Clinical trial NCT06761040: Intrinsic Foot Muscle With and Without Hip Abductor Muscle Strengthening Training in Overweight Females
Official title: Effects of Intrinsic Foot Muscle With and Without Hip Abductor Muscle Strengthening Training in Overweight Females With Pronation Distortion Syndrome
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Pronation Distotion Syndrome
Keywords: Intrinsic Foot Muscle
Hip Abductor
Pronation Distortion Syndrome
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-01-07
Enrollment: 48
Sex: FEMALE
Minimum age (years): 30
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.


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.).

Primary outcomes:
measure: Goniometer
timeFrame: baseline and fourth week
measure: Numeric Pain Rating Scale
timeFrame: baseline and fourth week
measure: Navicular Drop Test:
timeFrame: baseline and fourth week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Ganga Ram Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Rabiya Noor, PHD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.