Effect of Biodex Balance Training and Short Foot Exercise on Myoelectric Activity of Paraspinal Muscles in Subjects with Flexible Flatfoot

NCT06606392 | Not Yet Recruiting DMC

• 1 other identifier: BSM
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this study is to see the effect of the combination of biodex balance system and short foot exercise in the treatment of subjects with flexible flat foot. The main question is the effect of biodex balance training and short foot exercise on myoelectric activity of subjects with flexible flat foot experimental participant will receive biodex balance system exercise and short foot exercise for 4 weeks controlled participant will receive short foot exercise and stretching exercise for 4 weeks Assessment will be done pre and post treatment by using Navicular drop test Myoelectric activity of paraspinal muscle Dynamic balance Pain severity Functional ankle instability inder

Conditions

Flat Foot

Keywords

Flat foot, Myoelectric activity, Biodex balance

Outcome Measures

Primary Outcomes (5)

• Muscle myoelectric activity

  myoelectric activity of paraspinal muscles measured by surface electromygraphy

  4 weeks

• Foot print pressure

  Using myopressure force platform to measure average peak planter pressure

  4 weeks

• Dynamic balance

  Biodex balance system will be used to assess balance before and after treatment

  4 weeks

• Functional ankle instability index

  Cumberland Ankle Instability Tool The CAIT is a nine-item questionnaire intended to identify and grade ankle instability

  4 weeks

• Pain severity

  Evaluation of lower back pain severity by using visual analogue scale

  4 weeks

Study Arms (2)

Group A

OTHER

Group A 30 subjects will receive short foot exercise and stretching exercise gastrocnemius, soleus muscle and planter fascia stretch.

Other: Short Foot Exercise

Group B

EXPERIMENTAL

Group B will receive Biodex balance training and short foot exercise.

Device: Biodex balance system; Other: Short Foot Exercise

Interventions

Biodex balance system DEVICE

The Biodex Balance System has a wide range of clinical applications and provides objective measures from testing that can be used to establish progressions and discharge criteria, as well as be part of a comprehensive Fall Risk Assessment or Fall Screening Program. Balance ability can be assessed either statically or dynamically, as well as bilaterally and unilaterally. It also allows for bilateral comparisons between involved and uninvolved limbs.

Group B

Short Foot Exercise OTHER

Short foot exercise is used as a therapeutic exercise to strengthen intrinsic foot muscles and used as training to create an MLA. It helps improve the balance in functional movement of FF subjects, decreases navicular drop (ND) through intrinsic muscle activation, supports navicular stability, and improves balance

Group A; Group B

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \) Sixty subjects from both gender with bilateral flexible flat foot will be selected with their age between 18 to 30Years old 2) Body Mass Index (BMI) was ranging from 18 to 25 kg/m2 3) The participants were eligible to be included if had bilaterally FFF according to the navicular drop test 4) Required participant to have been diagnosed (by an orthopedist) with flexible flat foot

You may not qualify if:

• Repeated lower extremity injuries as fractures or deformities. 2) History of surgery to the lower extremity. 3) History of cerebral concussions, and visual or vestibular disorders. 4) Any neurological deficit affecting balance. 5) Any medication can affect the balance 6) Any problem of lumbar spine( disc,spondylolisthrsis)

Sponsors & Collaborators

• Cairo University: lead
• MTI University: collaborator

Study Sites (2)

Modern university for technology and science

Cairo, Cairo Governorate, Egypt

Location

Modern university for technology and science

Cairo, Cairo Governorate, Egypt

Location

Related Publications (1)

• Aenumulapalli A, Kulkarni MM, Gandotra AR. Prevalence of Flexible Flat Foot in Adults: A Cross-sectional Study. J Clin Diagn Res. 2017 Jun;11(6):AC17-AC20. doi: 10.7860/JCDR/2017/26566.10059. Epub 2017 Jun 1.

  PMID: 28764143 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

• Ragia M kamal, Doctoral

  professor of physical therapy , cairo university

  PRINCIPAL INVESTIGATOR

• Naglaa F Awes, Doctoral

  Assistant professor of physical therapy cairo universiy

  PRINCIPAL INVESTIGATOR

• Hend H Mohamed, Doctoral

  Lecturer of physical therapy cairo university

  PRINCIPAL INVESTIGATOR

• Hager M Elsayed, Master

  assistant lecturer of faculty of physical therapy, modern university for technology and science

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hager M Elsayed, Master degree

CONTACT

+201118602016; Hager.elsherif@hotmail.com

Hend H Mohamed, Doctoral degree

CONTACT

+201226827307; Hendhamdy110@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant lecturer basic science department of faculty of physical therapy modern university for technology and science

Study Record Dates

• First Submitted: September 18, 2024
• First Posted: September 23, 2024
• Study Start: October 28, 2024
• Primary Completion: February 28, 2025
• Study Completion: February 28, 2025
• Last Updated: September 23, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

EG (2)