Effects of FAKTR Therapy on Muscle Activity, Ankle Proprioception and Foot Biomechanics in OP With Low Back Pain

Effects of Functional and Kinetic Treatment With Rehabilitation (FAKTR) Therapy on Muscle Activity, Ankle Proprioception and Foot Biomechanics in Over Pronated Patients With Chronic Non-specific Low Back Pain

Low back pain is sometimes non-specific, leading to pain and spasm due to muscle imbalance causing changes in biomechanical properties, back and limb muscles, leading to dictating a significant association between low back pain and overpronation. FAKTR (functional and kinetic treatment with rehabilitation) Therapy employs this mobilization with proprioception and resistance treating these biomechanical changes.

Study Overview

• Status: Active, not recruiting
• Conditions: Low Back Pain
• Intervention / Treatment: Combination product: Traditional Physical Therapy; Combination product: Traditional Physical Therapy + FAKTR

Detailed Description

This study aims to determine the effects of FAKTR (functional and kinetic treatment with rehabilitation) therapy on muscle activity, ankle proprioception and foot biomechanics on over-pronated foot in patients with chronic non-specific low back pain. This study will be a Randomized Controlled trial and will be conducted on sample size of 60 patients, will be taken by consecutive sampling techniques. Patients will be randomly assigned into two groups.

• Study Type: Interventional
• Enrollment (Actual): 70
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan
      • Arif memorial teaching hospital, ferozepur road

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Age 25-45
• Both males and females
• History of three or more occurrences of lower back pain in the year before the study. - The diagnosis is confirmed by the pain experienced between the inferior gluteal folds and the costal margins.
• Moderate to severe pain is measured using a Numerical pain rating scale.
• Foot Posture Index score higher than +6. A total score ranging from -12 to +12 is obtained by measuring the subject's six feet using the Foot Posture Index (FPI). The following are the reference values for the posture of the feet: A neutral position is indicated by 0 to +5, a pronated position by +6 to +9, a hyper-pronated position by +10 to +12, a supinated position by -1 to -5, and a very supinated position by -6 to - 12.

Exclusion Criteria:

• No recent history of lower limb fractures or injuries
• No history of surgical treatment experience for spinal stenosis, spina bifida, or disc herniation
• No neurological issues or constriction of the nerve roots.
• Previously diagnosed with Osteoporosis.
• SIJ dysfunction evaluated by Compression test positive
• Congenital deformities

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Traditional Physical Therapy:	Combination product: Traditional Physical Therapy; Short foot exercises. Towel-curl exercise. Heel raise exercise. Calf stretch.
Active Comparator: Traditional Physical Therapy + FAKTR	Combination product: Traditional Physical Therapy + FAKTR; Short foot exercises. Towel-curl exercise. Heel raise exercise. Calf stretch. FAKTR Functional and Kinematic Treatment with Rehabilitation) technique: The FAKTR (Functional and Kinematic Treatment with Rehabilitation) technique applied is a modified IASTM technique in the pain-provocative position (incorporating static positions, motions, functional movements, resistance, and proprioceptive positions).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numerical Pain Rating Scale (NPRS)	This scale will be used to determine the participant's pain threshold. This scale has a 0 to 10 range. The pain scale goes from zero (no pain) to ten (highest agony). High test-retest reliability has been demonstrated using NPRS (r = 0.96 and 0.95, respectively)	18 Months
Balance of the Error Scoring System (BESS)	The BESS incorporates three stances-double, single, and tandem-to assess static balancing skills. It takes 20 seconds to accomplish each stance. In the BESS, a participant's score is determined by how many mistakes they make; each mistake is worth one point. Opening the eyes, stepping, stumbling, falling, staying out of position for more than five seconds, shifting the hip into more than 30 degrees of flexion or abduction, elevating the forefoot or heel, and lifting the hands of the iliac crests are all examples of potential mistakes. Each posture is permitted to have a maximum of 10 points. A contestant will receive a maximum score of 10 for that stance if they are unable to hold it for five seconds. The total score of the BESS ranges from 0 to 60 and is calculated as the sum of the error points given for each of the six stances.	18 Months
Oswestry Disability Index (ODI)	The Oswestry Handicap Index, also known as the Oswestry Low Back Pain Disability Questionnaire, is a very crucial instrument to assess a patient's functional disability over the long term. The evaluation is regarded as the "gold standard" for measuring low-back functional results. The final score/index is on a scale of 0 to 100. Scores range from 0 to 20 for mild impairment, 21 to 60 for severe disability, 61 to 80 for crippled, and 81 to 100 for bed bound.	18 Months
Valgus angle by goniometer	The hindfoot valgus angle, also known as the valgus angle behind the ankle, is calculated by drawing a line between the midline of the heel and the midline of the lower part of the leg when the participant is in prone lying. After the procedure, the participant will be instructed to stand up, and the angle will be measured once more using a goniometer. Overpronation is defined as a value greater than nine, with 180 degrees being the usual angle. The reliability for angle dorsiflexion is 0.12-0.73 ICC, and the validity is 0.51-0.83	18 Months

Collaborators and Investigators

• Sponsor: Superior University

Study record dates

Study Major Dates

• Study Start (Actual): April 17, 2025
• Primary Completion (Estimated): December 1, 2025
• Study Completion (Estimated): June 1, 2026

Study Registration Dates

• First Submitted: July 7, 2025
• First Submitted That Met QC Criteria: July 7, 2025
• First Posted (Actual): July 16, 2025

Study Record Updates

• Last Update Posted (Actual): July 16, 2025
• Last Update Submitted That Met QC Criteria: July 7, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Low Back Pain
• Other Study ID Numbers: PhDRSW/Batch-Fall23/2222

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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