Clinical trial NCT04776798: Biomechanical Taping on Low Back Pain With Increased Foot Pronation
Official title: The Effects of Biomechanical Taping on Individuals With Mechanical Low Back Pain With Increased Foot Pronation
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Low Back Pain
Foot Posture
Taping
Functional Mitral Regurgitation
Keywords: biomechanical-taping
mechanical low back pain
foot posture
function
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2021-03-02
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: TREATMENT

Brief summary: It is stated that abnormal lower extremity posture and biomechanics are effective in the development and progression of Low Back Pain (LBP). Exercise, electrotherapy, insoles, and orthoses are used for the prevention and treatment of low back pain.The use of orthosis, insoles, and taping techniques stands out in the correction of foot posture and dysfunctions, which are stated to cause LBP. In studies examining the application of taping to improve foot posture and biomechanics, it is stated that taping is effective in improving foot posture and biomechanics in the short term.

Biomechanical taping has been used in the treatment of musculoskeletal disorders in recent years. It is aimed to correct the impaired joint biomechanics by reducing the load on the joint, supporting strength, and providing movement modification.

Detailed description: In this study, it is assumed that correction of "increased foot pronation" with dynamic taping will result in the recovery of increased internal rotation and decreased shock absorption during weight-bearing, which is stated to cause pain. The study aims to investigate the effects of biomechanical tapping in combination with a home exercise program on LBP.

Participants with a diagnosis of LBP and bilateral increased flexible foot pronation will divide into two groups (Biomechanical Taping (BT) group or Placebo Taping (PT) group). Tape applications will repeat twice per week, for 4 weeks. And also a home-based exercise program will apply to both groups.

Eligibility criteria: Inclusion Criteria:

* Mechanical low back pain for at least 6 months
* Age between 18-65 years
* Increased, bilateral, flexible pronation of the feet (Foot Posture Index-6 score\> 0)

Exclusion Criteria:

* Rigid pes planus, pes cavus, equinus deformity, hallux valgus, hallux rigid or calcaneal epin in the feet
* Lower extremity injury or surgery in the last 6 months
* Radicular type back pain (patients with leg pain\> low back pain)
* Body Mass Index (BMI)\> 30,
* Use of analgesics
* Pregnancy
* Presence of symptoms related to a history of spinal surgery in the last 5 years.
* Neurological impairment or cognitive dysfunction (stroke, dementia, etc.)
* Rheumatological diseases
* Peripheral vascular diseases
* Difference in length between extremities

Primary outcomes:
measure: Visual Analog Scale (VAS)
timeFrame: 4 week
measure: Foot Posture Index (FPI-6)
timeFrame: 4 week
Secondary outcomes:
measure: 6 Minute Walk Test (6MWT)
timeFrame: 4 week
measure: Step-On-Stool Test
timeFrame: 4 week
measure: PILE Lumbar Lifting Test
timeFrame: 4 week
measure: Revised Oswestry Disability Index
timeFrame: 4 week
Other outcomes:
Locations:
city: Küçükçekmece
country: Turkey
facility: Ayşe Alpözgen
state: İstanbul
Study officials:
affiliation: Istanbul University - Cerrahpasa
name: Ayse Zengin Alpozgen, PhD
role: PRINCIPAL_INVESTIGATOR
References: