<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04423900</url>
  </required_header>
  <id_info>
    <org_study_id>YeditepeFTR</org_study_id>
    <nct_id>NCT04423900</nct_id>
  </id_info>
  <brief_title>Smart Phone-Based Application for Evaluation and Rehabilitation of HindFoot Pain</brief_title>
  <official_title>Smart Phone-Based Application for Evaluation and Rehabilitation of HindFoot Pain</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Yeditepe University</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Yeditepe University</source>
  <oversight_info>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      This randomized controlled study aims to evaluate the status of the individuals with hindfoot&#xD;
      pain and to recommend preventive precautions and appropriate exercise programs with Smart&#xD;
      Phone-Based Applications. Additionally, to compare the results of patients who attended&#xD;
      through mobile applications (Achilles Tendinopathy and Plantar Fasciitis) with the results of&#xD;
      patients included in the hands-on program.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Foot pain is common in the general population, with prevalence estimates ranging from 17 to&#xD;
      30% . A systematic review concluded that nearly one-quarter of adults over age 45 experience&#xD;
      frequent foot pain. Foot pain has been associated with poor balance, gait problems, the&#xD;
      limitation of daily living activities, and health-related quality of life. It has been&#xD;
      reported that at least two-thirds of individuals experience moderate functional daily life&#xD;
      problems .The etiology of hindfoot pain is mostly associated with Achilles Tendinopathy and&#xD;
      Plantar Fasciitis, which are prevalent, affecting millions of people each year . Most cases&#xD;
      of hindfoot pain if not treated, they will get worse with time and resistant symptoms. This&#xD;
      is why to get more information on prevalence and risk factors in the general population is&#xD;
      necessary to organize health care planning and the extent of clinical need.An increase in the&#xD;
      use of digital technology and smart phones globally with mobile applications provide an&#xD;
      alternative solution to the planning of primary health care services. In the US,&#xD;
      approximately 90% of adults have a mobile phone, and 58% of these prefer smart phones, while&#xD;
      in Turkey, 98% of adults use mobile phones, and 77% of them are smart phones owners. The&#xD;
      popularity of smart phones provides opportunities for reaching information and giving skills&#xD;
      to users through applications. These applications offer new opportunities for collecting,&#xD;
      evaluating, and monitoring health information and have portability, the flexibility of use,&#xD;
      and a width of the access area.With the concept of this approaching (using digital&#xD;
      technologies,) several systematic reviews have examined digital programs using for different&#xD;
      health conditions/ pathologies (paralysis, lack of balance/stabilization, cardiac disorders,&#xD;
      and joint / extremity). A great deal of physiotherapy interventions for hindfoot pain&#xD;
      includes electrotherapy agents, 'hands-on' therapy, stretching, and strengthening exercises.&#xD;
      The exercise programs are an essential part of rehabilitation programs for hindfoot pain, and&#xD;
      patients who involved in this exercise program also need to get feedback by physiotherapist.&#xD;
      For this reason, the digital technology-based applications are considered to be contributive&#xD;
      for follow-up exercise regularly and detecting the changes and progression. Additionally, to&#xD;
      the best of our knowledge, a smartphone application research involving hindfoot pathology&#xD;
      with suggesting assessment methods and including exercise program is not available in the&#xD;
      literature. Thereby, the study aims to evaluate the status of the individuals with hindfoot&#xD;
      pain and to recommend preventive precautions and appropriate exercise programs with Smart&#xD;
      Phone-Based Applications and to compare the results of patients who attended through mobile&#xD;
      applications (Achilles Tendinopathy and Plantar Fasciitis) with the results of patients&#xD;
      included in the hands-on program.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Unknown status</overall_status>
  <last_known_status>Recruiting</last_known_status>
  <start_date type="Anticipated">September 1, 2020</start_date>
  <completion_date type="Anticipated">December 30, 2021</completion_date>
  <primary_completion_date type="Anticipated">September 1, 2021</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <intervention_model_description>One hundred twenty patients aged 18-75 years, diagnosed as Plantar fasciitis and Achilles Tendinopathy by an Orthopedic surgeon, will be included. Patients will be randomly divided into three groups according to inclusion criteria.</intervention_model_description>
    <primary_purpose>Diagnostic</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Feiss Line test</measure>
    <time_frame>8 weeks</time_frame>
    <description>Feiss Line is an ankle examination procedure that tests for pes planus, flatfoot, fallen medial longitundinal arch.Patient should be standing with weight distributed evenly.&#xD;
The examiner uses a marker to mark the inferior apex of medial malleolus and medial surface of the base of the base of the 1st metatarsal.&#xD;
The examiner draws a line connecting the two points. The examiner locates the the navicular tuberosity and marks it.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>the Range of Motion of the ankle</measure>
    <time_frame>8 weeks</time_frame>
    <description>Physiotherapist will measure the Range of Motion of the ankle by using Goniometer</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Visual Analog Scale - Pain Assesment</measure>
    <time_frame>8 weeks</time_frame>
    <description>Visual Analogue Scale (VAS) was used to estimate the severity of participants' first step (morning time) and activity pain. It consists of a line, usually 100 mm long, whose ends are labeled as the extremes (no pain and worst pain imaginable); the rest of the line is blank.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Tampa Scale for Kinesiophobia</measure>
    <time_frame>8 weeks</time_frame>
    <description>Tampa consists of 17 questions and is used in diseases associated with acute and chronic low back pain, fibromyalgia, and musculoskeletal injuries. The scale uses a 4-point Likert score (1 = Strongly disagree, 4 = Strongly agree). A total score is calculated after the reversal of items 4, 8, 12, and 16. The patients can have a total score of between 17-68. The higher the score indicates, the higher the kinesiophobia</description>
  </secondary_outcome>
  <other_outcome>
    <measure>The Victorian Institute of Sport Assessment-Achilles Questionnaire</measure>
    <time_frame>8 weeks</time_frame>
    <description>The VISA-A aims to evaluate the clinical severity of patients with chronic Achilles tendinopathy. It can be used to determine the patient's clinical severity and provide a guideline for treatments as well as for monitoring the effect of treatment. Robinson et al. designed the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire, as a region-specific functional questionnaire, to assess the severity of AT.6 It contains eight questions that cover the three domains of pain (questions 1-3), function (questions 5-7) and activity (questions 7 and 8). Scores are summed to give a total out of 100. An asymptomatic person would score 100. It has proven to be a valid and reliable instrument to measure disability in cross-cultural studies conducted in Turkey</description>
  </other_outcome>
  <other_outcome>
    <measure>Foot Function Index</measure>
    <time_frame>8 weeks</time_frame>
    <description>FFI assessed pain, activity restriction, and disability. The pain subscale, which includes nine items, measures foot pain related to a variety of conditions. Various functional activities depending on foot problems were determined by the disability subscale, which also includes nine items. Activity restrictions due to foot problems were assessed with an activity limitation subscale containing five items. Higher scores indicate more pain, disability, and limited activity. In our study, the patients were asked to mark each category with a score between 0 and 10 about their pain, activity restriction, and disability level. All the categorized scores were collected, and a total score was noted.</description>
  </other_outcome>
  <number_of_arms>6</number_of_arms>
  <enrollment type="Anticipated">120</enrollment>
  <condition>Achilles Tendinopathy</condition>
  <condition>Plantar Fascitis</condition>
  <condition>Feet Pes Cavus</condition>
  <condition>Feet Pes Planus (Flatfoot)</condition>
  <condition>Foot Diseases</condition>
  <arm_group>
    <arm_group_label>Plantar Fasciitis App Exercise Group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Video simulation of patient education (definition of the disease, risk factors, lifestyle modifications, prevention methods) will be performed to people via smart phone app application. Individuals will receive feedback after completing the training program and will then be included in the exercise program. The mobile application provides feedback so that the exercise program (stretching, strengthening, self-myofascial relaxation exercises) determined according to the diagnosis of the patients is performed by the patients at twice a day for eight weeks.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Achilles Tendinopathy App Exercise Group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Video simulation of patient education (definition of the disease, risk factors, lifestyle modifications, prevention methods) will be performed to people via smart phone app application. Individuals will receive feedback after completing the training program and will then be included in the exercise program. The mobile application provides feedback so that the exercise program (stretching, strengthening, self-myofascial relaxation exercises) determined according to the diagnosis of the patients is performed by the patients at twice a day for eight weeks.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Plantar Fasciitis Home Exercise Group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Patients will learn the exercises by the physiotherapist in the clinic. Patients will be included in the training program (stretching, strengthening, self-myofascial release exercises) -only once. Then, patients will do this program at their home twice a day for eight weeks.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Achilles Tendinopathy Home Exercise Group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Patients will learn the exercises by the physiotherapist in the clinic. Patients will be included in the training program (stretching, strengthening, self-myofascial release exercises) -only once. Then, patients will do this program at their home twice a day for eight weeks.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Plantar Fasciitis Conventional Physiotherapy Group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>In this group, patients will first be included in the patient education and exercises program in the clinic-only once. Mulligan Concept - Manual Therapy and Compressive myofascial relaxation methods will be applied to the individuals who have completed the patient training program by the physiotherapist. Patients will participate in the rehabilitation program twice a week for eight weeks. These patients will perform their home exercises twice daily and for eight weeks.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Achilles Tendinopathy Conventional Physiotherapy Group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>In this group, patients will first be included in the patient education and exercises program in the clinic-only once. Mulligan Concept - Manual Therapy and Compressive myofascial relaxation methods will be applied to the individuals who have completed the patient training program by the physiotherapist. Patients will participate in the rehabilitation program twice a week for eight weeks. These patients will perform their home exercises twice daily and for eight weeks.</description>
  </arm_group>
  <intervention>
    <intervention_type>Diagnostic Test</intervention_type>
    <intervention_name>smart phone application</intervention_name>
    <description>Participants will be asked to provide information about their sociodemographic characteristics, chronic diseases, the history of the ankle injury, trauma, and surgery, the severity of the foot pain via using the mobile application.The app will be downloaded from the Google Play Store and available offline. Information from the patient will be stored in an SQLite database.The usability test will be carried out on the mobile application so that the latest releases contain clear, effective, loyal to the strategy, and easily understood messages by the intended audience and do not produce unwanted responses.Direct observation, individual interviews, and satisfaction surveys will be used to identify areas of improvement in a cross-sectional manner.Investigation of pes cavus, pes planus and ankle range of motion will be determined by image processing.All data can be analyzed and stored by Heel Analysis Systems established on an external server.The data will be transferred securely over HTTPS.</description>
    <arm_group_label>Achilles Tendinopathy App Exercise Group</arm_group_label>
    <arm_group_label>Achilles Tendinopathy Conventional Physiotherapy Group</arm_group_label>
    <arm_group_label>Achilles Tendinopathy Home Exercise Group</arm_group_label>
    <arm_group_label>Plantar Fasciitis App Exercise Group</arm_group_label>
    <arm_group_label>Plantar Fasciitis Conventional Physiotherapy Group</arm_group_label>
    <arm_group_label>Plantar Fasciitis Home Exercise Group</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Pain in the heel and surrounding area&#xD;
&#xD;
          -  Have given consent to be a volunteer for participating to the study&#xD;
&#xD;
          -  18 years and older&#xD;
&#xD;
          -  Ability to use a smartphone&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Having foot and ankle injury and surgery in the last three months&#xD;
&#xD;
          -  Have received physiotherapy or local injection before randomization&#xD;
&#xD;
          -  Having major pathologies during the rehabilitation program (severe heart and&#xD;
             neuropsychiatric disorders, complicated diabetes mellitus)&#xD;
&#xD;
          -  Neoplastic formation in the foot-ankle region&#xD;
&#xD;
          -  Vision problem&#xD;
&#xD;
          -  Night pain&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>65 Years</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_contact>
    <last_name>Elif Tuğçe Çil, M.S.c</last_name>
    <phone>05544811092</phone>
    <email>tugce.cill@gmail.com</email>
  </overall_contact>
  <location>
    <facility>
      <name>Elif Tuğçe Çil</name>
      <address>
        <city>İstanbul</city>
        <state>Europe</state>
        <zip>34755</zip>
        <country>Turkey</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>ELİF TUĞÇE ÇİL, M.S.c</last_name>
      <phone>05544811092</phone>
      <email>tugce.cill@gmail.com</email>
    </contact>
    <investigator>
      <last_name>Feryal Subaşı, Professor</last_name>
      <role>Principal Investigator</role>
    </investigator>
    <investigator>
      <last_name>Uğur Şaylı, Professor</last_name>
      <role>Principal Investigator</role>
    </investigator>
    <investigator>
      <last_name>Tacha Serif, Asisstant Prof.</last_name>
      <role>Principal Investigator</role>
    </investigator>
    <investigator>
      <last_name>Gülşah Gökhan Gökçek, Engineer</last_name>
      <role>Principal Investigator</role>
    </investigator>
  </location>
  <location_countries>
    <country>Turkey</country>
  </location_countries>
  <verification_date>June 2020</verification_date>
  <study_first_submitted>June 2, 2020</study_first_submitted>
  <study_first_submitted_qc>June 5, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">June 9, 2020</study_first_posted>
  <last_update_submitted>June 9, 2020</last_update_submitted>
  <last_update_submitted_qc>June 9, 2020</last_update_submitted_qc>
  <last_update_posted type="Actual">June 11, 2020</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>telerehabilitation</keyword>
  <keyword>hind foot pain</keyword>
  <keyword>plantar fasciitis</keyword>
  <keyword>achilles tendinopathy</keyword>
  <keyword>smart phone</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Tendinopathy</mesh_term>
    <mesh_term>Fasciitis</mesh_term>
    <mesh_term>Fasciitis, Plantar</mesh_term>
    <mesh_term>Flatfoot</mesh_term>
    <mesh_term>Foot Diseases</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>Undecided</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04423900
org study id: YeditepeFTR
nct id: NCT04423900
lead sponsor: 
is fda regulated drug: No
is fda regulated device: No
This randomized controlled study aims to evaluate the status of the individuals with hindfoot
      pain and to recommend preventive precautions and appropriate exercise programs with Smart
      Phone-Based Applications. Additionally, to compare the results of patients who attended
      through mobile applications (Achilles Tendinopathy and Plantar Fasciitis) with the results of
      patients included in the hands-on program.
Foot pain is common in the general population, with prevalence estimates ranging from 17 to
      30% . A systematic review concluded that nearly one-quarter of adults over age 45 experience
      frequent foot pain. Foot pain has been associated with poor balance, gait problems, the
      limitation of daily living activities, and health-related quality of life. It has been
      reported that at least two-thirds of individuals experience moderate functional daily life
      problems .The etiology of hindfoot pain is mostly associated with Achilles Tendinopathy and
      Plantar Fasciitis, which are prevalent, affecting millions of people each year . Most cases
      of hindfoot pain if not treated, they will get worse with time and resistant symptoms. This
      is why to get more information on prevalence and risk factors in the general population is
      necessary to organize health care planning and the extent of clinical need.An increase in the
      use of digital technology and smart phones globally with mobile applications provide an
      alternative solution to the planning of primary health care services. In the US,
      approximately 90% of adults have a mobile phone, and 58% of these prefer smart phones, while
      in Turkey, 98% of adults use mobile phones, and 77% of them are smart phones owners. The
      popularity of smart phones provides opportunities for reaching information and giving skills
      to users through applications. These applications offer new opportunities for collecting,
      evaluating, and monitoring health information and have portability, the flexibility of use,
      and a width of the access area.With the concept of this approaching (using digital
      technologies,) several systematic reviews have examined digital programs using for different
      health conditions/ pathologies (paralysis, lack of balance/stabilization, cardiac disorders,
      and joint / extremity). A great deal of physiotherapy interventions for hindfoot pain
      includes electrotherapy agents, 'hands-on' therapy, stretching, and strengthening exercises.
      The exercise programs are an essential part of rehabilitation programs for hindfoot pain, and
      patients who involved in this exercise program also need to get feedback by physiotherapist.
      For this reason, the digital technology-based applications are considered to be contributive
      for follow-up exercise regularly and detecting the changes and progression. Additionally, to
      the best of our knowledge, a smartphone application research involving hindfoot pathology
      with suggesting assessment methods and including exercise program is not available in the
      literature. Thereby, the study aims to evaluate the status of the individuals with hindfoot
      pain and to recommend preventive precautions and appropriate exercise programs with Smart
      Phone-Based Applications and to compare the results of patients who attended through mobile
      applications (Achilles Tendinopathy and Plantar Fasciitis) with the results of patients
      included in the hands-on program.
allocation: Randomized
intervention model: Parallel Assignment
intervention model description: One hundred twenty patients aged 18-75 years, diagnosed as Plantar fasciitis and Achilles Tendinopathy by an Orthopedic surgeon, will be included. Patients will be randomly divided into three groups according to inclusion criteria.
primary purpose: Diagnostic
masking: None (Open Label)
measure: Feiss Line test
time frame: 8 weeks
description: Feiss Line is an ankle examination procedure that tests for pes planus, flatfoot, fallen medial longitundinal arch.Patient should be standing with weight distributed evenly.
The examiner uses a marker to mark the inferior apex of medial malleolus and medial surface of the base of the base of the 1st metatarsal.
The examiner draws a line connecting the two points. The examiner locates the the navicular tuberosity and marks it.
measure: the Range of Motion of the ankle
time frame: 8 weeks
description: Physiotherapist will measure the Range of Motion of the ankle by using Goniometer
measure: Visual Analog Scale - Pain Assesment
time frame: 8 weeks
description: Visual Analogue Scale (VAS) was used to estimate the severity of participants' first step (morning time) and activity pain. It consists of a line, usually 100 mm long, whose ends are labeled as the extremes (no pain and worst pain imaginable); the rest of the line is blank.
measure: Tampa Scale for Kinesiophobia
time frame: 8 weeks
description: Tampa consists of 17 questions and is used in diseases associated with acute and chronic low back pain, fibromyalgia, and musculoskeletal injuries. The scale uses a 4-point Likert score (1 = Strongly disagree, 4 = Strongly agree). A total score is calculated after the reversal of items 4, 8, 12, and 16. The patients can have a total score of between 17-68. The higher the score indicates, the higher the kinesiophobia
measure: The Victorian Institute of Sport Assessment-Achilles Questionnaire
time frame: 8 weeks
description: The VISA-A aims to evaluate the clinical severity of patients with chronic Achilles tendinopathy. It can be used to determine the patient's clinical severity and provide a guideline for treatments as well as for monitoring the effect of treatment. Robinson et al. designed the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire, as a region-specific functional questionnaire, to assess the severity of AT.6 It contains eight questions that cover the three domains of pain (questions 1-3), function (questions 5-7) and activity (questions 7 and 8). Scores are summed to give a total out of 100. An asymptomatic person would score 100. It has proven to be a valid and reliable instrument to measure disability in cross-cultural studies conducted in Turkey
measure: Foot Function Index
time frame: 8 weeks
description: FFI assessed pain, activity restriction, and disability. The pain subscale, which includes nine items, measures foot pain related to a variety of conditions. Various functional activities depending on foot problems were determined by the disability subscale, which also includes nine items. Activity restrictions due to foot problems were assessed with an activity limitation subscale containing five items. Higher scores indicate more pain, disability, and limited activity. In our study, the patients were asked to mark each category with a score between 0 and 10 about their pain, activity restriction, and disability level. All the categorized scores were collected, and a total score was noted.
arm group label: Plantar Fasciitis App Exercise Group
arm group type: Experimental
description: Video simulation of patient education (definition of the disease, risk factors, lifestyle modifications, prevention methods) will be performed to people via smart phone app application. Individuals will receive feedback after completing the training program and will then be included in the exercise program. The mobile application provides feedback so that the exercise program (stretching, strengthening, self-myofascial relaxation exercises) determined according to the diagnosis of the patients is performed by the patients at twice a day for eight weeks.
arm group label: Achilles Tendinopathy App Exercise Group
arm group type: Experimental
description: Video simulation of patient education (definition of the disease, risk factors, lifestyle modifications, prevention methods) will be performed to people via smart phone app application. Individuals will receive feedback after completing the training program and will then be included in the exercise program. The mobile application provides feedback so that the exercise program (stretching, strengthening, self-myofascial relaxation exercises) determined according to the diagnosis of the patients is performed by the patients at twice a day for eight weeks.
arm group label: Plantar Fasciitis Home Exercise Group
arm group type: Experimental
description: Patients will learn the exercises by the physiotherapist in the clinic. Patients will be included in the training program (stretching, strengthening, self-myofascial release exercises) -only once. Then, patients will do this program at their home twice a day for eight weeks.
arm group label: Achilles Tendinopathy Home Exercise Group
arm group type: Experimental
description: Patients will learn the exercises by the physiotherapist in the clinic. Patients will be included in the training program (stretching, strengthening, self-myofascial release exercises) -only once. Then, patients will do this program at their home twice a day for eight weeks.
arm group label: Plantar Fasciitis Conventional Physiotherapy Group
arm group type: Experimental
description: In this group, patients will first be included in the patient education and exercises program in the clinic-only once. Mulligan Concept - Manual Therapy and Compressive myofascial relaxation methods will be applied to the individuals who have completed the patient training program by the physiotherapist. Patients will participate in the rehabilitation program twice a week for eight weeks. These patients will perform their home exercises twice daily and for eight weeks.
arm group label: Achilles Tendinopathy Conventional Physiotherapy Group
arm group type: Experimental
description: In this group, patients will first be included in the patient education and exercises program in the clinic-only once. Mulligan Concept - Manual Therapy and Compressive myofascial relaxation methods will be applied to the individuals who have completed the patient training program by the physiotherapist. Patients will participate in the rehabilitation program twice a week for eight weeks. These patients will perform their home exercises twice daily and for eight weeks.
intervention type: Diagnostic Test
intervention name: smart phone application
description: Participants will be asked to provide information about their sociodemographic characteristics, chronic diseases, the history of the ankle injury, trauma, and surgery, the severity of the foot pain via using the mobile application.The app will be downloaded from the Google Play Store and available offline. Information from the patient will be stored in an SQLite database.The usability test will be carried out on the mobile application so that the latest releases contain clear, effective, loyal to the strategy, and easily understood messages by the intended audience and do not produce unwanted responses.Direct observation, individual interviews, and satisfaction surveys will be used to identify areas of improvement in a cross-sectional manner.Investigation of pes cavus, pes planus and ankle range of motion will be determined by image processing.All data can be analyzed and stored by Heel Analysis Systems established on an external server.The data will be transferred securely over HTTPS.
arm group label: Achilles Tendinopathy App Exercise Group
arm group label: Achilles Tendinopathy Conventional Physiotherapy Group
arm group label: Achilles Tendinopathy Home Exercise Group
arm group label: Plantar Fasciitis App Exercise Group
arm group label: Plantar Fasciitis Conventional Physiotherapy Group
arm group label: Plantar Fasciitis Home Exercise Group
criteria: 
gender: All
minimum age: 18 Years
maximum age: 65 Years
healthy volunteers: No
last name: Elif Tuğçe Çil, M.S.c
phone: 05544811092
email: tugce.cill@gmail.com
facility: 
status: Recruiting
contact: 
investigator: 
investigator: 
investigator: 
investigator: 
country: Turkey
responsible party type: Sponsor
mesh term: Tendinopathy
mesh term: Fasciitis
mesh term: Fasciitis, Plantar
mesh term: Flatfoot
mesh term: Foot Diseases
sharing ipd: Undecided