The Influence of myofascial techniques on functional ability in patients with painful flat feet

Not Applicable

Completed

Conditions: foot pain due to flat foot
Musculoskeletal - Other muscular and skeletal disorders
Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

Registration Number: ACTRN12617000257369

Lead Sponsor: Aneta Bac

Brief Summary: Background/Introduction: Flat foot pain is a common problem which is needed to be treated. Physical therapy is a one of the main ways to manage it. Currently, the myofascial techniques are frequently used in treatment of musculoskeletal disorders. The aim of this study is assessment of myofascial techniques on functional ability of painful flat or flattened foot. Material and methods: 60 adults with painful flat or flattened foot were included to this study. They were divided into 4 groups (15 participants in each) and gone physical therapy during 4 weeks: group I – myofascial techniques and exercise program, group II – only myofascial techniques, group III – only exercise program, group IV – as a control group, no intervention. Intensity and pain locatization (VAS scale and foot schemes), measurements of ankle range of motion, rearfoot angle during standing, navicular drop test, FAOQ, examination on plantar pressure and ground reaction forces during standing and walking were used to assess the effect of therapy. Results: Data were collected and analized by suitable statistical tools. Some results were statistically significant. Conslusion: The application of myofacial techniques significantly decreased pain, increased ankle range of motion and foot ability/fitness assessed by FAOQ in participants. Some significantly changes were observed also in plantar pressure and ground reaction forces measurements. Key words: pes planus, flat foot, foot pain, myofascial techniques, adults

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 60

Inclusion Criteria

flat foot ( Clark’s angle less than 31 degree)
-presence of foot pain
-No systemic contraindications to undertake the proposed forms of therapy
-Written consent to participate in a clinical trial

Exclusion Criteria

-acute injury/ies that affected gait (less than 6 months)
-neurological, rheumatic, metabolic, orthopedic diseases

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
assessment of intensity of pain - by using VAS scale – ranged from 0 (no pain) to 10 (the worst possible)[ baseline and end of treatment (4 weeks post baseline)];Range of motion of ankle joint - active range of motion of plantar and dorsal flexion, inversion and eversion will be measured by goniometer[ baseline and end of treatment (4 weeks post baseline)];Dynamic plantar pressure – The measurements will be obtained with the use of FreeMed platform. Participants will walk in self-selected speed on the path which consists of passive panels (lengthen the path) and active panel (records data). During this plantar pressure will be collected, proceeded and analyzed.[ baseline and end of treatment (4 weeks post baseline)]

Secondary Outcome Measures

Name	Time	Method
the standing tibiocalcaneal angle (STCA) – the angle between the bisection of the lower one third of the leg and the bisection of the calcaneus will be measured by goniometer in single-leg stance.[ baseline and end of treatment (4 weeks post baseline)];navicular drop test - result of this test is a difference in navicular tuberosity height measured during bilateral and unilateral stance [ baseline and end of treatment (4 weeks post baseline)];Foot and Ankle Outcomes Questionnaire FAOQ - it’s a tool to measure patient reported treatment outcomes in the ankle and foot. It contains 25 question and result ranges from 0 to 100 points. The less points the greater functional disability of limb.[ baseline and end of treatment (4 weeks post baseline)]