Foot Spine Syndrome "RAFFET Syndrome"

NCT06180408 | Unknown

• 1 other identifier: Cairounivers
• Study Type: interventional
• Target: 11
• Locations: 1 country
• Sites: 1

Brief Summary

case series aimed to describe a new clinical condition for the first time in the medical literature called Foot Spine Syndrome or "RAFFET Syndrome". This syndrome was reported in 11 patients (6 males and 5 females) out of 4000 patients with a history of chronic low back pain (CLBP) throughout 2 to 6 years in an outpatient clinic in Egypt from 2016 to 2022.

Conditions

Chronic Low-back Pain; Hallux Rigidus

Outcome Measures

Primary Outcomes (2)

• numerical pain rating scale

  considered the gold standard for back pain assessment

  three months

• Oswestry disability index

  It is a valid, reliable and responsive clinical tool used to determine the level of functional disability associated with CLBP

  three months

Study Arms (2)

manual therapy for the big toe

EXPERIMENTAL

Maitland mobilization (Grade 3,4), Mulligan mobilization with movement techniques, muscle energy techniques, manual therapy for plantar fascia, strengthening exercises and self-stretching exercises was performed

Other: manual therapy and exercise for the big toe

lumbar stabilization exercise

EXPERIMENTAL

core training and myofascial release therapy

Other: lumbar stabilization exercise

Interventions

manual therapy and exercise for the big toe OTHER

Maitland mobilization (Grade 3,4), Mulligan mobilization with movement techniques, muscle energy techniques, manual therapy for plantar fascia, strengthening exercises and self-stretching exercises was performed

manual therapy for the big toe

lumbar stabilization exercise OTHER

core training and myofascial release therapy

lumbar stabilization exercise

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• patients with a history of chronic low back pain (CLBP) did not respond to physical therapy or any medication for long. They all had clinical spinal instability, hallux rigidus, foot abnormalities and tightness of hip flexors and adductors accompanied with weakness of hip extensors and abductors on the affected side

You may not qualify if:

• any structural deformity (wedge fracture) or previous spinal surgeries. Spinal tumors or fracture or presence of active infection in the lumbar spine. Systematic disorder (Rheumatoid) Cauda equine lesion, the presence of any comorbidities such as hypertension, DM, hyperlipidemia, obesity, and any autoimmune disease, history of patients who suffered from cancer, unexplained weight loss, immunosuppression, prolonged use of steroids, intravenous drug use, urinary tract infection, pain that is increased or unrelieved by rest, fever, significant trauma related to age, bladder or bowel incontinence, urinary retention (with overflow incontinence), saddle anesthesia, loss of anal sphincter tone, major motor weakness in lower extremities, fever, and vertebral tenderness.

Sponsors & Collaborators

• Noha Khaled Shoukry: lead

Study Sites (1)

Faculty of Physical Therapy

Giza, 12556, Egypt

Location

MeSH Terms

Conditions

Hallux Rigidus

Interventions

Musculoskeletal Manipulations; Exercise

Condition Hierarchy (Ancestors)

Foot Deformities, Acquired; Foot Deformities; Musculoskeletal Diseases; Joint Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

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

Study Record Dates

• First Submitted: December 5, 2023
• First Posted: December 22, 2023
• Study Start: January 1, 2022
• Primary Completion: June 30, 2023
• Study Completion: December 25, 2023
• Last Updated: December 22, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)