Foot Core Training in Individuals With Pes Planus

NCT ID: NCT04734899

Last Updated: 2021-02-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2021-08-01

Brief Summary

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Foot core training is very important for the intrinsic muscles of the foot, but it is often neglected in exercise programs given to individuals with pes planus. The aim of our study is to reveal the effects of foot core training, which will be added to the exercise program routinely given to individuals with asymptomatic flexible pes planus, on walking, muscular activations, balance and lower extremity functional performance with objective, evidence based results.

Detailed Description

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This study is a randomized controlled study and will be carried out on volunteer individuals with asymptomatic flexible pes planus aged between 18-25, studying at Alanya Alaaddin Keykubat University. Persons meeting the inclusion criteria will be determined by the specialist physiotherapist. Surface electromyography (sEMG) measurements will be made by a doctorate physiotherapist. Other evaluations will be made by a specialist physiotherapist. Individuals who meet the inclusion criteria, who volunteered to participate in the study and signed the consent sheet will be randomly divided into two groups, the control group and the foot core group. Individuals with initial evaluations will be followed up in an exercise program planned for 8 weeks. The control group will be given exercises to strengthen the weakened muscles, stretch the shortened structures and increase proprioception. Foot core training will be given to the study group in addition to the exercises given to the control group. Before and after exercise, the subjects will be assessed with navicular height measurement, muscle activation evaluation, evaluation of walking parameters, functional lower extremity performance evaluation and balance evaluation.

Conditions

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Pes Planus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A randomized controlled trial: Two parallel treatment groups; The control group will only receive exercise therapy, while the other group will receive foot core training in addition to exercise therapy
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control grup

All individuals participating in the study will be taught the exercises given to strengthen weakened muscles, stretch shortened structures and increase proprioception by the physiotherapist and will be asked to do these exercises at least twice a day for 8 weeks.

The home program will be followed by the exercise daily form.

Group Type ACTIVE_COMPARATOR

Exercise program

Intervention Type OTHER

Strengthening with resistance bands for tibialis posterior, tibialis anterior, peroneus longus, finger flexors, hip and knee muscles, sheet gathering exercises, fingertip walking exercises, Stretching exercises for gastrocnemius and soleus muscles, plantar fascia stretching, weight transfer on one leg

Foot core grup

In addition to the exercise program given to the control group, foot core training will be added and taught by the physiotherapist and they will be asked to do these exercises at least twice a day for 8 weeks.

Group Type EXPERIMENTAL

Exercise program

Intervention Type OTHER

Strengthening with resistance bands for tibialis posterior, tibialis anterior, peroneus longus, finger flexors, hip and knee muscles, sheet gathering exercises, fingertip walking exercises, Stretching exercises for gastrocnemius and soleus muscles, plantar fascia stretching, weight transfer on one leg

Foot core training

Intervention Type OTHER

Short foot exercises with passive modeling, active assisted modeling, active modeling, functional training

Interventions

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Exercise program

Strengthening with resistance bands for tibialis posterior, tibialis anterior, peroneus longus, finger flexors, hip and knee muscles, sheet gathering exercises, fingertip walking exercises, Stretching exercises for gastrocnemius and soleus muscles, plantar fascia stretching, weight transfer on one leg

Intervention Type OTHER

Foot core training

Short foot exercises with passive modeling, active assisted modeling, active modeling, functional training

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Individuals who volunteer to participate in the study
* Individuals between the ages of 18-25
* Individuals with a body mass index between 18.5-30.
* Individuals with a difference of 10 mm or more between weighted and unweighted measurements by applying the navicular drop test
* Individuals who are considered to have flexible pes planus with a positive Jack's finger lift test

Exclusion Criteria

* Individuals with symptoms such as any pain in the foot and ankle, fatigue.
* Individuals with any neurological or orthopedic disease affecting the lower extremity.
* Individuals with a history of foot-ankle trauma-surgery
* Individuals with lower extremity inequality of more than 1 centimeter (cm)
Minimum Eligible Age

18 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ankara Yildirim Beyazıt University

OTHER

Sponsor Role lead

Responsible Party

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Ertuğrul Demirdel

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ertuğrul Demirdel, PhD

Role: PRINCIPAL_INVESTIGATOR

Ankara Yildirim Beyazıt University

Locations

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Ankara Yıldırım Beyazıt University

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Jung DY, Koh EK, Kwon OY. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. J Back Musculoskelet Rehabil. 2011;24(4):225-31. doi: 10.3233/BMR-2011-0299.

Reference Type BACKGROUND
PMID: 22142711 (View on PubMed)

McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med. 2015 Mar;49(5):290. doi: 10.1136/bjsports-2013-092690. Epub 2014 Mar 21.

Reference Type BACKGROUND
PMID: 24659509 (View on PubMed)

Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther. 2013 Oct;18(5):425-30. doi: 10.1016/j.math.2013.02.007. Epub 2013 Apr 28.

Reference Type BACKGROUND
PMID: 23632367 (View on PubMed)

Kim EK, Kim JS. The effects of short foot exercises and arch support insoles on improvement in the medial longitudinal arch and dynamic balance of flexible flatfoot patients. J Phys Ther Sci. 2016 Nov;28(11):3136-3139. doi: 10.1589/jpts.28.3136. Epub 2016 Nov 29.

Reference Type BACKGROUND
PMID: 27942135 (View on PubMed)

Glatthorn JF, Gouge S, Nussbaumer S, Stauffacher S, Impellizzeri FM, Maffiuletti NA. Validity and reliability of Optojump photoelectric cells for estimating vertical jump height. J Strength Cond Res. 2011 Feb;25(2):556-60. doi: 10.1519/JSC.0b013e3181ccb18d.

Reference Type BACKGROUND
PMID: 20647944 (View on PubMed)

Other Identifiers

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2020/15-04

Identifier Type: -

Identifier Source: org_study_id

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