Ankle Spine Syndrome "RAFFET Syndrome II

NCT06140862 | Unknown

• 1 other identifier: CUniv
• Study Type: interventional
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

A case series aimed to describe a new clinical condition for the first time in the medical literature called Ankle Spine Syndrome or "RAFFET Syndrome II". This syndrome was reported in 6 patients (2 males and 4 females) out of 1000 patients with a history of chronic ankle injuries affecting their calf muscles' strength throughout the last 3 years. The patients suffered from unresolved CLBP with radiculopathy contralateral to their calf muscle atrophy (i.e., an ipsilateral calf muscle weakness induces contralateral lumbar radiculopathy) that did not respond to physical therapy or any medication for long.

Conditions

Chronic Ankle Injuries; Chronic Low-back Pain; Lumbar Disc Herniation; Calf Muscle Weakness

Keywords

Ankle Spine Syndrome; Raffet Syndrome II; Contralateral Lumber Radiculopathy

Outcome Measures

Primary Outcomes (1)

• Oswestry Disability Index (ODI) known as Oswestry Low Back Pain Disability Questionnaire

  It is a 10-section, self-report questionnaire to evaluate the impact of back pain on functional activities. Our patients in this syndrome had functional disability scores that ranged from 10 to 22 indicating mild and moderate degrees of disability. It is a valid, reliable and responsive clinical tool used to determine the level of functional disability associated with CLBP

  six month

Secondary Outcomes (1)

• back pain was assessed using Numerical Pain Rating Scale (NPRS)

  6 month

Study Arms (2)

calf muscle exercise

EXPERIMENTAL

the initial treatment plane was open and closed chain strengthening exercises for the calf muscle. The strengthening exercises include; double leg calf raise (i.e., straight and bent knees), single leg calf raise (i.e., straight and bent knee), seated calf raise, and wall sit calf raise. Calf stretching exercises were added to maintain the flexibility of the muscle and its Achilles tendon. Gait training protocol was also performed for correction of chronically adapted abnormal gait pattern especially at the mid stance and terminal stance sub-phases of GC

Other: calf muscle strengthening and streching

lower back exercise

OTHER

lumbar stabilization exercises, core strength training, myofascial release therapy for lower back, and stretching exercises for hamstring muscle.

Other: calf muscle strengthening and streching

Interventions

calf muscle strengthening and streching OTHER

lumbar stabilization exercises, core strength training, myofascial release therapy for lower back, and stretching exercises for hamstring muscle.

Also known as: lower back rehabilitation program

calf muscle exercise; lower back exercise

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Clinical presentation of lumbar radicular pain (i.e., contralateral radiculopathy) was sharp, distinctive, shooting, or lancinating. It felt like a narrow band of pain (i.e., not more than 5-8 cm wide) throughout the length of the lower limb. It was experienced superficially and deeply.
• They had back pain intensity scores that ranged from 8 to 10 indicating a severe degree of pain during dynamic activity while almost all patients scored zero while resting Our patients with this syndrome had functional disability scores that ranged from 10 to 22 indicating mild and moderate degrees of disability.
• had a history of physical therapy visits for back pain and sciatica at many specialized centers

You may not qualify if:

• pain score less than 8 functional disability scores less than 10 red flags as tumor or osteoprosis or bone infection previous back surgery

Sponsors & Collaborators

• Noha Khaled Shoukry: lead

Study Sites (1)

Faculty of Physical Therapy

Giza, Cairo University, 12613, Egypt

Location

MeSH Terms

Conditions

Intervertebral Disc Displacement

Condition Hierarchy (Ancestors)

Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: lecturer

Study Record Dates

• First Submitted: November 15, 2023
• First Posted: November 20, 2023
• Study Start: September 1, 2022
• Primary Completion: January 25, 2024
• Study Completion: January 25, 2024
• Last Updated: December 13, 2023

Record last verified: 2023-12

Locations

EG (1)