To Evaluate the Efficiency and Results of Adding BFR to the Physical Therapy Program fo Managing Adolescents Presented With Spasmotic Flatfoot Deformities Compared to the Standard Physical Therapy Program Without BFR

Assiut University40 enrolled

Overview

The goal of this randomized clinical trial is to evaluate the efficiency and results of adding blood flow restriction (BFR) training to the physical therapy program for managing adolescents presented with spasmotic flatfoot deformities compared to the Standard physical therapy program without blood flow restriction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Flat Foot; Spastic

Interventions

blood flow restrictionDEVICE

The addition of BFR to low-load dynamic exercise training is effective for augmenting changes in both muscle strength and size.

Eligibility

Sex: ALLMin age: 10 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adolescents presented with idiopathic, rigid, spasmodic flatfeet. * Age should be younger than 18 years old. 3- Patients who did not respond to initial medical treatment for three weeks. Exclusion Criteria: * generalised tarsal arthritis * neurological disorder. * secondary rigid flatfoot deformity * patients who did not complete the follow up or evaluation protocol * Patients who will refuse to participate

Outcomes

Primary Outcomes

American Orthopedic Foot and Ankle score (AOFAS)

Ankle-Hindfoot Scale: a standard method of reporting the clinical and functional status of the ankle and foot. The systems incorporate both subjective and objective factors into numerical scales to describe function, alignment, and pain. A score of 100 points is possible in a patient with no pain, full range of sagittal and hindfoot motion, no ankle or hindfoot instability, good alignment, ability to walk more than six blocks, ability to ambulate on any walking surface, no discernible limp, no limitation of daily or recreational activities, and no assistive devices needed for ambulation. Fifty points were assigned to function, 40 to pain, and 10 to alignment.

Time frame: baseline and 2 months

Range of motion (ROM)

Ankle range of motion of the sagittal plane (dorsiflexion and plantar flexion) and in the coronal plane (inversion and eversion), using a goniometer.

Time frame: baseline and at last follow up, 2 months

Secondary Outcomes

Muscle power

Muscle power by dynamometer for: Tibialis anterior and Toe flexors

Time frame: baseline and at last follow up, 2 months

Numerical Pain Rating Scale (NPRS).

Pain level using NPRS, a scale from 0 to 10, where 0 indicates no pain and 10 represents the worst pain imaginable.

Time frame: baseline and at last follow-up, 2 months

Patient satisfaction

Patient satisfaction: patient satisfaction was initially collected by a simple yes or no question and if they were willing to go through the same protocol again and if they were satisfied with the results followed by detailed measurements using the 0 to 10 scale reported by Park et al., where 0 is extremely unsatisfied, and 10 is extremely satisfied.

Time frame: last follow up, 2 months