Flat Foot and Coronal Spinopelvic Alignment

NCT04746508 | Unknown

• 1 other identifier: 72300690-799-E17195
• Study Type: observational
• Target: 360
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to present the influence of unilateral and bilateral flat foot on coronal spinopelvic alignment in asymptomatic young healthy males. It will be carried out by examining the medical reports of individuals who apply to the National Health Board to work in positions requiring physical fitness between January 2018 and January 2019. Plain radiographies of the feet, pelvis, and spine will be analyzed. Calcaneal pitch angle (CPA) for flat foot, pelvic obliquity (PO), and Cobb angle (CA) for spinal asymmetry will be measured. After all analyzes were completed, participants will be divided into 2 groups as unilateral (UniFF) or bilateral (BiFF) flat foot, depending on the CPA measurements and will be compared.

Conditions

Flat Foot [Pes Planus] (Acquired), Left Foot; Flat Foot [Pes Planus] (Acquired), Right Foot; Flat Foot Acquired Bilateral (Pes Planus); Pelvic Obliquity; Spinal Curvatures

Keywords

Flat foot; pelvic obliquity; spinal asymmetry; Cobb angle; calcaneal pitch angle

Outcome Measures

Primary Outcomes (3)

• Calcaneal pitch angle (CPA)

  Calcaneal pitch angle (CPA) is defined as an angle between a line drawn from the inferior of the calcaneocuboid joint to the inferior border of the calcaneus and a second line drawn from the inferior aspect of the sesamoid bones to the inferior border (13). CPA for both (right and left) foot was evaluated from all plain radiographs in this study and the angles equal to or less than 20 degrees were accepted as a flat foot.

  Baseline

• Pelvic obliquity (PO)

  Pelvic obliquity (PO) was measured by horizontal pelvic obliquity according to Osebold et al. from a posteroanterior radiograph. The angle between the line drawn between the most proximal points on the iliac crest and the line drawn parallel to the lower end of the radiograph was recorded.

  Baseline

• The Cobb angle (CA

  The Cobb angle (CA) is a gold standard measurement for identifying the magnitude of spinal curves (14). Spinal curvature was measured from the standing full-length posteroanterior radiograph. The angle of the curve is measured as an angle between the perpendiculars of the lines parallel to the upper border of the upper vertebral body and parallel to the lower border of the lowest vertebral body of the curve (16). Straight or symmetrical spines in the coronal plane were accepted as a normal spine, and curves\<10 degrees accepted as spinal asymmetry, and the curves ≥ 10 degrees accepted as scoliosis (15). Spinal curve patterns in coronal planes were classified according to the Scoliosis Research Society classification. The curve was classified as single in terms of one curve exists in the thoracal or lumbal spine; as double in terms of one curve exist the through thoracal and lumbal spine; and as triple that exists through upper thoracal, middle thoracal and lumbal spine (17).

  Baseline

Study Arms (2)

Unilateral Flat Foot (UniFF)

Participants with flat foot unilaterally (Only one foot's Calcaneal pitch angle ≤ 20 degree)

Bilateral Flat Foot (BiFF)

Participants with flat foot bilaterally (Both feet's Calcaneal pitch angle ≤ 20 degree)

Eligibility Criteria

• Age: 18 Years - 25 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Healthy individuals who applied to the National Health Boards to work in positions requiring physical fitness between January 2018 and January 2019.

You may qualify if:

• Body mass index (BMI) ranging between 18.5-24.9 kg/m2 (accepted as normal weight by World Health Organisation (WHO))
• Age ranging between 18-25 years
• Male gender

You may not qualify if:

• Being older than 25 years
• BMI out of normal weight according to WHO
• Being female
• History of spinal trauma/ surgery
• Having/had spinal disorders like spondylolisthesis, spondylodiscitis, etc.
• Having/had chronic inflammatory arthritis especially spodiloarthrosis (i.e., ankylosing spondylitis, psoriatic arthritis, etc.)
• Having/had a vertebral fracture
• Having/had aseptic necrosis of the vertebra
• Radiographs with inappropriate image qualities.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Pınar Kısacık

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Flatfoot; Spinal Curvatures

Condition Hierarchy (Ancestors)

Talipes; Foot Deformities, Acquired; Foot Deformities; Musculoskeletal Diseases; Foot Deformities, Congenital; Lower Extremity Deformities, Congenital; Limb Deformities, Congenital; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Spinal Diseases; Bone Diseases

Study Officials

• Pınar Kısacık, PhD

  Hacettepe University Faculty of Physical Therapy and REhabilitation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: January 29, 2021
• First Posted: February 9, 2021
• Study Start: January 1, 2018
• Primary Completion: January 1, 2019
• Study Completion: March 1, 2021
• Last Updated: February 9, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)