[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100596283":3},{"organization":4,"armGroups":7,"interventions":21,"overallOfficials":35,"centralContacts":39,"locations":48,"responsibleParty":61,"collaborators":26,"id":65,"slug":66,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":69,"acronym":70,"eligibilityCriteria":71,"healthyVolunteers":72,"sex":73,"minAge":74,"maxAge":26,"enrollmentInfo":75,"targetDuration":26,"studyType":78,"phases":79,"briefSummary":81,"conditions":82,"keywords":89,"overallStatus":98,"whyStopped":26,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"Sinop University","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Mobilization and Manipulation Group (MMG)","EXPERIMENTAL","Participants in this group underwent high-velocity, low-amplitude (HVLA) chiropractic manipulation of the first metatarsophalangeal (MTP) joint by an experienced physical therapist, followed by grade 3 accessory mobilization.\n\nParticipants were placed in the prone (face-down) position during the procedure, and the foot was stabilized in a neutral position.\n\nManipulation: The therapist stabilized the first metatarsal bone with one hand while applying a quick, short traction force to the proximal phalanx of the first toe with the other hand.\n\nMobilization: Following manipulation, grade 3 rhythmic oscillations were applied to the same joint in accordance with the Maitland technique to increase joint play.\n\nThe entire procedure was completed in a single session, with evaluations conducted immediately before and after the intervention.",[13,14],"Other: Mobilization","Other: High-Velocity Low-Amplitude (HVLA) Manipulation",{"label":16,"type":17,"description":18,"interventionNames":19},"Control Group (CG)","SHAM_COMPARATOR","The control group individuals underwent sham manipulation in the same position (prone and neutral foot) and for the same duration. During the sham application, the therapist assumed the manipulation position, placed his hands on the first metatarsal, and created the impression that the application was being performed. However, no traction, pushing, mobilization, or high-speed movement was applied during this process.\n\nThis application was performed in a way that would make the participant believe they were receiving treatment, but without creating any biomechanical or neurophysiological effects.\n\nSince the purpose of the sham group was to control for the placebo effect, evaluations were also conducted on the individuals in this group before and immediately after the application.\n\nFor ethical reasons, the real treatment protocol was also applied to these participants after the evaluations.",[20],"Other: Sham Manipulation",[22,27,31],{"type":6,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"Mobilization","Participants receiving this intervention will undergo Grade 3 joint mobilization targeting the first metatarsophalangeal (1st MTP) joint. The technique will be administered by a licensed physiotherapist with the participant lying in the prone position and the foot in a neutral position.\n\nMobilization will be performed according to the Maitland concept, which defines Grade 3 as large-amplitude, rhythmic oscillatory movements applied within the range of motion but up to the limit of tissue resistance, without entering the paraphysiological space.\n\nThe goal of this technique will be to increase joint play and mobility, reduce stiffness, and potentially improve biomechanical alignment. The mobilization will last approximately 5 minutes, and outcome measures will be collected before and immediately after the session.",[9],null,{"type":6,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"High-Velocity Low-Amplitude (HVLA) Manipulation","This intervention will involve the application of a high-velocity, low-amplitude (HVLA) thrust manipulation to the first metatarsophalangeal (1st MTP) joint. A licensed physiotherapist will perform the procedure with the participant positioned prone and the foot placed in a neutral alignment.\n\nThe therapist will stabilize the 1st metatarsal bone with one hand and apply a quick, controlled thrust to the proximal phalanx of the hallux in a dorsal direction using the other hand. The technique will be delivered with minimal amplitude and maximal speed, aiming to restore joint motion, reduce soft tissue tension, and stimulate neuromechanical reflexes.\n\nThe manipulation procedure will take approximately 2-3 minutes, including setup and execution. Pre- and post-intervention outcome measures will be used to assess its immediate effects.",[9],{"type":6,"name":32,"description":33,"armGroupLabels":34,"otherNames":26},"Sham Manipulation","Participants in the control group will receive a sham (placebo) intervention designed to mimic the real treatment in setup and duration, without applying any therapeutic mechanical stimulus. The sham procedure will be conducted by the same physiotherapist with participants lying prone and their foot in a neutral position.\n\nThe physiotherapist will place their hands around the 1st MTP joint as if a manipulation were to be performed and will maintain static contact for the same duration as in the experimental group. However, no thrust, traction, or mobilization force will be applied.\n\nThe sham intervention will also last approximately 10 minutes, ensuring consistency across groups. All assessments will be conducted immediately before and after the intervention to evaluate potential placebo effects.",[16],[36],{"name":37,"affiliation":5,"role":38},"SEFA H HATIK, Asst. Prof.","PRINCIPAL_INVESTIGATOR",[40,44],{"name":37,"role":41,"phone":42,"phoneExt":26,"email":43},"CONTACT","+905058761553","haktanhtk@gmail.com",{"name":45,"role":41,"phone":46,"phoneExt":26,"email":47},"ÖMER D KIZIL, PhD.","+905415233691","omerdiclekizil@gmail.com",[49],{"facility":5,"status":26,"city":50,"state":26,"zip":26,"country":51,"countryCode":26,"cosmosGeoPoint":52,"geoPoint":57,"contacts":58},"Sinop","Turkey (Türkiye)",{"type":53,"coordinates":54},"Point",[55,56],35.16253,42.02683,{"lat":56,"lon":55},[59,60],{"name":37,"role":41,"phone":42,"phoneExt":26,"email":43},{"name":37,"role":38,"phone":26,"phoneExt":26,"email":26},{"type":62,"investigatorFullName":63,"investigatorTitle":64,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","SEFA HAKTAN HATIK","Asst. Professor","100596283","comparison-of-the-immediate-effects-of-mobilization-and-manipulation-versus-sham-manipulation-on-plantar-pressure-in-patients-with-hallux-valgus-100596283",false,"NCT07043439","Comparison of the Immediate Effects of Mobilization and Manipulation Versus Sham Manipulation on Plantar Pressure in Patients With Hallux Valgus","HALLPRESS","Inclusion Criteria:\n\n* Be over 18 years of age\n* Volunteer to participate in the study\n* Have hallux valgus (those with a hallux valgus angle greater than 15 and a Manchester Scale score of B or higher)\n\nExclusion Criteria:\n\n* Having undergone surgery on the foot or ankle area within the last 6 months\n* Having any neurological or psychiatric problems",true,"ALL","18 Years",{"count":76,"type":77},60,"ESTIMATED","INTERVENTIONAL",[80],"NA","The aim of this study is to examine the immediate effects of mobilization and manipulation versus sham manipulation on plantar pressure, quality of life, and pain in patients with hallux valgus. Participants will be assessed using a sociodemographic data form, the Manchester-Oxford Foot Questionnaire (MOXFQ), the Manchester Scale, goniometric measurements, the Multidimensional Nil Hallux Valgus Scale, the SF-36 Health Survey, the Numeric Pain Rating Scale (NPRS), and plantar pressure analysis via a pedobarographic device. The study will be conducted on a total of 60 feet, with 30 feet assigned to the manipulation group and 30 feet to the sham manipulation group.",[83,84,85,86,87,88],"Hallux Valgus","Foot Deformities","Musculoskeletal Manipulations","Plantar Pressure","Manuel Therapy","Chiropractic",[83,90,91,32,92,93,94,95,96,97],"First Metatarsal Mobilization","HVLA Manipulation","Plantar Pressure Analysis","Pedobarography","Manual Therapy","Chiropractic Mobilization","Pain","Quality of Life","NOT_YET_RECRUITING","2025-06-20",{"date":101,"type":102},"2025-06-29","ACTUAL",{"date":104,"type":77},"2025-06-25",{"date":106,"type":77},"2025-08-25",{"name":63,"class":6},1]