Intrinsic Foot Muscle With and Without Hip Abductor Muscle Strengthening Training in Overweight Females

Riphah International University

Status: Enrolling

Conditions: Pronation Distotion Syndrome

Treatments: Other: hip abductor muscle training with intrinsic foot muscle training; Other: Intrinsic foot muscle training

Study type: Interventional

Funder types: Other

Identifiers

NCT06761040

REC/RCR&AHS/24/0517

Details and patient eligibility

About

pronation distortion syndrome is a common postural distortion of the lower extremity, involving the anterior part of the leg. It may cause pain in the leg and disturbances in the tarsal part, in addition to distal and proximal parts. In this deformity, the head of the talus and navicular bones are rotated inward and downward, and the body's center of gravity shifts inward, resulting in flat feet. It is also associated with a union and increased pressure on the medial parts of the first and second metatarso phalangeal joints. The characteristics of pronation distortion syndrome due to excessive foot pronation include inward rotation of the tibia, internal rotation of the thighs associated with flat feet, genu valgum (knock-knee), and increased lordosis in case of hyperpronation. The randomized clinical trial study design will be used with the sample of 48 womens. The data will be collected from ganga ram hospital and mukhtara rafique welfare hospital by using convenient sampling technique.The inclusion criteria Ages 30-35 years, Female gender, BMI of overweight women (25-29.9). Foot pronation on observation, Navicular Drop Test more than 10mm (measured in weight bearing and non-weight bearing positions distance between ground and navicular tuberosity and difference calculated), Increased Q angle :females 15-18. The exclusion criteria is Other deformities such as tarsal coalition and vertical talus, BMI under weight,normal,obese.Any history of surgery involving both lower extremities.and Neuromuscular disorder(GBS,MG,Muscular dystrophies extremities)|.The tools used is Numeric Pain Rating Scale (NPRS), Navicular drop test, Goniometer for Q angle measurement, and Lower extremity functional scale (LEFS). Data will be analyzed by using SPSS version 26,0.

Enrollment: 48 estimated patients

Sex: Female

Ages: 30 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Ages 30-35 years
• Female gender
• BMI of overweight women (25-29.9)
• Foot pronation on observation
• Navicular Drop Test more than 10mm (measured in weight bearing and non-weight bearing positions distance between ground and navicular tuberosity and difference calculated).(16)
• Increased Q angle :females 15-18

Exclusion criteria

• • Other deformities such as tarsal coalition and vertical talus.

  • BMI underweight,normal ,obese.
  • Any history of surgery involving both lower extremities.
  • Neuromuscular disorder(GBS,MG,Muscular dystrophies extremities.).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Intrinsic foot muscle training

Experimental group

Description:

Technique In intrinsic foot muscle training, there are following exercises: 1. Toe spread out 2. First toe extension 3. Second to fifth toe extension

Treatment:

Other: Intrinsic foot muscle training

hip abductor muscle training with intrinsic foot muscle training.

Active Comparator group

Description:

Hip abductor muscle training consists of the following two exercise using 1. Resisted hip abduction 90° (2 sec hold; 3 sets × 10 reps) 2. Resisted hip abduction 45° (2 sec hold; 3 sets × 10 reps)

Treatment:

Other: Intrinsic foot muscle training

Other: hip abductor muscle training with intrinsic foot muscle training