Flatfoot. Flat foot [pes planus] (acquired)
Conditions
Interventions
Intervention 1: The intervention group employs a full-length insole with an medial longitudinal arch support and a fascia bar. These insoles are custom-made and consist of two components: the heel sec
Sponsors
Esfahan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 60 years History of symptoms consistent with plantar fasciitis for less than 6 months (acute phase) Presence of pain in the medial aspect of the heel Greater pain intensity upon first steps in the morning (first-step pain) A minimum pain intensity of 30 mm on a 100-mm Visual Analog Scale (VAS) during the past week Ability to use foot orthoses for at least 6 hours per day Positive Jack’s test: the appearance of the medial longitudinal arch during hallux dorsiflexion in a standing position, indicating arch flexibility Foot Posture Index (FPI) = +6: the sum of scores from six criteria assessing foot posture in a standing position; a score = +6 indicates a pronated or flexible foot Navicular Drop Test (NDT) = 10 mm: the difference in navicular height between sitting and standing positions; a value greater than 10 mm indicates medial longitudinal arch collapse
Exclusion criteria
Exclusion criteria: Use of foot orthoses, physiotherapy, or injections in the foot or ankle within the past 3 months History of lower limb surgery or planned surgery within the next 12 months Allergy to orthotic materials Cognitive impairment Medical history of diabetes mellitus (type I or II), inflammatory joint diseases, or neuromuscular disorders Pregnancy at the time of the study Presence of foot deformities History of foot or ankle fractures Body Mass Index (BMI) greater than 30 kg/m²
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Intensity Score. Timepoint: Before receiving the insoles, immediately after receiving the insoles, and four weeks after receiving the insoles. Method of measurement: Visual Analogue Scale.;Foot Function Score. Timepoint: Before receiving the insoles and four weeks after receiving the insoles. Method of measurement: Foot Function Index questionnaire.;Quality of Life Score. Timepoint: Before receiving the insoles and four weeks after receiving the insoles. Method of measurement: Orthotics and Prosthetics Users’ Survey – Satisfaction Module questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSaina Khatibi
Esfahan University of Medical Sciences
Outcome results
None listed