Short Foot Exercises and Anti-pronation Taping on Low Back Pain Associated With Hyper Pronation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Anti-pronation taping (Low dye taping) + Conventional therapy, Short Foot Exercises + Conventional PT.
- Who it may be relevant to
- Registry conditions: Low Back Pain. Basic parameters: 25 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of Short Foot Exercises and Anti-pronation Taping on Low Back Pain Associated With Hyper Pronation of Foot
Overview
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.
Detailed description
Low back pain is a musculoskeletal symptom which occur in all ages during life time with acute episode or chronic condition. Total of 619 million people are living with low back pain worldwide. Low back pain is the musculoskeletal condition that involves pain in region below costal margin and above inferior gluteal fold, along with pain there is also stiffness, limitation of range of motion, aggravated by movement and affected ability to perform daily life activities. Frequency and severity of low back pain are related to spinal loading that increase the strain on lumbar spine, these loads shift from foot (during heel strike) to leg and ultimately to the back.
Abnormal mechanical loading of lumbar spine due to poor postural control or muscular weakness is considered as risk factor for low back pain. The ability of ankle complex to provide stabilization and mobilization depends upon plantar pressure distribution. In particular, pronated foot causes internal rotation of tibia along with internal rotation of hip that cause femoral ante-version and increase in lumbar lordosis and deteriorate lumbopelvic alignment resulting in low back pain Short foot exercise (SFE) is considered more effective in terms of postural balance and excessive pronation. SFE is a widely used intervention that has been developed recently to improve ankle proprioception and global movement pattern, so as to elevate and support the medial longitudinal arch of the foot and to improve dynamic standing balance Anti-pronation taping is a technique that stimulate underlying sensory receptor either through the surface contact or stretch of skin that causes the sensory input to central nervous system to be altered hence it ultimately influences the execution and perception of movement. Low dye taping is effective in correcting over-pronated foot and also increase navicular height along with increase in reactive strength index. low dye taping not only improve arch height but also improves muscular activity The rationale for the use of these techniques is to compare the effect of short foot exercises and anti-pronation taping on low back pain associated with hyper-pronated foot and also on range of motion of foot and back along with the foot posture.
Interventions
- Other Anti-pronation taping (Low dye taping) + Conventional therapy
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. - Other Short Foot Exercises + Conventional PT
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
Primary outcome measures
- Range of motion (Goniometer) [Time frame: 4 weeks]
- Numeric Pain Rating Scale NPRS [Time frame: 4 weeks]
- Foot Posture Index [Time frame: 4 weeks]
- Oswestry Disability Index [Time frame: 4 weeks]
Eligibility criteria
Inclusion criteria
- 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
Exclusion criteria
- 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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Rawal Surgical Hospital, Nawababad, Wah Cantt — Wāh
Identifiers
NCT: NCT06584721 · REC/01876 Sunbal Fatima