Asymptomatic flexible flatfoot Asymptomatic flexible flatfoot, short foot exercise combined with lower extremity muscle training, dynamic foot and lower extremity function
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. A navicular drop test exceeding 10 mm on one side (unilateral flexible flatfoot) 2. No history of symptoms of pain, discomfort, or fatigue around the medial border of the foot, and ankle on the flexible flatfoot in the last 6 months by subjective examination.
Exclusion criteria
Exclusion criteria: 1. Body mass index of more than 30 kg/m2. 2. Leg length discrepancy greater than 10 mm. 3. Having a musculoskeletal injury at the lower extremity and lumbar area in the last 6 months that affect the changes of weight-bearing on the foot and gait pattern such as severe ankle sprain, anterior cruciate ligament rupture, meniscus tear, patellofemoral pain syndrome, plantar fasciitis, and scoliosis. 4. History of trauma or surgery on the lower extremity and lumbar area including fracture, and anterior cruciate ligament reconstruction. 5. History of neurological signs (sensory deficits or motor paralysis) at the lower extremity. 6. Receiving specific treatments within the past 6 months including the plantar intrinsic foot training (short-foot exercise and toe spread out exercise), foot orthoses, and lower limb training (squat, single-leg squat, and lunge training).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Foot kinematics during the stance phase of gait At six weeks after intervention program Time to the lowest MLA will be used to foot kinematics during the stance phase of gait using three-dimensional motion analysis. | — |
Secondary
| Measure | Time frame |
|---|---|
| Foot kinematics during the stance phase of gait At six weeks after intervention program MLA motion and MLA deformation and Calcaneal-midfoot eversion excursion angle will be investigated during the stance phase of gait using three-dimensional motion analysis.,Center of pressure excursion during the stance phase of gait At six weeks after intervention program Plantar pressure distribution analysis will be used to measured the plantar of pressure excursion index on the plantar surface during the stance phase.,Lower extremity kinematics during the stance phase of gait At six weeks after intervention program Three-dimensional motion analysis will be used to measure the tibia internal rotation excursion, hip internal rotation excursion, and pelvis lateral tilt excursion angles during gait.,Intrinsic foot muscle contol At six weeks after intervention program Intrinsic foot muscle test will be used to assess the ability to functionally control the navicular position on a one-leg stance. ,Static foot posture At six weeks after intervention program Navicular drop test will be used to measure the static foot posture. | — |
Countries
Thailand
Contacts
Faculty of Physical Therapy, Mahidol University