The Effect of Different Exercises on Lower Extremity Performance in Flexible Flatfoot

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-30

Study Completion Date

2024-09-30

Brief Summary

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In the study, the effects of two different strengthening exercises combined with short foot exercise on lower extremity functional performance and muscle strength will be examined and compared in adults aged 18-45 years with flexible flatfoot. This study was designed as an experimental, 3-arm, parallel group, double-blind randomized controlled study that included a 6-week intervention period.

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Detailed Description

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Participants will be randomly divided into 3 different groups (control group, foot-ankle exercise group, hip exercise group). The control group will be instructed to perform only short foot exercise; the foot-ankle exercise group will be instructed to perform 3-dimensional foot-ankle extension exercise in proprioceptive neuromuscular facilitation (PNF) pattern in addition to short foot exercise; the hip exercise group will be instructed to perform hip abductor and external rotator muscle strengthening exercise (clam exercise) in addition to short foot exercise. Foot-ankle and hip exercises will be performed against resistance with the help of an elastic band, 3 days a week under the supervision of a physiotherapist and progression will be made by changing to a higher level of difficulty band color every 2 weeks. Short foot exercise will be performed every day of the week (3 days under the supervision of a physiotherapist; the rest of the days as a home exercise program) and will be progressed by changing position (sitting, standing, on one leg respectively) every 2 weeks. All exercises will be performed for 6 weeks. Assessments will be performed at the beginning and end of the exercises by another researcher blinded to group allocation. Isometric muscle strength of the intrinsic foot, four-way ankle circumference and hip abductor-external rotator muscles, endurance of the plantar flexors, forward jump and dynamic balance performance will be evaluated respectively.

Conditions

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Flexible Flatfoot

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study was designed as an experimental, 3-arm parallel-group, double-blind randomized controlled trial with a 6-week intervention period.

The study will be conducted at Toros University physiotherapy and exercise laboratory.

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

The primary researcher will ensure blinding. Participants and the researcher conducting the assessments will be blinded to group information.

Study Groups

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PNF exercise group

All groups will be subjected to exercise training for 6 weeks: PNF exercise group will receive 3-dimensional (3D) foot-ankle extension exercise and short-foot exercise. The exercise will be performed 2 days a week under the supervision of a physiotherapist and 1 day as home exercise; KA exercise will be performed daily, 2 days under the supervision of a physiotherapist and the other days as home exercise.

Group Type EXPERIMENTAL

PNF exercise

Intervention Type OTHER

Ankle and foot exercises practiced for 6 weeks.

Short-foot exercise

Intervention Type OTHER

Foot exercise practiced together for 6 weeks.

Clam exercise group

All groups will be subjected to exercise training for 6 weeks: Clam exercise group will receive mussel exercise and short-foot exercise. The exercise will be performed 2 days a week under the supervision of a physiotherapist and 1 day as home exercise; KA exercise will be performed daily, 2 days under the supervision of a physiotherapist and the other days as home exercise.

Group Type EXPERIMENTAL

Clam exercise

Intervention Type OTHER

Hip exercise practiced for 6 weeks.

Short-foot exercise

Intervention Type OTHER

Foot exercise practiced together for 6 weeks.

Control group

All groups will be subjected to exercise training for 6 weeks: Control group will receive only KA exercise and this exercise will be performed daily, 2 days under the supervision of a physiotherapist and the other days as home exercise.

Group Type ACTIVE_COMPARATOR

Short-foot exercise

Intervention Type OTHER

Foot exercise practiced together for 6 weeks.

Interventions

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PNF exercise

Ankle and foot exercises practiced for 6 weeks.

Intervention Type OTHER

Clam exercise

Hip exercise practiced for 6 weeks.

Intervention Type OTHER

Short-foot exercise

Foot exercise practiced together for 6 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age range is 18-45 years
* Navicular drop is 10 mm or more
* Getting a value of +6 points or more from the Foot Posture Index-6

Exclusion Criteria

* Orthopedic and rheumatological diseases of the spinal region and lower extremities
* Surgery history of the spine and lower extremities
* Neurological and systemic disorders
* Describe lower extremity and/or lower back pain in the last 6 months
* Disorders that may affect cognition and balance (otitis media, visual impairment, etc.)
* Body mass index being above normal values (18-24.9 kg/m2)
* Having rigid flat feet and/or hallux rigidus-limitus deformity
* Being involved in regular sports or exercise
* Having received any physiotherapy or rehabilitation treatment for flat feet or hips in the last year

Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes