Effect of Medial Wedge on Static Balance in Pronated Feet

NCT05437042 | Completed

• 1 other identifier: HU/PAU/GUVEN-001
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The use of heel wedges is often recommended as a clinical routine in individuals with foot pronation. However, there is a lack of information for examining the immediate effect of supports used to restore foot biomechanics on balance. The aim of our study is to examine the immediate effect of calcaneal support in the frontal plane on static balance in individuals with increased pronated foot. In this study, the fore-hind foot load distribution in static bipedal stance will be examined in healthy young adults. Then, static balance measurements will be made on one leg with and without support (medial heel wedge). For the evaluation of static balance on one leg, x-y mean, ellipse surface, A-P index measurements and romberg test will be used. In addition, the pain of individuals will be questioned and their foot postures will be evaluated. Healthy young adult individuals with a subtalar angle of 5 degrees and above in the weighted position will be included in the evaluations. Evaluations of the participants are planned to take approximately 15 minutes.

Conditions

Foot; Deformity, Valgus, Congenital; Foot; Deformity, Valgus (Acquired); Foot Deformities; Flatfoot

Keywords

Foot Orthoses; Postural Balance; Subtalar Joint

Outcome Measures

Primary Outcomes (1)

• Immediate effect of medial heel wedge on static balance

  Day 1

Secondary Outcomes (1)

• Immediate effect of medial heel wedge on load distribution

  Day 1

Study Arms (1)

Individuals with pronated foot

Other: Medial calcaneal wedge

Interventions

Medial calcaneal wedge OTHER

Immediate effect of medial calcaneal wedge for static balance and weight distribution

Individuals with pronated foot

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Young adults who has pronated foot

You may qualify if:

• Standing subtalar angle of 5° or more
• Foot Posture Index score of 6 or more
• Right lower limb dominance
• Agreeing to participate in the study voluntarily

You may not qualify if:

• Having a neurological or orthopedic problem
• Having any surgery on the lower extremity
• Having a foot-ankle complex Visual Analog Scale (VAS) pain score above 6.4

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Ankara, Sıhhiye, Turkey (Türkiye)

Location

Related Publications (9)

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  PMID: 9604273 BACKGROUND

• McPoil TG, Hunt GC. Evaluation and management of foot and ankle disorders: present problems and future directions. J Orthop Sports Phys Ther. 1995 Jun;21(6):381-8. doi: 10.2519/jospt.1995.21.6.381.

  PMID: 7655482 BACKGROUND

• Valmassy RL. clinical biomechanics of the lower extermities. Mosby, Missouri. 1996;12:143-5.

  BACKGROUND

• Kararti C, Bilgin S, Buyukturan O, Buyukturan B. Arka Ayaktaki Pronasyon Artisinin Fiziksel Performans Uzerine Etkisi. Hacettepe University Faculty of Health Sciences Journal. 2018;5(1):1-0.

  BACKGROUND

• Hadley A, Griffiths S, Griffiths L, Vicenzino B. Antipronation taping and temporary orthoses. Effects on tibial rotation position after exercise. J Am Podiatr Med Assoc. 1999 Mar;89(3):118-23. doi: 10.7547/87507315-89-3-118.

  PMID: 10095333 BACKGROUND

• Al Abdulwahab SS, Kachanathu SJ. The effect of various degrees of foot posture on standing balance in a healthy adult population. Somatosens Mot Res. 2015;32(3):172-6. doi: 10.3109/08990220.2015.1029608. Epub 2015 Sep 7.

  PMID: 26400632 BACKGROUND

• Winter DA. Human balance and posture control during standing and walking. Gait & posture. 1995 Dec 1;3(4):193-214.

  BACKGROUND

• Whitney KA. Foot deformities, biomechanical and pathomechanical changes associated with aging including orthotic considerations, Part II. Clin Podiatr Med Surg. 2003 Jul;20(3):511-26, x. doi: 10.1016/S0891-8422(03)00046-6.

  PMID: 12952051 BACKGROUND

• Borklu T, Dolu N. Sporcularda Isitsel Uyarilma Potansiyellerindeki Hemisferik Farkliliklar. Sağlık Bilimleri Dergisi (Journal of Health Sciences). 2010;19(2):108-18.

  BACKGROUND

MeSH Terms

Conditions

Congenital Abnormalities; Genu Valgum; Foot Deformities; Flatfoot

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: June 23, 2022
• First Posted: June 29, 2022
• Study Start: April 1, 2021
• Primary Completion: December 31, 2021
• Study Completion: January 1, 2022
• Last Updated: July 6, 2022

Record last verified: 2022-07

Locations

TU (1)