Assessment of Balance in Patients With Pes Planus

NCT05320003 | Unknown

• 1 other identifier: IstanbulUC-ShahlaALIMADATLI
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Introduction: Pes planus is a foot deformity with increased contact of the foot with the ground as a result of the decrease or disappearance of the medial longitudinal arch of the foot. The arch of the foot creates an adaptive and flexible support for the whole body, and biomechanical changes in the foot can affect the whole body posture and balance. The results of the studies evaluating balance and plantar pressure analysis in adults with pes planus seem contradictory. The aim of this study is to evaluate fall risk and plantar pressure in adults with pes planus aged 50 -65 years

Conditions

Pes Planus; Fall Risk

Keywords

Pes planus; Ink foot analysis; Pedobarography; Computed posturography

Outcome Measures

Primary Outcomes (2)

• Fall risk

  Balance - the body's ability to remain stable against internal and external factors.Clinical, Functional and computer aided methods are frequently used to evaluate balance. The risk of falling will be evaluated with the computerized static posturography device \[Tetrax® Interactive Postural Balance System (Sunlight Medical, Israel)\]

  10 minutes

• Fall risc

  Balance - the body's ability to remain stable against internal and external factors.Clinical, Functional and computer aided methods are frequently used to evaluate balance. The risk of falling will be evaluated with the timed up to go test.

  5 minutes

Secondary Outcomes (1)

• Plantar Pressure Analysis

  10 minutes

Study Arms (1)

Adults with pes planus

OTHER

Detailed clinical examination of cases with pes planus will be performed. Inky foot analysis of both feet will be performed to confirm the diagnosis of pes planus in the subjects included in the study. Staheli arch index and Chippaux-Smirak Index will be calculated for each foot based on the footprints obtained. According to the Staheli Arc Index 1 and above, according to the Chippaux-Smirak Index 0.45 and above will be considered as pes planus, static foot pressure measurement will be performed with a pedobarography device in all cases. Peak pressure, maximum force and total foot area values will be obtained. Balance assessment of the patients will be performed with a computerized static posturography device. Individuals will be graded according to the fall index results, as low, medium and high risk. It will be determined whether there is a fall risk with the Timed Up and Go Test, which is one of the clinical balance tests.

Diagnostic Test: Inky foot analysis; Diagnostic Test: Evaluation of plantar pressure with pedobarography; Diagnostic Test: Balance assessment with computerized posturography

Interventions

Inky foot analysis DIAGNOSTIC_TEST

Inky foot analysis to confirm the diagnosis of pes planus

Also known as: Fall risk assessment with static posturography

Adults with pes planus

Evaluation of plantar pressure with pedobarography DIAGNOSTIC_TEST

Evaluation of plantar pressure distribution by pedobarography in individuals with pes planus

Adults with pes planus

Balance assessment with computerized posturography DIAGNOSTIC_TEST

Evaluation of fall risk with computerized posturography

Adults with pes planus

Eligibility Criteria

• Age: 50 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged 50 years and above with pes planus according to Staheli Arch Index and Chippaux- Smirak Index

You may not qualify if:

• Congenital anomalies of the foot
• Prior lower extremity surgery Inflammatory arthritis
• Neuromuscular diseases
• Diseases that interfere with lower extremity circulation
• Presence of orthostatic hypotension
• Untreated visual impairment
• Neurological and vestibular diseases
• Use of drugs that can cause balance disorders (Antipsychotics, Pregabalin, etc.)

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Related Publications (10)

• Michaudet C, Edenfield KM, Nicolette GW, Carek PJ. Foot and Ankle Conditions: Pes Planus. FP Essent. 2018 Feb;465:18-23.

  PMID: 29381041 BACKGROUND

• Cote KP, Brunet ME, Gansneder BM, Shultz SJ. Effects of Pronated and Supinated Foot Postures on Static and Dynamic Postural Stability. J Athl Train. 2005 Mar;40(1):41-46.

  PMID: 15902323 BACKGROUND

• Knapp PW, Constant D. Posterior Tibial Tendon Dysfunction. 2024 May 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK542160/

  PMID: 31194317 BACKGROUND

• Mosca VS. Flexible flatfoot in children and adolescents. J Child Orthop. 2010 Apr;4(2):107-21. doi: 10.1007/s11832-010-0239-9. Epub 2010 Feb 18.

  PMID: 21455468 BACKGROUND

• Forriol F, Pascual J. Footprint analysis between three and seventeen years of age. Foot Ankle. 1990 Oct;11(2):101-4. doi: 10.1177/107110079001100208.

  PMID: 2265808 BACKGROUND

• Staheli LT, Chew DE, Corbett M. The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am. 1987 Mar;69(3):426-8.

  PMID: 3818704 BACKGROUND

• Awale A, Hagedorn TJ, Dufour AB, Menz HB, Casey VA, Hannan MT. Foot Function, Foot Pain, and Falls in Older Adults: The Framingham Foot Study. Gerontology. 2017;63(4):318-324. doi: 10.1159/000475710. Epub 2017 May 9.

  PMID: 28482340 BACKGROUND

• Neri SGR, Harvey LA, Tiedemann A, Gadelha AB, Lima RM. Obesity and falls in older women: Mediating effects of muscle quality, foot loads and postural control. Gait Posture. 2020 Mar;77:138-143. doi: 10.1016/j.gaitpost.2020.01.025. Epub 2020 Feb 1.

  PMID: 32036318 BACKGROUND

• Skopljak A, Muftic M, Sukalo A, Masic I, Zunic L. Pedobarography in diagnosis and clinical application. Acta Inform Med. 2014 Dec;22(6):374-8. doi: 10.5455/aim.2014.22.374-378. Epub 2014 Dec 19.

  PMID: 25684844 BACKGROUND

• Akkaya N, Doganlar N, Celik E, Aysse SE, Akkaya S, Gungor HR, Sahin F. TEST-RETEST RELIABILITY OF TETRAX(R) STATIC POSTUROGRAPHY SYSTEM IN YOUNG ADULTS WITH LOW PHYSICAL ACTIVITY LEVEL. Int J Sports Phys Ther. 2015 Nov;10(6):893-900.

  PMID: 26618068 BACKGROUND

MeSH Terms

Conditions

Flatfoot

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

Study Officials

• Shahla Alimadatli

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Shahla ALIMADATLI

CONTACT

+905378677287; dr.shahla628@gmail.com

Fevziye Merih SARIDOGAN

CONTACT

+905326621700; merihsa@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 15, 2022
• First Posted: April 11, 2022
• Study Start: April 6, 2022
• Primary Completion: April 15, 2022
• Study Completion: May 15, 2022
• Last Updated: April 11, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share