Effect of motor control exercises on the muscles of the iliac rim on changes in functional and structural parameters in patients with hallux valgus

• Register: ANZCTR
• Last refreshed on: 15 July 2019
• Main ID: ACTRN12618000753257
• Date of registration: 04/05/2018
• Prospective Registration: Yes
• Primary sponsor: Opole Medical School, Department of Physiotherapy
• Public title: Effect of motor control exercises on the muscles of the iliac rim on changes in functional and structural parameters in patients with hallux valgus
• Scientific title: Effect of motor control exercises on the muscles of the iliac rim on changes in functional and structural podological values in participants with hallux valgus.
• Date of first enrolment: 02/01/2019
• Target sample size: 40
• Recruitment status: Completed
• URL: https://anzctr.org.au/ACTRN12618000753257.aspx
• Study type: Interventional
• Study design: Purpose: Treatment; Allocation: Randomised controlled trial; Masking: Blinded (masking used);Assignment: Parallel;
• Phase: Not Applicable

Countries of recruitment

Poland

Contacts

• Name: Dr Lukasz Kosowski

• Name: Dr Lukasz Kosowski

Key inclusion & exclusion criteria

Inclusion criteria: 1. Written informed consent
2. Hallux valgus 2nd and 3rd grade of Manchester scale
3. Aged at least 18 years
4. Overall well-being on the day of examination
Exclusion criteria: 1. Aged less than 18
2. No hallux valgus
3. Hallux valgus 4th grade of Manchester scale
4. Surgeries in the abdomen, pelvis, lower extremities in the last of 10 years
5. Injuries of the lower extermities, pelvis or spine on the examination day
6. Rheumatological diseases

Age minimum: 18 Years
Age maximum: No limit
Gender: Both males and females

Health Condition(s) or Problem(s) studied

Disorder of the arching of the foot.;Hallux valgus;
Disorder of the arching of the foot.
Hallux valgus

Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

Musculoskeletal - Other muscular and skeletal disorders

Intervention(s)

Intervention:
1. An interview
2. Instruction of the measurement and testing procedures
3. Signing the consent for participant
4. Podological examination of the arch of the foot and angle of hallux.
5. Electromyographic examination of pelvic rim and hip muscles strength
6. Examination of pelvic tilt usingan electronic inclinometer
7. Motor control muscles activation techniques:
A. Technique one:
Patient: side-back lying with the knees extended on the table, with one hand on the gluteus medius for feedback.
Therapist: stands behind patients back and perform activation of gluteus medius using abduction and external rotation of the patients hip without back compensation.
B. Technique two:
Patient: prone lying with the knees extended on the table, with a hand on gluteus maximus for feedback.
Therapist: stands at the level of the patient performs muscle activation using extension of the treating hip without compensation on the lumbar spine.
C. Technique three:
Patient: supine lying with knees flexed at 60 degrees with feet resting on the wall. Legs position with neutral rotation of hips. Patients hand lying on the medial head of quadriceps femoris.
Therapist: Stands at the level of the patient, performing muscle activation using hands pressure towards the treated knee to the abduction and flexion of the hip, which should activate and the medialis head of quadriceps.
D. Technique four:
Patient: Standing position back to the wall, with neutral rotation of the hips, and feet together.
Therapist: Instructs how to perform the reciprocal braking of tensor fasciale latae using active posterior rotation of the pelvis, without compensation at the rest of the body.
Patient needs to hold the position in 30 seconds.

E. Technique five:
Patient: Stand back to a table, treated leg has flexed knee, and foot based on table.
Therapist: Instructs how to perform the reciprocal braking of rectus femoris using posterio

Primary Outcome(s)

Influence of motor control exercises of the iliac rim to the functional and structural changes in podological values in people with hallux valgus. The outcome will be assessed using podoscope.
[Primary timepoint is before muscle activation in the first session. Primary endpoint is after 10 weeks of motor control training.]

Secondary Outcome(s)

The electromyographic examination of pelvic rim and hip muscles reciprocal breaking: tensor fasciae latae[Secondary timepoint is before muscle activation in the first session. Secondary endpoint is after 10 weeks of motor control training.]

The electromyographic examination of pelvic rim and hip muscles activation: medial head of quadriceps.[Secondary timepoint is before muscle activation in the first session. Secondary endpoint is after 10 weeks of motor control training.]

The electromyographic examination of pelvic rim and hip muscles activation: gluteus maximus.[Secondary timepoint is before muscle activation in the first session. Secondary endpoint is after 10 weeks of motor control training.]

The electromyographic examination of pelvic rim and hip muscles reciprocal breaking: rectus femoris.[Secondary timepoint is before muscle activation in the first session. Secondary endpoint is after 10 weeks of motor control training.]

The electromyographic examination of pelvic rim and hip muscles activation: gluteus medius, [Secondary timepoint is before muscle activation in the first session. Secondary endpoint is after 10 weeks of motor control training.]

Secondary ID(s)

None

Source(s) of Monetary Support

Opole Medical School

Ethics review

Status: Approved
Approval date:
Contact:

Commission of Bioethics at Wroclaw Medical University

Results

• Results available: Yes
• Date Posted: 09/05/2019
• Date Completed: 13/05/2019