Plyometric vs. Intrinsic Foot Muscle Training in Pediatric Flatfoot
Plyometric-First Versus Intrinsic Foot Muscle-First Training in Children With Flexible Flatfoot: Effects on Plantar Loading and Athletic Performance
Plyometric-First Versus Intrinsic Foot Muscle-First Training in Children With Flexible Flatfoot: Effects on Plantar Loading and Athletic Performance
Sponsor study identifier
interventional
36
1 country
1
Study Start
November 15, 2025
Actual (reported)Primary Completion
January 26, 2026
Actual (reported)Study Completion
May 15, 2026
Actual (reported)The purpose of this study is to investigate how the order of exercises in a training program affects foot mechanics and physical performance in children with flexible flatfoot. Flexible flatfoot is common in children and can affect how weight is distributed on the foot, balance, and athletic abilities. While both foot-strengthening exercises and jump training (plyometrics) are helpful, it is not known which one should be done first to get the best results. In this study, thirty-six young male football players with flexible flatfoot were divided into three groups. The first group performed jump training followed by foot muscle strengthening. The second group did the foot muscle strengthening first, followed by jump training. The third group served as a control group and did not change their usual training. The researchers measured changes in foot pressure, balance, jumping height, muscle force, and sprint speed before and after the training to find out which exercise order is most effective for improving athletic performance and foot loading.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
May 15, 2026
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
November 15, 2025
Actual (reported)January 26, 2026
Actual (reported)May 15, 2026
Actual (reported)October 13, 2026
Actual (reported)October 20, 2026
Actual (reported)Peak Plantar Pressure
Static and dynamic peak plantar pressure assessed using baropodometric analysis to evaluate changes in plantar loading.
Baseline (before the intervention) and post-intervention (after 8 weeks of training).
Postural Balance Tracking
Baseline (before the intervention) and post-intervention (after 8 weeks of training).
Countermovement Jump (CMJ) Height
Baseline (before the intervention) and post-intervention (after 8 weeks of training).
Eccentric Rate of Force Development (RFD)
Baseline (before the intervention) and post-intervention (after 8 weeks of training).
20-Meter Sprint Time
Baseline (before the intervention) and post-intervention (after 8 weeks of training).
Pediatric football players with flexible flatfoot who undergo a combined training program consisting of 4 weeks of plyometric training (Phase 1) followed by 4 weeks of intrinsic foot muscle strengthening (Phase 2), performed 3 times per week for a total of 8 weeks.
A separate group of pediatric football players with flexible flatfoot who undergo the inverse sequence: 4 weeks of intrinsic foot muscle strengthening (Phase 1) followed by 4 weeks of plyometric training (Phase 2), performed 3 times per week for a total of 8 weeks.
Jump and plyometric exercises performed 3 times per week for a total duration of 4 weeks. This intervention is implemented during Phase 1 for Group P1-R2 and during Phase 2 for Group R1-P2.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Research Laboratory (LR19ES09), Exercise Physiology and Pathophysiology, Faculty of Medicine of Sousse, University of Sousse
Sousse, 4002, Tunisia
Mounir Landolsi, PhD
Faculty of Medecice of Sousse, University of Sousse
36 participants (actual enrollment reported by the registry).
The Effect of Insoles on Functional Performance in Pediatric Flexible Flatfoot
A third separate group of pediatric football players with flexible flatfoot who maintain their habitual football training schedule without participating in any specific plyometric or foot muscle strengthening protocols during the 8-week study period.
Contact the study team to confirm eligibility.
First Submitted
October 13, 2026
First Posted
October 20, 2026
Study Start
November 15, 2025
Actual (reported)Primary Completion
January 26, 2026
Actual (reported)Study Completion
May 15, 2026
Actual (reported)Last Updated
October 20, 2026
Record last verified: 2025-11
Individual participant data will not be shared outside of the research team to maintain participant confidentiality, as explicit consent for public data repository sharing was not obtained from the legal guardians at the time of enrollment.
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Source: ClinicalTrials.gov.
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