Effectiveness of Manuel Therapy Methods in Pes Planus

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-20

Study Completion Date

2026-03-15

Brief Summary

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The aim of this study is to compare the immediate effects of joint-oriented manual therapy and soft tissue-oriented manual therapy on dorsiflexion angle, static and dynamic balance, muscle-tendon mechanical properties, and thermal variables in physically active individuals with flexible pes planus. The research will be conducted between November 2025 and January 2026 at Hacettepe University, Faculty of Physical Therapy and Rehabilitation. Individuals aged 18-35 years with a Tegner Activity Score between 4 and 6 will be included. Participants will be allocated into three groups: soft tissue-oriented manual therapy group, joint-oriented manual therapy group, and healthy control group. Following randomization, the respective intervention will be applied to the intervention groups, while no intervention will be administered to the control group. Assessments will include the dorsiflexion range of motion (weight-bearing lunge test), myotonometric measurements (Myoton-Pro), static balance (Kinvent force platform), dynamic balance (Y-balance test), and thermographic imaging (FLIR E52). The outcomes of this study are expected to contribute to understanding the immediate effectiveness of manual therapy approaches applied in asymptomatic pes planus and to identify the method providing optimal benefit. Furthermore, the differences observed between individuals with pes planus and healthy controls will serve as a guide for clinical assessments of pes planus.

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Detailed Description

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Conditions

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Pes Planus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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control

healthy control group without intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

joint mobilization group

subtalar and midtarsal joint mobilization in patients with flexible pes planus

Group Type EXPERIMENTAL

joint mobilization

Intervention Type OTHER

subtalar and midtarsal joint mobilization

myofascial release group

calf and plantar fascia release in patients with flexible pes planus

Group Type EXPERIMENTAL

myofascial release

Intervention Type OTHER

calf and plantar fascia release

Interventions

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joint mobilization

subtalar and midtarsal joint mobilization

Intervention Type OTHER

myofascial release

calf and plantar fascia release

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Navicular Drop Test ≥ 10 mm
* Foot Posture Index (FPI) \> 6
* Tegner Activity Scale score between 4 and 6 (inclusive)
* Age between 18 and 35 years

* Age between 18 and 35 years
* Navicular Drop Test \< 10 mm
* Foot Posture Index (FPI) between 0 and 6 (inclusive)
* Tegner Activity Scale score between 4 and 6 (inclusive)

Exclusion Criteria

* Diagnosis of posterior tibial tendinopathy by an orthopedic surgeon
* Presence of plantar fasciitis or moderate/severe hallux valgus
* History of lower extremity surgery or trauma
* Presence of neurological, metabolic, or other musculoskeletal disorders that may affect gait or balance performance
* Receipt of any treatment for pes planus within the past year
* Body mass index (BMI) greater than 30 kg/m²
* Regular participation in sports activities

* Presence of plantar fasciitis or moderate/severe hallux valgus
* Presence of pes cavus deformity
* History of lower extremity surgery or trauma
* Presence of neurological, metabolic, or other musculoskeletal disorders that may affect gait or balance performance
* Body mass index (BMI) greater than 30 kg/m²
* Participation in professional-level sports activities

Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes