The Effect of Different Exercises on Lower Extremity Performance in Flexible Flatfoot

NCT06482580 | Active Not Recruiting

• 1 other identifier: E-77082166-604.01-930455
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

In the study, the effects of two different strengthening exercises combined with short foot exercise on lower extremity functional performance and muscle strength will be examined and compared in adults aged 18-45 years with flexible flatfoot. This study was designed as an experimental, 3-arm, parallel group, double-blind randomized controlled study that included a 6-week intervention period.

Conditions

Flexible Flatfoot

Keywords

Foot deformities; Intrinsic foot muscle training; Muscle strenghening; Short-foot exercises; Performance; Proprioceptive neuromuscular facilitation

Outcome Measures

Primary Outcomes (2)

• Medial longitudinal arch height

  Medial longitudinal arch height will be evaluated with the navicular drop test.

  6 weeks

• Static foot posture

  Static foot posture will be evaluated with Foot Posture Index-6.

  6 weeks

Secondary Outcomes (2)

• Isometric muscle strength

  6 weeks

• Lower extremity functional performance

  6 weeks

Study Arms (3)

PNF exercise group

EXPERIMENTAL

All groups will be subjected to exercise training for 6 weeks: PNF exercise group will receive 3-dimensional (3D) foot-ankle extension exercise and short-foot exercise. The exercise will be performed 2 days a week under the supervision of a physiotherapist and 1 day as home exercise; KA exercise will be performed daily, 2 days under the supervision of a physiotherapist and the other days as home exercise.

Other: PNF exercise; Other: Short-foot exercise

Clam exercise group

EXPERIMENTAL

All groups will be subjected to exercise training for 6 weeks: Clam exercise group will receive mussel exercise and short-foot exercise. The exercise will be performed 2 days a week under the supervision of a physiotherapist and 1 day as home exercise; KA exercise will be performed daily, 2 days under the supervision of a physiotherapist and the other days as home exercise.

Other: Clam exercise; Other: Short-foot exercise

Control group

ACTIVE COMPARATOR

All groups will be subjected to exercise training for 6 weeks: Control group will receive only KA exercise and this exercise will be performed daily, 2 days under the supervision of a physiotherapist and the other days as home exercise.

Other: Short-foot exercise

Interventions

PNF exercise OTHER

Ankle and foot exercises practiced for 6 weeks.

PNF exercise group

Clam exercise OTHER

Hip exercise practiced for 6 weeks.

Clam exercise group

Short-foot exercise OTHER

Foot exercise practiced together for 6 weeks.

Clam exercise group; Control group; PNF exercise group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age range is 18-45 years
• Navicular drop is 10 mm or more
• Getting a value of +6 points or more from the Foot Posture Index-6

You may not qualify if:

• Orthopedic and rheumatological diseases of the spinal region and lower extremities
• Surgery history of the spine and lower extremities
• Neurological and systemic disorders
• Describe lower extremity and/or lower back pain in the last 6 months
• Disorders that may affect cognition and balance (otitis media, visual impairment, etc.)
• Body mass index being above normal values (18-24.9 kg/m2)
• Having rigid flat feet and/or hallux rigidus-limitus deformity
• Being involved in regular sports or exercise
• Having received any physiotherapy or rehabilitation treatment for flat feet or hips in the last year

Sponsors & Collaborators

• Mustafa Kemal University: lead

Study Sites (1)

Gazi University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation

Ankara, Çankaya, 06540, Turkey (Türkiye)

Location

Related Publications (4)

• Huang C, Chen LY, Liao YH, Masodsai K, Lin YY. Effects of the Short-Foot Exercise on Foot Alignment and Muscle Hypertrophy in Flatfoot Individuals: A Meta-Analysis. Int J Environ Res Public Health. 2022 Sep 22;19(19):11994. doi: 10.3390/ijerph191911994.

  PMID: 36231295 BACKGROUND

• Engkananuwat P, Kanlayanaphotporn R. Gluteus medius muscle strengthening exercise effects on medial longitudinal arch height in individuals with flexible flatfoot: a randomized controlled trial. J Exerc Rehabil. 2023 Feb 23;19(1):57-66. doi: 10.12965/jer.2244572.286. eCollection 2023 Feb.

  PMID: 36910682 BACKGROUND

• Okamura K, Fukuda K, Oki S, Ono T, Tanaka S, Kanai S. Effects of plantar intrinsic foot muscle strengthening exercise on static and dynamic foot kinematics: A pilot randomized controlled single-blind trial in individuals with pes planus. Gait Posture. 2020 Jan;75:40-45. doi: 10.1016/j.gaitpost.2019.09.030. Epub 2019 Sep 29.

  PMID: 31590069 BACKGROUND

• Pabon-Carrasco M, Castro-Mendez A, Vilar-Palomo S, Jimenez-Cebrian AM, Garcia-Paya I, Palomo-Toucedo IC. Randomized Clinical Trial: The Effect of Exercise of the Intrinsic Muscle on Foot Pronation. Int J Environ Res Public Health. 2020 Jul 7;17(13):4882. doi: 10.3390/ijerph17134882.

  PMID: 32645830 BACKGROUND

MeSH Terms

Conditions

Flatfoot; Foot Deformities

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Talipes; Foot Deformities, Acquired; 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; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Dilek Esen, PhD. c

  Gazi University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: The primary researcher will ensure blinding. Participants and the researcher conducting the assessments will be blinded to group information.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc, PT, Principal Investigator

Model Details: This study was designed as an experimental, 3-arm parallel-group, double-blind randomized controlled trial with a 6-week intervention period. The study will be conducted at Toros University physiotherapy and exercise laboratory.

Study Record Dates

• First Submitted: June 26, 2024
• First Posted: July 1, 2024
• Study Start: April 30, 2024
• Primary Completion: July 30, 2024
• Study Completion: September 30, 2024
• Last Updated: July 3, 2024

Record last verified: 2024-07

Locations

TU (1)