Effect of NASM Exercises on Pronation Distortion Syndrome

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-40
SponsorRashid Latif Medical College

About this trial

Pronation distortion syndrome is a common lower extremity postural distortion pattern that can lead to other movement dysfunction patterns throughout the kinetic and ultimately injury. By incorporating static and dynamic assessments of the foot and ankle complex can help to identify this distortion pattern. Approximately 10 to 25% of adults bears pronation distortion syndrome. When there is hip dysfunction (e.g., weakness in the abductors, such as the gluteus Medius), the femur may begin to rotate and adduct, eventually leading to foot pronation. Both are cases of PDS, but each has a different origin of dysfunction.

The objective of the study will be to determine the effect of NASM exercises on balance, posture and proprioception in patients with pronation distortion syndrome. A Randomized Controlled Clinical Trial Study will be conducted at Arif memorial Teaching hospital Lahore. Fifty-six patients of age between 20 to 40 years with pronation distortion syndrome were randomized into 2 groups. Group A received routine exercises. For both groups, the initial intervention involved applying self-myofascial release and static stretching for 5 mints. All the participants underwent three sessions per week for 4 weeks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Functional flexible flat foot without pain

2nd degree flat feet

Navicular bone drop greater than 10mm

Disqualifiers

Lower limb surgery

Problems affecting balance in the nervous system

Lack of completing the pre-test and post-tests

Absence in two or three consecutive sessions during study

Trial design

Design model

Parallel

Treatments tested in this trial

  • Routine exercises (static stretching of hamstrings, gastrocnemius, soleus, IT band)

    Other intervention

    Routine exercises (static stretching of hamstrings, gastrocnemius, soleus, IT band)

  • NASM exercises

    Other intervention

    NASM exercises

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Control groupOther 1 intervention
Group B: Interventional GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Navicular bone drop

Navicular Drop Test measures the decrease in navicular height from sitting to standing. It assesses foot pronation and sagittal midfoot mobility.

Time frame
Pre and Post 4 weeks intervention
2

Hind foot Valgum

Hindfoot valgus is measured by assessing the angle between the heel and lower-leg midlines using a goniometer. Measurements are taken lying prone and standing to assess foot pronation, with \>9° indicating overpronation.

Time frame
Pre and Post 4 weeks intervention
3

Balance

A simple and useful clinical test for assessing dynamic balance. The participant stands upright and reaches forward as far as possible without stepping; the maximum reach distance is measured in centimeters.

Time frame
Pre and 4 week Post week
4

Ankle Proprioception

Ankle Joint Position Sense Test: A simple clinical test used to assess ankle proprioception. The participant's ankle is passively moved to a target position and returned; the participant then actively reproduces the position, and the repositioning error (°) is measured with a goniometer.

Time frame
Pre and 4 week Post intervention

Secondary outcomes

Other outcomes

Sponsors and contacts

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