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The study assessment device is currently not available for use.
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The aim of this study was to investigate the effects of lower extremity exercises combined with foot core exercise training on lower extremity pain, foot functionality, static and dynamic parameters of gait, and postural stability in individuals with rheumatoid arthritis using synchronous and asynchronous telerehabilitation methods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Asynchronous telerehabilitation group | Active Comparator |
| |
| Synchronous telerehabilitation group | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Asynchronous exercise group | Other | Application of foot core training combined with lower extremity exercises using asynchronous telerehabilitation method. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Foot Posture Index | It is a six-item index that determines foot posture. In this index, palpation of the distal talus medially and laterally, inequality in submalleolar and supramalleolar recesses, position of the calcaneus, medial protrusion of the navicular region in posterior observation, evaluation of the medial longitudinal arch, and the number of toes visible medially or laterally when viewed from the posterior will be evaluated. The examined regions are evaluated for each item up to (+2) according to the degree of pronation and up to (-2) according to the degree of supination, and the total score is obtained by summing these values. | Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period. |
| Static Gait Analysis Evaluation | The evaluation will be made in a position where individuals stand with their arms free at their sides, their eyes fixed on a point 3 meters away in front, maintaining their posture as much as possible. In the static posture evaluation, the load on the right and left feet, and the right-left contact surface data will be evaluated and recorded. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device. | Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period. |
| Dynamic Gait Analysis Evaluation | Individuals will be asked to walk at a speed they feel comfortable with, at least 8 steps on a 5-meter walking platform (3-meter platform and 2-meter walking analysis platform). The evaluation will be repeated 3 times. From the two-meter walking analysis 17 platform; left-right foot pressure percentage and left-right contact surfaces during walking will be obtained numerically and graphically. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device. | Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period. |
| Postural Stability Assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale-Pain | Individuals' lower extremity and foot pain severity will be assessed using the Visual Analog Scale. Visual Analog Scale consisting of a single 100 mm line, used especially for pain assessment. The level of perceived negativity of the symptom increases as you move from left to right of the line. Individuals will be asked to make a mark on a horizontal or vertical line of 10 cm in length, starting with "I have no pain" and ending with "I have unbearable pain", where the severity of their pain will intersect this line. The distance from the lowest VAS level to the patient's mark will be measured with a ruler and recorded in centimeters. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pamukkale University | Denizli | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| Synchronous exercise group | Other | Application of foot core training combined with lower extremity exercises using synchronous telerehabilitation method. |
|
Individuals will be asked to place their feet on the soles before measurements are taken, and the foot position of the individuals will not change during static measurements. For static load distribution measurement and bipedal balance measurement, individuals will be asked to keep their arms free next to their bodies and maintain their posture as much as possible by fixing their eyes on a point 3 meters in front. The measurement will be made with and without support, with eyes open and closed for 60 seconds. This parameter will be evaluated with the MultiSensor Platform 160 × 40 baropodometer device. |
| Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period. |
| Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period. |
| Foot Function Index | The foot function index consists of 23 items with 3 subgroups: pain, disability and activity limitation. The pain subscale, which includes nine items, measures the level of foot pain in various situations, while the disability subscale, which includes nine items, determines the degree of difficulty in performing various functional activities due to foot problems. The activity limitation subscale, which includes five items, evaluates activity limitations due to foot problems. Patients score all items with the Visual Analog Scale (VAS), considering their foot conditions from the previous week. To calculate the subscales and the total score, the scores of each item are added, divided by the sum of the maximum scores of the items and multiplied by 100. Higher scores indicate more pain, disability and activity limitation. If the patient does not perform activities such as walking barefoot or using an orthosis, this item can be marked as not applicable and removed. | Evaluations started immediately after receiving ethics committee approval and will be completed within 6 months, which is the study period. |
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D001519 | Behavior |