Flexible Flatfoot. Congenital pes planus
Conditions
Interventions
Intervention 1: Intervention group (Local Foot Exercises):Participants in this group perform local intrinsic foot muscle exercises (short foot exercises). The program is designed to activate and stren
Sponsors
Payame Noor University
Eligibility
Sex/Gender
All
Age
9 Years to 14 Years
Inclusion criteria
Inclusion criteria: Age range of 9–14 years Bilateral flexible flatfoot Foot Posture Index (FPI) score between 6 and 12 No medical contraindication to participate in corrective exercises
Exclusion criteria
Exclusion criteria: Congenital anomalies or structural deformities of the lower extremities or spine History of Neuromuscular disorders History of lower limb surgery Use of foot orthoses or corrective orthopedic devices Presence of active pain or discomfort in the lower extremities at baseline Voluntary participation and completion of written informed consent by a parent or legal guardian
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medial longitudinal arch height, defined by navicular drop, represents the change in the height of the navicular tuberosity between non–weight-bearing and weight-bearing conditions. This outcome reflects morphological characteristics of the foot and is widely used to assess the severity of flexible flatfoot and to evaluate the effects of corrective exercise interventions. Timepoint: Before the start of the intervention, at the end of week six of the intervention, and at the end of week twelve of the intervention. Method of measurement: Medial longitudinal arch height will be assessed using the navicular drop test. In this method, the difference in the height of the navicular tuberosity between non–weight-bearing and weight-bearing conditions is calculated. The non–weight-bearing measurement is performed in a seated position with the subtalar joint placed in a neutral position. The weight-bearing measurement is then conducted in a single-leg standing position. The difference between the two measurements, recorded in millimeters, represents the navicular drop.;The Arch Height Index (AHI) is a quantitative measure used to assess the morphological characteristics of the medial longitudinal arch of the foot. The index is calculated by dividing the dorsal arch height measured at 50% of total foot length by the truncated foot length (heel to the first metatarsophalangeal joint) under weight-bearing conditions. Lower AHI values, typically below 0.31, are commonly associated with flexible flatfoot in children and adolescents. Timepoint: Before the start of the intervention, at the end of week six of the intervention, and at the end of week twelve of the intervention. Method of measurement: To measure the AHI, total foot length is defined as the distance from the most posterior point of the calcaneus to the tip of the longest toe, and truncated foot length as the distance from the calcaneus to the first metatarsophalangeal joint. Dorsal arch height is measured vertically at 5 | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAfshin Moghadasi
Payame Noor University
Outcome results
None listed