Status:

TERMINATED

The CurePPaC Study - Analysing Non-surgical Treatment Strategies to Cure Pes Planovalgus Associated Complaints

Lead Sponsor:

Bern University of Applied Sciences

Collaborating Sponsors:

Swiss National Science Foundation

Insel Gruppe AG, University Hospital Bern

Conditions:

Foot Injuries

Posterior Tibial Tendon Dysfunction

Eligibility:

All Genders

18-60 years

Phase:

NA

Brief Summary

Pes planovalgus, also called flat foot, is a common foot deformity characterized by a flattening of the foot's longitudinal arch and is accompanied by a dysfunction of the posterior tibial tendon ("po...

Detailed Description

Introduction: Pes planovalgus or flatfoot-associated complaints are frequent symptoms, which are thought to be caused by the foot deformity itself. Concurrently, the multifactorial weakness of the M. ...

Eligibility Criteria

Inclusion

  • Age: 18-60
  • Current complaint of foot and ankle pain that lasted for 3 months or more
  • Flexible Pes planovalgus deformity in the clinical assessment
  • Posterior tibial tendon dysfunction (PTTD) of stage I and II (Johnson \& Strom 1989)
  • Pes planovalgus foot deformity with longitudinal arch flattening verified by radiograph (Younger 2005): Lateral view: lateral talo-first metatarsal angle ≠ 0° (break of axis): angle \>10° according to Younger (2005); 60Anteroposterior view: anteroposterior talo-first metatarsal angle ≠ 0° (break of axis): angle \>10° according to Younger (2005)
  • "too-many toes"-sign from rear frontal view with an abducted forefoot (Johnson \& Strom 1989, Kulig 2009b)
  • Eligibility for non-surgical treatment
  • No indication / not yet an indication for surgical treatment of foot deformity

Exclusion

  • Rigid foot deformity
  • Posterior tibial tendon dysfunction (PTTD) of stage III and IV according to Johnson \& Strom 1989 (=\>rigid foot deformity)
  • Cardio-, neuro-, or peripheral vascular pathology, musculoskeletal pathology, acute infection or alcohol addiction limiting participation in study protocol
  • Acute use of local or systemic analgesics
  • Acute physical therapy, training therapy or physiotherapy
  • Acute overuse or traumatic injury to the lower leg (excluding Pes planovalgus associated pathology)
  • Prior surgery to the lower limb

Key Trial Info

Start Date :

July 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 25 2017

Estimated Enrollment :

7 Patients enrolled

Trial Details

Trial ID

NCT01839669

Start Date

July 1 2013

End Date

October 25 2017

Last Update

October 27 2017

Active Locations (6)

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Page 1 of 2 (6 locations)

1

Spital Netz Bern Ziegler

Bern, Switzerland, 3001

2

Klinik Sonnenhof Bern

Bern, Switzerland, 3006

3

Inselspital, University Hospital Bern

Bern, Switzerland, 3012

4

Salem Spital Bern

Bern, Switzerland, 3013