TF and MFR on Calf Muscles in Patients With Pes Planus

NCT06707844 | Completed

• 1 other identifier: REC/MS-PT/02019 Arfa Zafar
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Pes planus, commonly known as flat feet, is a condition characterized by a reduced or absent arch in the foot, which often leads to pain and functional limitations. This study aims to evaluate the effectiveness of two therapeutic interventions-tissue flossing and myofascial release-in improving balance, arch height, and range of motion (ROM) in patients with flexible flatfoot. The research will be conducted at the Margalla Rehabilitation Center over a duration of six months, involving a total of 44 participants divided into two equal groups. One group will receive tissue flossing as the intervention, while the other group will undergo myofascial release. Participants will be selected using non-probability convenience sampling. Eligible individuals will be adults aged 18-25 years with flexible pes planus and limited ankle dorsiflexion. The study seeks to provide valuable insights into the comparative effectiveness of these interventions for managing symptoms associated with flat feet. Data was be analyzed through SPSS version 25.

Conditions

Pes Planus

Keywords

tissue flossing; Flatfeet; myofascial release; balance; arch height; range of motion

Outcome Measures

Primary Outcomes (1)

• Numeric Pain Rating Scale (NPRS)

  This tool will be used to assess pain intensity, at baseline, 2nd week and 3rd week post treatment

  3 weeks

Secondary Outcomes (4)

• Digital Goniometer

  3 weeks

• Brody's Navicular Drop Test

  3 weeks

• Single-Leg Stance Test

  3 weeks

• Y-Balance test

  3 weeks

Study Arms (2)

Tissue flossing

EXPERIMENTAL

* Tissue flossing involves wrapping a latex band around the calf muscles with 50-75% elongation, followed by active ankle movements (dorsiflexion, plantarflexion, circles, heel raises). * Protocol: 4 sets of 8 repetitions, 10-second rest between sets * Performed twice weekly for 3 weeks. Conventional Treatment

Other: Conventional treatment; Other: Tissue flossing

Myofascial release

ACTIVE COMPARATOR

* Myofascial release is a manual therapy applying sustained pressure on the calf muscles to release fascial restrictions. * Protocol: 3 sets of 2-minute pressure applications with a 1-minute break between sets * Performed twice weekly for 3 weeks Conventional Treatment

Other: Conventional treatment; Other: Myofascial release

Interventions

Conventional treatment OTHER

Conventional treatment will include: * Stretching exercises (5Reps with 15sec hold): Gastrocnemius-soleus stretch, TA stretch. * Strengthening exercises (5Sets, 5Reps, 5sec hold): Weight-bearing lunges, Short-foot exercise. * Maitland mobilization Grade 2 \& 3 (3 Sets, 20Reps) at Talonavicular joint.

Myofascial release; Tissue flossing

Myofascial release OTHER

* Myofascial release is a manual therapy applying sustained pressure on the calf muscles to release fascial restrictions. * Protocol: 3 sets of 2-minute pressure applications with a 1-minute break between sets * Performed twice weekly for 3 weeks

Myofascial release

Tissue flossing OTHER

Tissue flossing involves wrapping a latex band around the calf muscles with 50-75% elongation, followed by active ankle movements (dorsiflexion, plantarflexion, circles, heel raises). Protocol: 4 sets of 8 repetitions, 10-second rest between sets Performed twice weekly for 3 weeks.

Tissue flossing

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 18-25 years.
• Having normal BMI ranging from 18.5 to 24.9 kg/m²
• Having flexible flat feet, defined as a navicular drop test value of ≥10 mm
• Must have pain in the calf muscles or ankle joint, with a NPRS score of ≥3
• Must have limited ankle dorsiflexion ROM, defined as ≤10° of dorsiflexion

You may not qualify if:

• Patients with rigid flatfoot
• History of ankle or calf muscle injury or surgery within the last 6 months
• Individuals with latex allergy
• Individuals having any lumbo-pelvic, hip, knee and ankle pathologies such as fractures, dislocations, degenerative diseases etc.
• Any neurological disease
• Pregnant females
• Individuals with BMI greater than or equal to 25.0 kg/m²
• Ongoing use of medications such as muscle relaxants or anti-inflammatory drugs
• Involved in athletic training

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Margalla Rehabilitation Center

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Related Publications (1)

• 1. R A, Malar A, J H, G S. The cause and frequency of PES Planus (Flat Foot) problems among young adults. Asian Journal of Medical Sciences. 2021;12(7):107-11.

  BACKGROUND

MeSH Terms

Conditions

Flatfoot

Interventions

Myofascial Release 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)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Aneela Zia, MsOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 25, 2024
• First Posted: November 27, 2024
• Study Start: January 21, 2024
• Primary Completion: August 28, 2025
• Study Completion: August 29, 2025
• Last Updated: September 3, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)