Comparison of Navicular Mobilization and Rigid Tape in Pes Planus

NCT ID: NCT05354180

Last Updated: 2023-02-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-04-01
• Study Completion Date: 2023-02-05

Brief Summary

Pes planus, sometimes known as flat feet, is one of these disorders and is characterized by a collapsed medial longitudinal arch, hindfoot eversion, and forefoot abduction. Pes planus is a musculoskeletal condition that causes hip, knee, and foot discomfort. According to a descriptive cross-sectional survey, 17% of school-aged children, 64% men and 34% females have flat foot deformity. Talonavicular joint is responsible for translating inversion and eversion movements of the foot. Mobilization of the Talonavicular joint helps in the improvement of joint dysfunction caused by inappropriate or bad posture via the proprioceptors.

Rigid tape also known as low dye tape is defined as non-elastic zinc oxide tape used by physical therapists to stabilize a joint and limit movement. The conventional rigid tape is frequently used with non-contractile tissue, which then acts similarly to a ligament to limit joint mobility and prevent joints from moving into dangerous or end range positions.

Detailed Description

Foot disorders are very frequent in elder adults, with some illnesses having a prevalence of up to 65 percent. Foot diseases and accompanying symptoms have been linked to a variety of negative health outcomes, including falls and functional restrictions. The biomechanics of many foot problems, however, are yet unknown. Foot biomechanics during functional activities, such as walking could play a role in the onset and progression of foot problems.

Pes planus, sometimes known as flat feet, is one of these disorders and is characterized by a collapsed medial longitudinal arch, hindfoot eversion, and forefoot abduction. Pes planus is a musculoskeletal condition that causes hip, knee, and foot discomfort.

Pes planus is a common deformity that affects newborns and children and normally goes away by the time they reach puberty. After that, the incidence tends to drop with age, with just 4% of children having flatfoot by the age of ten. This backs up the assumption that flatfoot in children normally resolves on its own throughout the first ten years of life.

Pes planus is divided into two types: flexible (functional) and rigid (structural).

The initial treatment of painful-but-flexible flatfoot is nonoperative. Conservative therapy techniques such as rest, icing, massage, and nonsteroidal anti inflammatory medication, should always be used initially to reduce pain in symptomatic flexible and rigid flatfeet. Physical therapy plan which includes electrotherapy, Achilles' tendon stretching , strengthening of calf muscles, intrinsic muscles of the foot, and navicular mobilization are used as treatment options.

Talo-navicular joint is responsible for translating inversion and eversion movements of the foot. Mobilization of the talo-navicular joint helps in the improvement of joint dysfunction caused by inappropriate or bad posture via the proprioceptors.

Rigid tape also known as low dye tape(18) is defined as non-elastic zinc oxide tape used by physical therapists to stabilize a joint and limit movement. The conventional rigid tape is frequently used with non-contractile tissue, which then acts similarly to a ligament to limit joint mobility and prevent joints from moving into dangerous or end range positions.

Conditions

Pes Planus

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

navicular mobilization

Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week

Group Type: EXPERIMENTAL

navicular mobilization

Intervention Type: OTHER

Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week

rigid tapping

A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.

Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.

Group Type: EXPERIMENTAL

rigid tapping

Intervention Type: OTHER

A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.

Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.

Navicular Mobilization and Rigid Taping|

Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week.

A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.

Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.

Group Type: EXPERIMENTAL

Navicular Mobilization and Rigid Taping

Intervention Type: OTHER

Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week.

A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.

Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.

Interventions

navicular mobilization

Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week

Intervention Type: OTHER

rigid tapping

A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.

Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.

Intervention Type: OTHER

Navicular Mobilization and Rigid Taping

Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week.

A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.

Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Children with neuromuscular disorders level I, II and III according to gross motor function classification system
• Positive Navicular Drop (navicular drop test) less than ≥ 10 mm

Exclusion Criteria

• Other deformities of foot.
• Overweight and obesity.
• Any recent lower limb injury in past 6 months.
• Any fracture in last 6 months.
• Taken any pain killer injection..
• Any recent lower limb surgery in past 6 months.
• Myopathies

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Maria Khalid, MSOMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Zobia School for special children

Mirpur, KPK, Pakistan

Countries

Pakistan

Other Identifiers

REC -01256 Samra Ismail

Identifier Type: -

Identifier Source: org_study_id