The Influence of Rehabilitation Program on Postural Control, Balance and Gait in Children With Flatfoot

NCT04840017 | Enrolling By Invitation

• 1 other identifier: Gdansk UPES
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

"Idiopathic flat foot is a common condition in children and adolescents. After loading, the heel is adjusted in valgus, the medial longitudinal arch of the foot flattens, and the forefoot is positioned at abducted. Such deformation can be classified as flexible or rigid. A lowered flat foot arch is an undesirable feature. Additional factors such as e.g. abnormal body weight, may have impact on the shape of medial longitudinal arch. Increasing evidence suggests that excess weight is inextricably linked to flatfoot and postural stability. In connection with consequences, disorders of the muscles responsible for stabilizing the arches of the foot are noticed. The mobility and stability of the foot arches is controlled by the internal and external muscles of the foot, but the former are often overlooked in therapy. Short foot exercises are recommended as an improvement in foot arch parameters. The participants will take part in the research with the written consent of their parents or legal guardians. The results will be used anonymously for scientific publications."

Conditions

Flatfoot

Keywords

Planovalgus; Medial Longitudinal Arch; Gait; Kinematic; Emg; Walk; Locomotion; Motion Analysis; Low-arched Feet; Valgus Deformity; Balance

Outcome Measures

Primary Outcomes (8)

• Navicular Height (NH)

  The localization of the medial navicular tuberosity and its distance from the floor as NH will be done in a standing position. The result will be given in millimeters.

  Baseline

• Navicular Height (NH)

  The localization of the medial navicular tuberosity and its distance from the floor as NH will be done in a standing position. The result will be given in millimeters.

  6-weeks intervention

• Navicular Height (NH)

  The localization of the medial navicular tuberosity and its distance from the floor as NH will be done in a standing position. The result will be given in millimeters.

  3 months later

• Navicular Height (NH)

  The localization of the medial navicular tuberosity and its distance from the floor as NH will be done in a standing position. The result will be given in millimeters.

  6 months later

• Body Mass Index (BMI)

  Each child's weight and height will be assessed to determine their BMI using the formula weight \[kg\] / height \[m\] 2. This will be interpreted according to the international cut-off points. In addition, body composition will be analyzed using bioelectric impedance.

  baseline

• Body Mass Index (BMI)

  Each child's weight and height will be assessed to determine their BMI using the formula weight \[kg\] / height \[m\] 2. This will be interpreted according to the international cut-off points. In addition, body composition will be analyzed using bioelectric impedance.

  6-weeks intervention

• Body Mass Index (BMI)

  Each child's weight and height will be assessed to determine their BMI using the formula weight \[kg\] / height \[m\] 2. This will be interpreted according to the international cut-off points. In addition, body composition will be analyzed using bioelectric impedance.

  3 months later

• Body Mass Index (BMI)

  Each child's weight and height will be assessed to determine their BMI using the formula weight \[kg\] / height \[m\] 2. This will be interpreted according to the international cut-off points. In addition, body composition will be analyzed using bioelectric impedance.

  6 months later

Secondary Outcomes (24)

• Foot Posture Index-6 (FPI-6)

  Baseline

• Foot Posture Index-6 (FPI-6)

  6-weeks intervention

• Foot Posture Index-6 (FPI-6)

  3 months later

• Foot Posture Index-6 (FPI-6)

  6 months later

• Arch Index (AI)

  baseline

Study Arms (3)

Study group I

EXPERIMENTAL

excessive body weight and flat feet

Other: rehabilitation exercise

Study group II

EXPERIMENTAL

normal body weight and flat feet

Other: rehabilitation exercise

Study group III

NO INTERVENTION

control, healthy children

Interventions

rehabilitation exercise OTHER

Rehabilitation exercise of intrinsic foot muscles

Study group I; Study group II

Eligibility Criteria

• Age: 7 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• \- Bilateral flexible flatfeet

You may not qualify if:

• Tarsal coalitions,
• Congenital defects of the lower limbs,
• Neurological diseases,
• Previous foot surgery.

Sponsors & Collaborators

• Gdansk University of Physical Education and Sport: lead
• Medical University of Gdansk: collaborator

Study Sites (1)

Gdansk University of Physical Education and Sport

Gdansk, 80-336, Poland

Location

MeSH Terms

Conditions

Flatfoot

Interventions

Exercise Therapy

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)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 3, 2021
• First Posted: April 9, 2021
• Study Start: January 15, 2021
• Primary Completion: April 29, 2026
• Study Completion (Estimated): December 15, 2026
• Last Updated: October 23, 2023

Record last verified: 2023-08

Locations

PL (1)