An interventional study of Three-Phase Physical Therapy Intervention in Club Foot, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to participants aged 3 Years to 10 Years. Per ClinicalTrials.gov, last updated 2025-03-12.
Sponsored by Riphah International University · Not applicable, Interventional, and Treatment
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Among 10 studies in Clubfoot with a site in Pakistan — 4 open to participants now, 5 under way, none of them phase 3. Clubfoot · Pakistan.
Among the 10 studies in Clubfoot with a site in Pakistan, this one is the only one that started in 2024, is one of 8 with no phase, and was the 4th registered.
69 studies on the registry are indexed under Clubfoot; 15 are open to participants now.
Browse Clubfoot studies →4 of the 10 studies in Clubfoot with a site in Pakistan are open now. Recruiting first, the newest first:
Khyber Medical University Peshawar · Sites in Pakistan
Ages 1 days–5 mo
Riphah International University · Sites in Pakistan
Ages 1 days–12 mo
Muhammad Aamir Latif · Sites in Pakistan
Ages 2–5
Pakistan Society for Rehabilitation of Differently Abled Hospital · Sites in Pakistan
Ages 1 mo–1 yrs
A study can be open while its sites in Pakistan have not opened yet or have stopped. Only those recruiting at a site in Pakistan →
Of the 10 Clubfoot studies recruiting now, none (0%) set no upper age limit and 10 (100%) stop at 75 or younger; 9 take children under 18; none take healthy volunteers.
This study: 3 Years to 10 Years · all sexes · no healthy volunteers.
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10 studies; the count open now beside each. This study's row is marked.
First in 2020; this study’s year is marked. 1 started in 2024.
This study's enrollment of 19 is below the median of 38 across 40 interventional studies indexed under Clubfoot.
Median enrollment 26 across the 8 interventional studies, 73 across the 2 observational. Of the 5 that completed or were terminated, 0 (0%) have results posted.
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None of the 10 has an industry lead sponsor. The 6 most frequent:
Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.
Riphah International University has 4 studies filed under Clubfoot — fewer than ten, so there is no comparison to draw.
None of the studies under way reaches primary completion within a year.
Among the 10 studies in Clubfoot with a site in Pakistan, from their registry updates:
Nothing recorded among them since 2026-09-25.
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Clubfoot, or congenital Talipes Equinovarus (CTEV), is a condition where a baby is born with one or both feet twisted inward and downward due to abnormal fetal foot development. Its estimated global prevalence is 1 in 1,000 live births, varying across populations. Relapsed clubfoot, a recurrence after initial correction, may occur due to incomplete treatment, noncompliance, muscle imbalance, or natural growth. Treatment involves surgical and non-surgical interventions, including soft tissue releases, osteotomies, and external fixation devices. The Ponseti method, a non-surgical approach, is commonly used in infants, with post-treatment physiotherapy focusing on three phases to optimize foot function. This holistic approach aims to achieve the best long-term outcomes for children with clubfoot. This 6-month randomized clinical trial at PSRD Hospital aims to assess the effectiveness of three-phase physical therapy versus conventional physiotherapy in treating clubfoot. With a sample size of 19 participants and a 10% attrition rate, the study involves children aged 3-10 previously treated with the Ponseti method. Data collection includes, one-leg standing and sit-to stand tests, Pirani score and the Oxford Ankle Foot Questionnaire. The three-phase therapy consists of joint mobilization, kinesio taping, and functional exercises over three months, with a focus on improving balance and proprioception.
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Exclusion Criteria:
This group will be given the three-phase physical therapy intervention and each phase prolong for period of one month
Other: Three-Phase Physical Therapy Intervention
Phase 1: It include subtalar and talocrural joint mobilization in the supine position along with stretching and home education Stage 2: It include subtalar and talocrural joint mobilization in the supine position along with Kinesiotaping and functional exercises Phase 3: this phase include balance and propioceptive training aling with along with strengthening exercises of peroneal and tibialis anterior
One leg standing test for Functional Activity
The one leg standing test is considered to be potentially useful for predicting functional deterioration. In the present study, we used the one leg standing test in the eyes open condition. The reliability of the SLS test is 0.89 and 0.86 with eyes opene
Time frame: Baseline and 12th Week
Sit to stand test for Functional Activity
The number of bilateral squats completed in 60 s is recorded
Time frame: Baseline and 12th Week
Pirani score for Clubfoot Severity
PirS assesses six clinical signs characterizing clubfoot, three items for the midfoot, and three for the Hindfoot: medial crease (MC-Pir), lateral part of the head of the talus, the curvature of the lateral border, posterior crease, empty heel, and rigid equinus. Each of the six items are scored on a three-point scale (0 = none, 0.5 = moderate, 1 = severe abnormality). The total score ranges from 0 to 6 based on the severity of the deformity of the examined foot.
Time frame: Baseline and 12th Week
The oxford Ankle Foot questionnaire for children and parent for Functional Status
OxAFQ is a child or parent-reported (or caregiver) self-report health status questionnaire. (The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) - A Guide to the Scoring System, Oxford University Innovation Limited 2011). In this study, children and their parents were individually questioned
Time frame: Baseline and 12th Week
Plan to share: No
Ran from May 2024 to primary completion in Aug 2024, 2 months.
Of 20 interventional studies with no phase under Clubfoot, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 37. This study's 2 months is below that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.
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