NCT07140861

Brief Summary

There is a gap of literature about the role of core stability exercises on management of flexible flatfoot, as a result this study will take a deeper look on the effect of core stability exercises on navicular height, Arch height index, balance and disability function of ankle joint in individuals with bilateral flexible flat foot.

Trial Health

57
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 23, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

August 26, 2025

Completed
6 days until next milestone

Study Start

First participant enrolled

September 1, 2025

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2026

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2026

Completed
Last Updated

November 19, 2025

Status Verified

November 1, 2025

Enrollment Period

7 months

First QC Date

July 23, 2025

Last Update Submit

November 15, 2025

Conditions

Keywords

core stability exercisesmedial longitudinal arch heightbalancebilateral flexible flat foot

Outcome Measures

Primary Outcomes (2)

  • Navicular height

    at enrollment and at the end of 6 weeks of treatment

  • Balance

    Dynamic balance will be assessed by Biodex system

    at enrollment and at the end of 6 weeks of treatment

Secondary Outcomes (2)

  • Medial longitudinal arch height

    at enrollment and at the end of 6 weeks of treatment

  • Function of ankle joint

    at enrollment and at the end of 6 weeks of treatment

Study Arms (2)

Control group

ACTIVE COMPARATOR

Control group will receive conventional treatment

Other: Conventional

Study group

EXPERIMENTAL

Study group: will receive core training protocol and conventional therapy.

Other: ConventionalOther: Experimental

Interventions

patients will receive conventional therapy that include 1. Short foot exercises 2. Towel-curl exercise 3. Heel raise exercise 4. Calf stretch

Control groupStudy group

Core stability exercises: The training programs will last 6 weeks and comprise 3 training sessions per week. Each training session lasted 30 min, starting with a brief, standardized warm-up program mainly consisting of low-intensity core strength exercises to prepare the neuromuscular system for the training loads and ending with a cool-down program (i.e., dynamic stretching). During the main part of training, research group will conduct the "big 3" exercises as described by McGill (Mcgill, 2001). These include the curl-up, side bridge, and quadruped position. In other words, every single training session consisted of frontal, dorsal, and lateral core exercises. Training intensity will be progressed and individually increased over the 6-week training program by modulating lever lengths, movement velocity

Study group

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Participants of both genders with bilateral flexible flatfoot.
  • Their age ranges from 18 to 39 years.
  • All Participants with a navicular drop (ND) greater than 10 mm.
  • Body mass index from 18.5-25 kg/m2

You may not qualify if:

  • Traumatic condition of the lower limbs.
  • History of Fracture of the lower limbs.
  • previous orthopedic disorders or neurologic deficit of the lower limbs.
  • Previous surgery of the lower limbs.
  • Any sensory problems.
  • Leg length discrepancy.
  • Neuromuscular disease like multiple scelerosis.
  • Unilateral flexible flat foot.
  • Rigid flat foot.
  • Any lumbar spine problems

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Physical therapy College - Cairo university

Cairo, Egypt

RECRUITING

Physical Therapy faculty, Cairo University

Cairo, Egypt

RECRUITING

MeSH Terms

Conditions

Flatfoot

Interventions

Congresses as Topic

Condition Hierarchy (Ancestors)

TalipesFoot Deformities, AcquiredFoot DeformitiesMusculoskeletal DiseasesFoot Deformities, CongenitalLower Extremity Deformities, CongenitalLimb Deformities, CongenitalMusculoskeletal AbnormalitiesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

OrganizationsHealth Care Economics and Organizations

Study Officials

  • Magda Gaid Professor of physical therapy - Cairo University

    Department of Basic sciences for physical therapy, Faculty of Physical Therapy , Cairo university, Cairo, Egypt

    STUDY DIRECTOR
  • Ahmed Abdou, Assistant lecturer

    Department of Basic sciences for physical therapy, Faculty of Physical Therapy , Cairo university, Cairo, Egypt

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Doaa Rafat Assistant professor of physical therapy - Cairo university, Assistant professor

CONTACT

Mohamed Elgendy Professor of physical therapy - Cairo university

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant professor of physical therapy

Study Record Dates

First Submitted

July 23, 2025

First Posted

August 26, 2025

Study Start

September 1, 2025

Primary Completion

April 1, 2026

Study Completion

May 1, 2026

Last Updated

November 19, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Locations