Foot Core Exercise Training With Telerehabilitation

NCT06667856 | Suspended

• 1 other identifier: Foot Core Exercise Training
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to investigate the effects of lower extremity exercises combined with foot core exercise training on lower extremity pain, foot functionality, static and dynamic parameters of gait, and postural stability in individuals with rheumatoid arthritis using synchronous and asynchronous telerehabilitation methods.

Conditions

Exercise; Rheumatoid Arthritis; Foot Core

Outcome Measures

Primary Outcomes (4)

• Foot Posture Index

  It is a six-item index that determines foot posture. In this index, palpation of the distal talus medially and laterally, inequality in submalleolar and supramalleolar recesses, position of the calcaneus, medial protrusion of the navicular region in posterior observation, evaluation of the medial longitudinal arch, and the number of toes visible medially or laterally when viewed from the posterior will be evaluated. The examined regions are evaluated for each item up to (+2) according to the degree of pronation and up to (-2) according to the degree of supination, and the total score is obtained by summing these values.

  Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.

• Static Gait Analysis Evaluation

  The evaluation will be made in a position where individuals stand with their arms free at their sides, their eyes fixed on a point 3 meters away in front, maintaining their posture as much as possible. In the static posture evaluation, the load on the right and left feet, and the right-left contact surface data will be evaluated and recorded. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device.

  Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.

• Dynamic Gait Analysis Evaluation

  Individuals will be asked to walk at a speed they feel comfortable with, at least 8 steps on a 5-meter walking platform (3-meter platform and 2-meter walking analysis platform). The evaluation will be repeated 3 times. From the two-meter walking analysis 17 platform; left-right foot pressure percentage and left-right contact surfaces during walking will be obtained numerically and graphically. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device.

  Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.

• Postural Stability Assessment

  Individuals will be asked to place their feet on the soles before measurements are taken, and the foot position of the individuals will not change during static measurements. For static load distribution measurement and bipedal balance measurement, individuals will be asked to keep their arms free next to their bodies and maintain their posture as much as possible by fixing their eyes on a point 3 meters in front. The measurement will be made with and without support, with eyes open and closed for 60 seconds. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device.

  Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.

Secondary Outcomes (2)

• Visual Analog Scale-Pain

  Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.

• Foot Function Index

  Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period.

Study Arms (2)

Asynchronous telerehabilitation group

ACTIVE COMPARATOR

Other: Asynchronous exercise group

Synchronous telerehabilitation group

ACTIVE COMPARATOR

Other: Synchronous exercise group

Interventions

Asynchronous exercise group OTHER

Application of foot core training combined with lower extremity exercises using asynchronous telerehabilitation method.

Asynchronous telerehabilitation group

Synchronous exercise group OTHER

Application of foot core training combined with lower extremity exercises using synchronous telerehabilitation method.

Synchronous telerehabilitation group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having been diagnosed with rheumatoid arthritis
• Being between the ages of 18-65
• Being willing to participate in the study

You may not qualify if:

• Having a neurological disease
• Having a pulmonary or cardiovascular problem that may affect daily life activities
• Sensory system disorders
• Having a history of surgery on the lower extremities or trunk
• Experiencing dizziness
• Having a cognitive disorder
• Having an additional rheumatic disease

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Pamukkale University

Denizli, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Arthritis, Rheumatoid; Motor Activity

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Study Record Dates

• First Submitted: October 24, 2024
• First Posted: October 31, 2024
• Study Start (Estimated): September 24, 2026
• Primary Completion (Estimated): May 24, 2027
• Study Completion (Estimated): July 24, 2027
• Last Updated: March 19, 2026

Record last verified: 2026-03

Locations

TU (1)