Foot Core Training in Individuals With Pes Planus

NCT04734899 | Unknown DMC

• 1 other identifier: 2020/15-04
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Foot core training is very important for the intrinsic muscles of the foot, but it is often neglected in exercise programs given to individuals with pes planus. The aim of our study is to reveal the effects of foot core training, which will be added to the exercise program routinely given to individuals with asymptomatic flexible pes planus, on walking, muscular activations, balance and lower extremity functional performance with objective, evidence based results.

Conditions

Pes Planus

Keywords

Pes planus; Electromyography; Gait; Balance

Outcome Measures

Primary Outcomes (1)

• Evaluation of muscle activation

  In our study, muscle activations of the tibialis anterior, peroneus longus and abductor hallucis muscles both during maximum isometric contraction and during walking will be evaluated by a trained and experienced researcher using the sEMG device.

  Change from baseline muscle activation at 8 weeks

Secondary Outcomes (14)

• Y balance test (YBT):

  Just before the training and at the end of 8-week training

• Vertical jump, flight time

  Just before the training and at the end of 8-week training

• Vertical jump, jump height

  Just before the training and at the end of 8-week training

• Vertical jump, power

  Just before the training and at the end of 8-week training

• vertical jump, position difference

  Just before the training and at the end of 8-week training

Study Arms (2)

Control grup

ACTIVE COMPARATOR

All individuals participating in the study will be taught the exercises given to strengthen weakened muscles, stretch shortened structures and increase proprioception by the physiotherapist and will be asked to do these exercises at least twice a day for 8 weeks. The home program will be followed by the exercise daily form.

Other: Exercise program

Foot core grup

EXPERIMENTAL

In addition to the exercise program given to the control group, foot core training will be added and taught by the physiotherapist and they will be asked to do these exercises at least twice a day for 8 weeks.

Other: Exercise program; Other: Foot core training

Interventions

Exercise program OTHER

Strengthening with resistance bands for tibialis posterior, tibialis anterior, peroneus longus, finger flexors, hip and knee muscles, sheet gathering exercises, fingertip walking exercises, Stretching exercises for gastrocnemius and soleus muscles, plantar fascia stretching, weight transfer on one leg

Control grup; Foot core grup

Foot core training OTHER

Short foot exercises with passive modeling, active assisted modeling, active modeling, functional training

Foot core grup

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals who volunteer to participate in the study
• Individuals between the ages of 18-25
• Individuals with a body mass index between 18.5-30.
• Individuals with a difference of 10 mm or more between weighted and unweighted measurements by applying the navicular drop test
• Individuals who are considered to have flexible pes planus with a positive Jack's finger lift test

You may not qualify if:

• Individuals with symptoms such as any pain in the foot and ankle, fatigue.
• Individuals with any neurological or orthopedic disease affecting the lower extremity.
• Individuals with a history of foot-ankle trauma-surgery
• Individuals with lower extremity inequality of more than 1 centimeter (cm)

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead

Study Sites (1)

Ankara Yıldırım Beyazıt University

Ankara, 06370, Turkey (Türkiye)

Location

Related Publications (5)

• Jung DY, Koh EK, Kwon OY. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. J Back Musculoskelet Rehabil. 2011;24(4):225-31. doi: 10.3233/BMR-2011-0299.

  PMID: 22142711 BACKGROUND

• McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med. 2015 Mar;49(5):290. doi: 10.1136/bjsports-2013-092690. Epub 2014 Mar 21.

  PMID: 24659509 BACKGROUND

• Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther. 2013 Oct;18(5):425-30. doi: 10.1016/j.math.2013.02.007. Epub 2013 Apr 28.

  PMID: 23632367 BACKGROUND

• Kim EK, Kim JS. The effects of short foot exercises and arch support insoles on improvement in the medial longitudinal arch and dynamic balance of flexible flatfoot patients. J Phys Ther Sci. 2016 Nov;28(11):3136-3139. doi: 10.1589/jpts.28.3136. Epub 2016 Nov 29.

  PMID: 27942135 BACKGROUND

• Glatthorn JF, Gouge S, Nussbaumer S, Stauffacher S, Impellizzeri FM, Maffiuletti NA. Validity and reliability of Optojump photoelectric cells for estimating vertical jump height. J Strength Cond Res. 2011 Feb;25(2):556-60. doi: 10.1519/JSC.0b013e3181ccb18d.

  PMID: 20647944 BACKGROUND

MeSH Terms

Conditions

Flatfoot

Interventions

Resistance Training

Condition Hierarchy (Ancestors)

Talipes; Foot Deformities, Acquired; Foot Deformities; Musculoskeletal Diseases; Foot Deformities, Congenital; Lower Extremity Deformities, Congenital; Limb Deformities, Congenital; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Ertuğrul Demirdel, PhD

  Ankara Yildirim Beyazıt University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: A randomized controlled trial: Two parallel treatment groups; The control group will only receive exercise therapy, while the other group will receive foot core training in addition to exercise therapy

Study Record Dates

• First Submitted: January 22, 2021
• First Posted: February 2, 2021
• Study Start: January 1, 2021
• Primary Completion: July 1, 2021
• Study Completion: August 1, 2021
• Last Updated: February 2, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)