. which will be followed by circling each foot at ankle in clock wise and anticlock wise direction, 30 times each. The duration of water immersion session will be (30 min) for 5 consecutive days.<br>Other: foot exercises<br>* The therapist will ask the women to perform exercise with legs being fully supported, then alternatively stretch and flex the ankle for 30 times. which will be followed by circling each foot at ankle in clock wise and anticlock wise direction, 30 times each.<br>|
| Active Comparator: Foot exercise<br>The therapist will ask the women to perform exercise with legs being fully supported, then alternatively stretch and flex the ankle for 30 times. which will be followed by circling each foot at ankle in clock wise and anticlock wise direction, 30 times each | Other: foot exercises<br>* The therapist will ask the women to perform exercise with legs being fully supported, then alternatively stretch and flex the ankle for 30 times. which will be followed by circling each foot at ankle in clock wise and anticlock wise direction, 30 times each.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Figure of 8 Method | The figure of 8 method uses landmarks on the foot and ankle to measure the circumference of ankle in centimeters. the point midway over the anterior ankle between the tibialis anterior tendon and lateral malleolus, the navicular tuberosity, the base of the fifth metatarsal, and the inferior tip of the medial malleolus | 8th week | 
| Lower Extremity Functional Scale | The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used to evaluate the functional status of lower limb | 8th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hydrotherapy, pedal, edema lower extremity, antenatal, women, foot, exercises