Older adults with flexible flatfoot electrical stimulation, blood flow restriction, flatfoot, older, fear of falling
Conditions
Interventions
Participants will receive neuromuscular electrical stimulation (NMES) combined with short foot exercise (SFE). NMES will be delivered using biphasic symmetrical current with a pulse width of 300 micro
Experimental Device,Experimental Device
Electrical stimulation combined with short foot exercise (ES withSFE),Blood flow restriction combined with short foot exercise (BFR with SFE)
Sponsors
Burapha University, Thailand
Eligibility
Sex/Gender
All
Age
60 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Aged 60-75 years 2.Body mass index less than 30 kg/m2 3. Diagnosed with flexible flatfoot using the Tip Toe Test and Navicular Drop Test based on the method described by Brody (1982), with a navicular drop greater than 10 mm
Exclusion criteria
Exclusion criteria: 1. Foot or ankle pain, or neurological disorders within the past 6 months 2. Unstable or uncontrolled cardiovascular conditions, such as heart failure, recent myocardial infarction, or stroke within the past 6 months 3. Uncontrolled hypertension, defined as systolic blood pressure greater than or equal to 160 mmHg or diastolic blood pressure greater than or equal to 100 mmHg 4. Peripheral arterial disease, thrombophlebitis, or history of thrombosis 5. Inability to communicate or follow instructions 6. Contraindications to electrical stimulation, such as having a pacemaker or open wounds at the electrode placement site 7. History of falls 8. Use of assistive walking devices 9. Regular exercise more than 3 times per week and cessation of exercise less than 4 weeks prior to participation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Navicular drop (ND) test Baseline, 4 weeks, and 8 weeks Measured in millimeters as the difference in navicular height between non-weight-bearing (sitting in subtalar neutral) and weight-bearing (relaxed standing) positions.,Cross-section area Baseline, 4 weeks, and 8 weeks ultrasound imaging ,%MVIC of abductor hallucis Baseline, 4 weeks, and 8 weeks Surface electromyography (EMG) | — |
Secondary
| Measure | Time frame |
|---|---|
| Timed Up and Go test (TUG) Baseline, 4 weeks, and 8 weeks Timing,Visual sway biofeedback Baseline, 4 weeks, and 8 weeks Peak weight shift measured using a biofeedback system,,Five Times Sit to Stand test Baseline, 4 weeks, and 8 weeks Timing,Falls Efficacy Scale International Baseline, 4 weeks, and 8 weeks Scores,Berg Balance Scale Baseline, 4 weeks, and 8 weeks Scores | — |
Countries
Thailand
Contacts
Public ContactJUNTIP NAMSAWANG
Burapha University
Outcome results
None listed