Ignite Creation Date:
2024-05-06 @ 8:15 PM
Last Modification Date:
2024-10-26 @ 3:24 PM
Study NCT ID:
NCT06314360
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2024-03-18
First Post:
2024-01-26
Brief Title:
Comparison of Foot Posture Plantar Pressure and Postural Balance in Patellofemoral Pain Patients and Healthy Subjects
Sponsor:
Hacettepe University
Organization:
Hacettepe University
Study Overview
Official Title:
Comparison of Foot Posture Plantar Pressure and Postural Balance in Individuals With Patellofemoral Pain and Healthy Individuals
Status:
ENROLLING_BY_INVITATION
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Patellofemoral pain syndrome PFS is a musculoskeletal problem characterized by pain felt in the front of the knee or behind the patella commonly affecting individuals in adolescence or young adulthood especially those engaged in sports such as cycling and running It is one of the most encountered knee injuries and can have a poor prognosis The intensity of knee pain increases during functional activities such as stair climbing squatting running and jumping due to the increased patellofemoral joint reaction force
A disturbance in postural stability is observed in individuals with PFS due to pain during functional activities Studies examining changes in foot posture plantar pressure and postural balance in individuals with PFS are quite limited and controversial Moreover research that simultaneously investigates these parameters and interprets the results is scarce Some studies have utilized detailed technical systems such as medical imaging or motion analysis while practical methods incorporating foot posture and plantar pressure analyses are available and easy to use in clinical settings
There is a lack of literature on the easy assessment and interpretation of plantar pressure postural balance and functional activities in individuals with PFS Within the scope of this project the plan is to assess plantar pressure postural balance and functional activities in individuals with PFS The aim is to quickly interpret the biomechanical changes occurring in these individuals and guide rehabilitation programs based on the obtained data
The use of practical and fast assessment methods in planning treatments for PFS is crucial for early rehabilitation planning Practical methods such as foot posture plantar pressure and postural balance assessments which can be used in clinical settings may provide benefits in shaping rehabilitation goals related to lower extremity alignment in individuals with PFS The objective of this study is to compare the foot posture plantar pressure and postural stability of individuals with PFS with healthy individuals Additionally the investigators aim to investigate the relationship between foot posture plantar pressure parameters postural balance and functional level in individuals with PFS Through these objectives it will be possible to identify potential parameters that could be effective in rehabilitation processes and contribute to determining treatment programs by revealing biomechanical changes in individuals with PFS
A disturbance in postural stability is observed in individuals with PFS due to pain during functional activities Studies examining changes in foot posture plantar pressure and postural balance in individuals with PFS are quite limited and controversial Moreover research that simultaneously investigates these parameters and interprets the results is scarce Some studies have utilized detailed technical systems such as medical imaging or motion analysis while practical methods incorporating foot posture and plantar pressure analyses are available and easy to use in clinical settings
There is a lack of literature on the easy assessment and interpretation of plantar pressure postural balance and functional activities in individuals with PFS Within the scope of this project the plan is to assess plantar pressure postural balance and functional activities in individuals with PFS The aim is to quickly interpret the biomechanical changes occurring in these individuals and guide rehabilitation programs based on the obtained data
The use of practical and fast assessment methods in planning treatments for PFS is crucial for early rehabilitation planning Practical methods such as foot posture plantar pressure and postural balance assessments which can be used in clinical settings may provide benefits in shaping rehabilitation goals related to lower extremity alignment in individuals with PFS The objective of this study is to compare the foot posture plantar pressure and postural stability of individuals with PFS with healthy individuals Additionally the investigators aim to investigate the relationship between foot posture plantar pressure parameters postural balance and functional level in individuals with PFS Through these objectives it will be possible to identify potential parameters that could be effective in rehabilitation processes and contribute to determining treatment programs by revealing biomechanical changes in individuals with PFS
Detailed Description:
PFS commonly referred to as pain felt in the front or behind the kneecap is a prevalent lower extremity problem It most commonly affects adolescents and young adults especially those engaged in sports such as cycling and running Although its etiology is not fully explained factors such as increased load on anatomical structures repetitive movements with excessive degrees of knee flexion patellofemoral malalignment and muscle strength losses contribute to the pain PFS is a frequently encountered musculoskeletal problem that adversely affects the quality of life and functional status in young adults
Changes in lower extremity alignment dynamic valgus varus tibial rotation etc and alterations in foot position increased pronation posture are among the most important factors leading to PFS Increased foot pronation during ground contact in walking and in static standing is suggested to trigger the development of PFS Studies have shown that increased force and pressure distribution in the medial forefoot midfoot and heel after long-distance runs are associated with PFS Conversely there are studies suggesting no difference in foot posture between individuals with PFS and healthy individuals One method that can be preferred to assess foot posture in static or dynamic positions is the measurement of plantar pressure distribution This measurement method based on plantar pressure distribution is described as a safe and non-invasive method that allows the examination of changes related to the locomotor system especially foot biomechanics There are also systems that assess foot pressure distribution concurrently with evaluating foot position Studies in the literature have demonstrated an association between foot pronation and increased plantar pressure in the medial foot in individuals with PFS Additionally there are studies indicating that the distribution of plantar pressure is similar between individuals with PFS and healthy individuals or that foot pronation is less in individuals with PFS compared to healthy individuals Therefore a clear conclusion in the literature regarding the foot plantar pressure in individuals with PFS has not yet been reached
The severity of pain in PFS increases not only during daily life activities such as climbing stairs squatting and standing up from sitting but also during sports activities such as running and jumping Studies show that during activities where weight is transferred to a single extremity such as single-leg squatting individuals with PFS experience decreased hip flexion increased hip adduction and internal rotation and disrupted pelvic alignment It is suggested that if pelvic alignment cannot be maintained during weight transfer postural balance will be negatively affected The number of studies examining postural balance in individuals with PFS is limited and a consensus has not been reached
The evaluation methods used in the aforementioned studies generally rely on radiological imaging or motion analysis systems Only a limited number of studies have utilized foot posture assessment and plantar pressure analysis The different assessment methods used make it difficult to draw clear relationships between the results Therefore there is a need for a comprehensive study that evaluates parameters such as foot posture plantar pressure postural balance and functional status together in individuals with PFS
The use of practical and fast assessment methods is crucial in planning treatments for PFS to enable early rehabilitation planning Therefore practical methods such as foot posture plantar pressure distribution and postural balance assessments which can be used in clinical settings may provide benefits in shaping rehabilitation goals related to lower extremity alignment in individuals with PFS The aim of this study is to compare the foot posture plantar pressure distribution and postural balance parameters of individuals with PFS with healthy individuals and to investigate the relationship between these parameters in individuals with PFS
Changes in lower extremity alignment dynamic valgus varus tibial rotation etc and alterations in foot position increased pronation posture are among the most important factors leading to PFS Increased foot pronation during ground contact in walking and in static standing is suggested to trigger the development of PFS Studies have shown that increased force and pressure distribution in the medial forefoot midfoot and heel after long-distance runs are associated with PFS Conversely there are studies suggesting no difference in foot posture between individuals with PFS and healthy individuals One method that can be preferred to assess foot posture in static or dynamic positions is the measurement of plantar pressure distribution This measurement method based on plantar pressure distribution is described as a safe and non-invasive method that allows the examination of changes related to the locomotor system especially foot biomechanics There are also systems that assess foot pressure distribution concurrently with evaluating foot position Studies in the literature have demonstrated an association between foot pronation and increased plantar pressure in the medial foot in individuals with PFS Additionally there are studies indicating that the distribution of plantar pressure is similar between individuals with PFS and healthy individuals or that foot pronation is less in individuals with PFS compared to healthy individuals Therefore a clear conclusion in the literature regarding the foot plantar pressure in individuals with PFS has not yet been reached
The severity of pain in PFS increases not only during daily life activities such as climbing stairs squatting and standing up from sitting but also during sports activities such as running and jumping Studies show that during activities where weight is transferred to a single extremity such as single-leg squatting individuals with PFS experience decreased hip flexion increased hip adduction and internal rotation and disrupted pelvic alignment It is suggested that if pelvic alignment cannot be maintained during weight transfer postural balance will be negatively affected The number of studies examining postural balance in individuals with PFS is limited and a consensus has not been reached
The evaluation methods used in the aforementioned studies generally rely on radiological imaging or motion analysis systems Only a limited number of studies have utilized foot posture assessment and plantar pressure analysis The different assessment methods used make it difficult to draw clear relationships between the results Therefore there is a need for a comprehensive study that evaluates parameters such as foot posture plantar pressure postural balance and functional status together in individuals with PFS
The use of practical and fast assessment methods is crucial in planning treatments for PFS to enable early rehabilitation planning Therefore practical methods such as foot posture plantar pressure distribution and postural balance assessments which can be used in clinical settings may provide benefits in shaping rehabilitation goals related to lower extremity alignment in individuals with PFS The aim of this study is to compare the foot posture plantar pressure distribution and postural balance parameters of individuals with PFS with healthy individuals and to investigate the relationship between these parameters in individuals with PFS
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None