Postural Stability and Ankle Mobility in Haglund Syndrome

Evaluation of Postural Stability and Ankle Mobility in Haglund Syndrome

The purpose of the study is to find out the impact of Haglund syndrome on ankle plantarflexion and dorsiflexion ROM, dynamic postural stability and fall risk.

Study Overview

• Status: Recruiting
• Conditions: Haglund Deformity
• Intervention / Treatment: Diagnostic test: balance and ROM assessment

Detailed Description

This study will be delimited to:

• Total sample size is fifty participants, twenty five patient of symptomatic Haglund syndrome of both gender and twenty five healthy volunteers of matched age, sex and body mass index without any musculoskeletal complaints of the lower limbs.
• Biodex balance system will be used to determine postural stability.
• Ankle plantarflexion and dorsiflexion range of motion will be measured using an Electrogoniometer.
• Age of the patients 25-56
• BMI of (18.5 to 24.9)

Participants:

Fifty volunteers from both genders will participate in the study. They will be assigned from outpatient clinic of Faculty of Physical Therapy, Deraya University. They will be interviewed and divided to twenty five patient of Haglund syndrome as (patient group) after being diagnosed and referred by orthopedic surgeon and twenty five Healthy volunteers as (control group) based on the following inclusion and exclusion criteria:

• Study Type: Observational
• Enrollment (Estimated): 25

Contacts and Locations

• Study Contact: Name: nassif M mousa, Bachelor; Phone Number: el minia 01273152233; Email: nassif.magdy.moussa@gmail.com
• Study Contact Backup: Name: enas F youssif, prof; Phone Number: cairo 01127867507

Study Locations

• Egypt
  • Minya, Egypt, 05673
    • Recruiting
    • Deraya University
    • Contact: nassif M mousa, bachelor; Phone Number: 01273152233; Email: nassif.magdy.mousa@gmail.com
    • Contact: mohamed A abdelmegeed, PHD; Phone Number: 01223631604

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

patients with Haglund syndrome

Description

Inclusion Criteria:

• For patient group:

  • Patient referred from orthopedic surgeon with diagnoses as Haglund syndrome according to the following signs and symptoms
  • Calcaneal prominence diagnosed on lateral weight bearing radiograph with bony prominence superior to parallel pitch lines or posterior calcaneal angle greater than 75 degrees
  • Pain medially at insertion of tendo-achilles
  • Palpation of hard, bony prominence
  • Pain upon rising out of bed
  • Both unilateral and bilateral cases, and in consideration of dealing with bilateral cases the tested limb will be the most painful limb.
  • Age of 25-56 years
  • Both males and females.
  • BMI of (18.5 to 24.9)

For control group:

Healthy volunteers of matched age, sex and body mass index without any musculoskeletal complaints of the lower limbs and will be included in the control group in this study .

Exclusion Criteria:

• Musculoskeletal disorders except Haglund syndrome
• cognitive disorder, visual impairment that affected their daily living and any further medical condition that would prohibit them from participating safely in the chosen balance measures
• sensory loss at foot or ankle and with a systemic inflammatory disease, such as diabetes mellitus, peripheral neuropathy, rheumatoid arthritis and ankylosing spondylitis, who had undergone corticosteroid injections or physical therapy in the last three months
• Patients with vestibular or neurological disorders
• Any other cause of posterior heel pain.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
patient group; to twenty five patient of Haglund syndrome as (patient group) after being diagnosed and referred by orthopedic surgeon and twenty	Diagnostic test: balance and ROM assessment; assessment of postural stability and ankle range of motion
control group; twenty five Healthy volunteers as (control group) based on the following inclusion and exclusion criteria	Diagnostic test: balance and ROM assessment; assessment of postural stability and ankle range of motion

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
postural stability test report	a measurement of the antero-posterior, medio-lateral and overall stability and range of motion	1 day
ankle range of motion test	measuring of ankle planter and dorsiflexion range of motion with digital goniometer	1 day

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Principal Investigator: enas F youssif, prof, Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): March 12, 2023
• Primary Completion (Estimated): July 30, 2023
• Study Completion (Estimated): September 1, 2023

Study Registration Dates

• First Submitted: June 6, 2023
• First Submitted That Met QC Criteria: June 13, 2023
• First Posted (Actual): June 15, 2023

Study Record Updates

• Last Update Posted (Actual): June 15, 2023
• Last Update Submitted That Met QC Criteria: June 13, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Bone Diseases; Congenital Abnormalities; Osteochondrosis
• Other Study ID Numbers: P.T.REC/ 012/004497

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: publication in peer-reviewed journals
• IPD Sharing Time Frame: year
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No