Effects of Graded Motor Imagery in Individuals With Foot/Ankle Osteoarthritis

Официальное название

Effectiveness of Graded Motor Imagery Training in Individuals With Foot/Ankle Osteoarthritis: A Randomized Controlled Trial

Обзор

The aim of our study is to evaluate the effects of graded motor imagery training applied in addition to a structured exercise program in individuals with foot and/or ankle osteoarthritis. The study population will consist of twenty-four individuals diagnosed with foot/ankle osteoarthritis who applied to the Orthopedics and Traumatology Department of Alanya Alaaddin Keykubat University Education and Research Hospital. Individuals who volunteer to participate in the study will be invited to participate through face-to-face interviews. The inclusion and exclusion criteria are as follows: Inclusion criteria: * Being 18 years of age or older * Having a diagnosis of foot/ankle osteoarthritis confirmed by a specialist physician through clinical and/or radiological examination * Experiencing pain in the ankle joint most days for at least three months * Agreeing to participate in randomly assigned treatment and follow-up measurements * Having a sufficient level of Turkish language comprehension * Having a Standardized Mini Mental Test score of at least 24 points Exclusion criteria: * Previous arthrodesis or joint replacement surgery on the affected ankle * Physical therapy for ankle osteoarthritis within the last three months * Vision or hearing problems that would affect compliance with treatment. * Presence of a neuromuscular disease * History of intra-articular ankle injections within the last 3 months * Initiation of a new disease-specific pharmacological treatment during the study period During the study period, participants will receive one of the physical therapy programs. One group will only participate in the structured exercise program, while the other group will receive graded motor imagery training in addition to the exercise program.Both treatment groups will receive a total of 12 treatment sessions over 6 weeks. The results of this study may help improve physiotherapy programs for individuals with similar health conditions.

Вмешательства

• Поведенческое Exercise Program
  During this intervention, participants will take part in a structured physiotherapy exercise program. The program will be delivered under the guidance of a physiotherapist.
• Поведенческое Exercise plus graded motor imagery
  During this intervention, participants will take part in the same physiotherapy exercise program combined with educational sessions.

Первичные конечные точки

• Socio-demographic assessment form [Срок оценки: Baseline and after 6 weeks]
• Pain Intensity Assessment [Срок оценки: Baseline and after 6 weeks]
• Pain Threshold Measurement [Срок оценки: Baseline and after 6 weeks]
• Gait Analysis [Срок оценки: Baseline and after 6 weeks]
• Foot Function Index [Срок оценки: Baseline and after 6 weeks]
• Laterality assessment [Срок оценки: Baseline and after 6 weeks]

Вторичные конечные точки (6)

• Joint position sense assessment [Срок оценки: Baseline and after 6 weeks]
• Foot Pressure Assessment [Срок оценки: Baseline and after 6 weeks]
• Kinesiophobia Assessment [Срок оценки: Baseline and after 6 weeks]
• Quality of Life Assessment [Срок оценки: Baseline and after 6 weeks]
• Patient Satisfaction Assessment [Срок оценки: End of the intervention]
• Central Sensitization Assessment [Срок оценки: Baseline and after 6 weeks]

Критерии участия

Критерии включения

• Be 18 years of age or older,
• Have a diagnosis of foot and/or ankle osteoarthritis confirmed by a specialist physician through clinical and/or radiological examination
• Experience pain in the ankle joint most days for at least three months
• Agree to participate in randomly assigned treatment and follow-up measurements
• Have sufficient understanding of the Turkish language
• Have a Standardized Mini Mental Test score of at least 24 points

Критерии исключения

• Previous arthrodesis or joint replacement surgery on the affected ankle,
• Having received physical therapy for ankle osteoarthritis within the last three months
• Presence of vision or hearing problems that may affect compliance with treatment.
• Presence of a neuromuscular disease
• History of intra-articular ankle injections within the last 3 months
• Initiation of a new disease-specific pharmacological treatment during the study period

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 2 центра

• Alanya Alaaddin Keykubat University Training and Research Hospital — Antalya
• Alanya Alaaddin Keykubat University Training and Research Hospital — Antalya

Идентификаторы

NCT: NCT07417436 · PAU-KAEK-2025-15

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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