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Trial registered on ANZCTR
Registration number
ACTRN12617000257369
Ethics application status
Approved
Date submitted
14/12/2016
Date registered
20/02/2017
Date last updated
31/05/2024
Date data sharing statement initially provided
31/05/2024
Date results provided
31/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
The Influence of myofascial techniques on functional ability in patients with painful flat feet
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Scientific title
The Influence of myofascial techniques on functional ability in patients with painful flat foot
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Secondary ID [1]
290742
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
foot pain due to flat foot
301322
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Condition category
Condition code
Musculoskeletal
301078
301078
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0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
301476
301476
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Material
Study participants will be rectuited from Malopolska Voivodship. 60 patients will be randomized into 4 groups: 1- patients will undergo 4-weeks myofascial therapy twice a week and everyday exercise programme, 2- patients will undergo 4-weeks myofascial therapy twice a week, 3- patients will undergo 4-weeks everyday exercises programme , and 4- control group with no intervention.
Method
Myofascial therapy will last approximately 20 min and home exercise programme 20min. Myofascial release techniques use slow, sustained pressure, applied to restricted fascial layers to improve range of motion, decrease pain and restore function. Physiotherapist will use mainly separating of muscles compartments, anchor and stretch strokes and lifting or rolling muscle compartments These techniques will be apply on calf muscles, plantar fascia, peroneal muscles.
Home exercise programme will be based on the exercises which are usually recommended for foot problems e.g. calf stretching, “short foot”, long flexors of toes strengthening. Before beginning of programme, each participants will be instructed by physiotherapist and accuracy will be checked. Duration of this exercise programme should be approximately 20 min and patients will be asked to perform it twice a day during 4-weeks.
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Intervention code [1]
296648
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Rehabilitation
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Intervention code [2]
297153
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Treatment: Other
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Comparator / control treatment
Control group will consist of 15 persons with painful flat foot. No intervention will be implement in this group only examination before and after 4 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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assessment of intensity of pain - by using VAS scale – ranged from 0 (no pain) to 10 (the worst possible)
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Assessment method [1]
300497
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Timepoint [1]
300497
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baseline and end of treatment (4 weeks post baseline)
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Primary outcome [2]
300868
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Range of motion of ankle joint - active range of motion of plantar and dorsal flexion, inversion and eversion will be measured by goniometer
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Assessment method [2]
300868
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Timepoint [2]
300868
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baseline and end of treatment (4 weeks post baseline)
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Primary outcome [3]
300870
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Dynamic plantar pressure – The measurements will be obtained with the use of FreeMed platform. Participants will walk in self-selected speed on the path which consists of passive panels (lengthen the path) and active panel (records data). During this plantar pressure will be collected, proceeded and analyzed.
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Assessment method [3]
300870
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Timepoint [3]
300870
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baseline and end of treatment (4 weeks post baseline)
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Secondary outcome [1]
330123
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the standing tibiocalcaneal angle (STCA) – the angle between the bisection of the lower one third of the leg and the bisection of the calcaneus will be measured by goniometer in single-leg stance.
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Assessment method [1]
330123
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Timepoint [1]
330123
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baseline and end of treatment (4 weeks post baseline)
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Secondary outcome [2]
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navicular drop test - result of this test is a difference in navicular tuberosity height measured during bilateral and unilateral stance
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Assessment method [2]
331077
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Timepoint [2]
331077
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baseline and end of treatment (4 weeks post baseline)
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Secondary outcome [3]
331080
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Foot and Ankle Outcomes Questionnaire FAOQ - it’s a tool to measure patient reported treatment outcomes in the ankle and foot. It contains 25 question and result ranges from 0 to 100 points. The less points the greater functional disability of limb.
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Assessment method [3]
331080
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Timepoint [3]
331080
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baseline and end of treatment (4 weeks post baseline)
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Eligibility
Key inclusion criteria
- flat foot ( Clark’s angle less than 31 degree)
- presence of foot pain
- No systemic contraindications to undertake the proposed forms of therapy
- Written consent to participate in a clinical trial
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Minimum age
20
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- acute injury/ies that affected gait (less than 6 months)
- neurological, rheumatic, metabolic, orthopedic diseases
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/02/2017
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Actual
7/04/2017
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Date of last participant enrolment
Anticipated
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Actual
7/10/2019
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Date of last data collection
Anticipated
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Actual
4/11/2019
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment outside Australia
Country [1]
8501
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Poland
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State/province [1]
8501
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Malopolska
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Funding & Sponsors
Funding source category [1]
295172
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Self funded/Unfunded
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Name [1]
295172
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Aneta Bac
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Address [1]
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University School of Physical Education in Krakow
al. Jana Pawla 78
31-571 Krakow
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Country [1]
295172
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Poland
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Primary sponsor type
Individual
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Name
Aneta Bac
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Address
Uniersity School of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
Poland
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Secondary sponsor category [1]
293998
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None
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Name [1]
293998
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None
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Address [1]
293998
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None
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Country [1]
293998
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296521
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Bioethics Commission at the Regional Medical Chamber in Krakow
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Ethics committee address [1]
296521
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ul. Krupnicza 11a 31-123 Krakow
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Ethics committee country [1]
296521
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Poland
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Date submitted for ethics approval [1]
296521
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10/05/2016
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Approval date [1]
296521
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14/06/2016
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Ethics approval number [1]
296521
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94/KBL/OIL/2016
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Summary
Brief summary
The aim of this study is to evaluate efficiency of myofascial techniques in patients with painful flat foot/feet. Study participants will be rectuited from Kraków district. 60 patients will be randomized into 4 groups: 1- patients will undergo 4-weeks myofascial therapy twice a week and everyday exercise programme, 2- patients will undergo 4-weeks myofascial therapy twice a week, 3- patients will undergo 4-weeks everyday exercises programme , and 4- control group with no intervention. Myofascial therapy will last approximately 20 min and home exercise programme 20min. Before and after 4 weeks patients will undergo the following examinations: assessment of intensity of pain (VAS scale) and pain localization (authors scheme), visual alignment of pelvis, hips and knees, range of motion of ankle joint, the standing heel- rise test, the standing tibiocalcaneal angle (STCA), navicular drop test, FAOQ and dynamic plantar pressure.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Aneta Bac
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Address
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University School of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
71150
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Poland
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Phone
71150
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+48126831065
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Fax
71150
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Email
71150
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[email protected]
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Contact person for public queries
Name
71151
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Aneta Bac
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Address
71151
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University School of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
71151
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Poland
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Phone
71151
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+48126831065
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Fax
71151
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Email
71151
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[email protected]
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Contact person for scientific queries
Name
71152
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Aneta Bac
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Address
71152
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University School of Physical Education in Krakow
al. Jana Pawla II 78
31-571 Krakow
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Country
71152
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Poland
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Phone
71152
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+48126831065
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Fax
71152
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Email
71152
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Participants consent to their personal data being processed by researchers of this project.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Plain language summary
No
Background/Introduction: Flat foot pain is a commo...
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Documents added automatically
No additional documents have been identified.
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