Pes Planus
Conditions
Keywords
Pes planus, Foot posture, Plantar pressure variables, Balance, Short foot exercises, Tibials posterior strengthening, Intrinsic foot muscles, Custom-made insole, Arch support insole
Brief summary
The aim is to compare the effects of intrinsic foot muscles and tibialis posterior strengthening exercise, and customized arch support insoles on foot posture, plantar force distribution, and balance in individuals with flexible pes planus.
Detailed description
The aim is to compare the effects of intrinsic foot muscles and tibialis posterior strengthening exercise, and customized arch support insoles on foot posture, plantar force distribution, and balance in individuals with flexible pes planus. Forty-two individuals with flexible pes planus will be recruited into the study according to the inclusion criteria. Participants will be randomly divided into three groups: (1) Exercise, (2) Insole, (3) Exercise plus Insole. Exercises will be performed three times per week for six weeks, also custom-made insoles will be worn for six weeks. Foot posture will be assessed using the Navicular drop, Valgus index and Foot posture index-6. Plantar force variables will be recorded by the pressure-sensitive mat (HR Mat, Tekscan, USA) mounted in the middle of the 6-meter walkway in three sessions: (1) Upright standing, (2) Walking at different speeds: self-selected slow, normal and fast speeds, (3) Walking just after the heel-rise test for endurance. Balance performance will be assessed by the Balance Master System (NeuroCom® International Inc., USA). The assessments will be made pre/post intervention and at 6-weeks follow-up.
Interventions
OTHERExercise
Intrinsic foot muscles and tibialis posterior strengthening exercises
OTHEROrthesis
Customized arch support insoles
Sponsors
Dokuz Eylul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. being between 18 and 40 years of age, 2. having Navicular drop test greater than 10 mm, 3. having Foot posture index-6 greater than or equal to 6, 4. having bilateral flexible pes planus.
Exclusion criteria
1. a lack of anatomical integrity of the foot, 2. a history of surgery or trauma in the foot region, 3. other musculoskeletal or neurological problems which may affect balance and gait performance. 4. having received any treatment for lower extremity disorders including pes planus within the last 1 year 5. having a body mass index equal to or greater than 30.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Foot posture | Change in foot posture measures from baseline to six weeks and to twelve weeks | Foot posture will be assessed using the Navicular drop, Valgus index and Foot posture index-6. |
| Balance | Change in balance scores from baseline to six weeks and to twelve weeks | Balance performance will be assessed by the Balance Master System (NeuroCom® International Inc., USA). |
| Plantar force variables | Change in plantar pressure variables from baseline to six weeks and to twelve weeks | Plantar force variables will be recorded by the pressure-sensitive mat (HR Mat, Tekscan, USA) mounted in the middle of the 6-meter walkway in three sessions: (1) Upright standing, (2) Walking at different speeds: self-selected slow, normal, and fast speeds, (3) Walking just after the heel-rise test for endurance. |
Countries
Turkey (Türkiye)
Outcome results
None listed