The Influence of myofascial techniques on functional ability in patients with painful flat feet

Material Study participants will be rectuited from Malopolska Voivodship. 60 patients will be randomized into 4 groups: 1- patients will undergo 4-weeks myofascial therapy twice a week and everyday exercise programme, 2- patients will undergo 4-weeks myofascial therapy twice a week, 3- patients will undergo 4-weeks everyday exercises programme , and 4- control group with no intervention. Method Myofascial therapy will last approximately 20 min and home exercise programme 20min. Myofascial release techniques use slow, sustained pressure, applied to restricted fascial layers to improve range of motion, decrease pain and restore function. Physiotherapist will use mainly separating of muscles compartments, anchor and stretch strokes and lifting or rolling muscle compartments These techniques will be apply on calf muscles, plantar fascia, peroneal muscles. Home exercise programme will be based on the exercises which are usually recommended for foot problems e.g. calf stretching, “short foot”, long flexors of toes strengthening. Before beginning of programme, each participants will be instructed by physiotherapist and accuracy will be checked. Duration of this exercise programme should be approximately 20 min and patients will be asked to perform it twice a day during 4-weeks.