Short Foot Exercises and Anti-pronation Taping on Low Back Pain Associated With Hyper Pronation

NCT06584721 | Recruiting

• 1 other identifier: REC/01876 Sunbal Fatima
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized clinical trial is to find the comparison of Short foot exercises and anti-pronation taping on low back pain associated with hyper pronation on reducing back pain improving range of motion of foot, back and foot posture.

Conditions

Low Back Pain

Keywords

Short foot exercises; Foot hyper-pronation; low back pain; Anti-pronation Taping

Outcome Measures

Primary Outcomes (4)

• Range of motion (Goniometer)

  It is a tool used to measure the range of motion of joint (0-180). Record the starting measurement, remove the goniometer, and allow the patient to move the joint through the available range of motion. Replace and realign the goniometer. Read and record the measurement.

  4 weeks

• Numeric Pain Rating Scale NPRS

  The NPRS is an eleven-point pain impression scale: the patient rates pain from 0 (no aggravation) to 10 (most exceedingly terrible possible pain). Numeric Pain Rating Scale (NPRS), which was used to survey respondents' impression of the degree of pain that they felt. NPRS has been utilized in different examinations for low back pain.

  4 weeks

• Foot Posture Index

  It is a tool which provides quantitative data about foot posture. It has total six items. Talar head palpation, observation of curves above and below the lateral malleolus, a bulge in the region of the talonavicular joint, eversion and inversion of the calcaneus, congruence of the medial longitudinal arch, adduction and abduction of the forefoot in relation to the rear foot. Total score between (- 12 and + 12). (0 and + 5 normal feet) ;( + 6 to + 9 pronated feet) ;( ≥ + 10 highly pronated feet) ;( - 1 to - 4 supinated feet); - 5 to - 12 indicate highly supinated.

  4 weeks

• Oswestry Disability Index

  The ODQ scale was utilized to quantify the limitations in regular daily life activities. It depends on 10 segments with six levels each, evaluating the restriction of different activities of day to day living. The qualities range from 0 (the best wellbeing state) to 100 (the most worsening wellbeing state). For each segment of the poll, the absolute plausible score is 5.

  4 weeks

Study Arms (2)

Anti-pronation taping (Low dye taping) + Conventional therapy

ACTIVE COMPARATOR

Anti-pronation taping and conventional

Other: Anti-pronation taping (Low dye taping) + Conventional therapy

Short Foot Exercises + Conventional Study

OTHER

Short foot exercises + Conventional therapy

Other: Short Foot Exercises + Conventional PT

Interventions

Anti-pronation taping (Low dye taping) + Conventional therapy OTHER

They would be receiving treatment as follow: Anti-pronation taping (Low dye taping) Applied on alternate days. 3 days / week for 4 weeks. Conventional Therapy includes 1. Tens biphasic mode, 90Hz, 100ms pulse width for 20 mins 2. William flexion exercises (5repsx1set). 3. Lower limb stretching exercises (3repsxset1, 10sec hold) 3sessions/ week.

Anti-pronation taping (Low dye taping) + Conventional therapy

Short Foot Exercises + Conventional PT OTHER

They would be receiving treatment as follow: Short foot exercises are used to reduce the foot pronation: Frequency: 30 reps x 1 set, 30 sec hold and 10 sec relaxation for 4 weeks. 3 session/ week). Short foot Exercises includes a four-week plan, 1- Shortening of foot in Anterior-posterior direction, 2- Increase medial longitudinal arch, 3- Balanced loading in standing, 4- Approximating Head of first, second meta-tarsal and calcaneus with patient in standing (single leg). Conventional therapy includes 1. Tens biphasic mode, 90Hz, 100ms pulse width for 20 mins 2. William flexion exercises (5repsx1set). 3. Lower limb stretching exercises (3repsx1set, 10sec hold) 3sessions/ week.

Short Foot Exercises + Conventional Study

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both gender
• Age 25 to 45 years
• Foot hyper pronation (FPI ≥ +6)
• low back pain \> 3months (Pain, muscle stiffness, and muscle tension between lower costal margin and inferior gluteal fold)
• Low back pain with NPRS ≥ 3

You may not qualify if:

• Acute trauma or fracture of foot/ back (last 3 months)
• leg length discrepancy \>5mm
• Diagnosed with Spondylolisthesis, spondylitis
• Diagnosed with Lumbar radiculopathy, stenosis, fibromyalgia, plantar fasciitis
• Recent History of fall \< 3months
• Congenital hyper-pronation of foot
• Pregnancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rawal Surgical Hospital, Nawababad, Wah Cantt

Wāh, Punjab Province, Pakistan

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Kinza Anwar, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Kinza Anwar, MS

CONTACT

+92-3239735427; kinza.anwar@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 2, 2024
• First Posted: September 5, 2024
• Study Start: October 2, 2024
• Primary Completion: August 27, 2025
• Study Completion: August 27, 2025
• Last Updated: February 21, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)