Immediate Effects of Kinesio Taping and Manual Release in Young Adults With Pes Planus

Not Applicable

• Conditions: Pes Planus
• Interventions: Other: Manual Release; Other: Kinesio Taping

• Registration Number: NCT05296850
• Lead Sponsor: Ankara Yildirim Beyazıt University

Brief Summary

Pes planus is a postural deformity seen with decreased medial longitudinal arch (MLA) height and this causes intense stress on the plantar fascia. Pes planus may affect individuals' activities of daily living, their productivity in occupational environments, and the risk of injury and performance in sports; It has also been reported that it may cause different musculoskeletal diseases such as plantar fasciitis, medial tibial stress syndrome, patellofemoral disorders and back pain in the future. Many clinical methods are used as a treatment for pes planus and most treatments involve supporting an overstretched plantar fascia and weakened MLA. The aim of the study is to investigate the immediate effects of kinesio taping and manual release on lower extremity performance in young adults with pes planus.

Detailed Description

This study is a randomized controlled trial, will be carried out on volunteer individuals with pes planus aged between 18-25, studying at Ankara Yıldırım Beyazıt University. Evaluation of parameters and inclusion criteria, kinesio taping and manual release applications will be made by the 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, Group 1 \[Manual Release (MR)\] and Group 2 \[Kinesio Taping (KT)\]. A simple randomization method will be used with opaque sealed envelopes containing "1" or "2". Group allocation will be performed by an independent therapist, not involved in the study. All individuals will be evaluated with timed up-and-go test, heel rise test, 10-meter walking test, and functional reach test before and after the intervention. Manual release will be applied to group 1 after the evaluation and the evaluations will be repeated immediately the end of the application. Kinesio taping will be applied to group 2 after the evaluation and the evaluations will be repeated 45 minutes after the end of the application.

Study Timeline

• Study Start: 2022-02-16
• Study First Submitted: 2022-03-07
• Study First Submitted QC: 2022-03-16
• Study First Posted: 2022-03-25
• Status Verified: 2022-04
• Last Update Submitted: 2022-04-06
• Last Update Posted: 2022-04-07
• Primary Completion: 2022-04-16
• Study Completion: 2022-04-16

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Individuals who volunteer to participate in the study
• Individuals with bilateral pes planus
• Individuals who have not had any ankle injury in the last 6 months

Exclusion Criteria

• Individuals with severe visual and hearing impairment
• Individuals with congenital shortness or deformity in their lower extremities
• Individuals who have had any lower extremity surgery
• Individuals with hallux valgus, hallux rigidus, or calcaneal epine
• Individuals with any musculoskeletal problem other than pes planus and systemic, neurological problems
• Individuals with chronic ankle instability
• Individuals who have had problems walking for the last 6 months
• Individuals who have received treatment for pes planus in the last 6 months and use insoles

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Manual release group	Manual Release	Manual release will perform with plantar fascia and flexor hallucis longus stretching and tissue mobilization. Stretching/mobilization will applied for approximately 3 minutes.
Kinesio taping group	Kinesio Taping	Two techniques will be used in kinesio taping application; first technique is the gastrocnemius muscle inhibition technique and the plantar fascia ligament correction technique and other technique is the transverse arch ligament correction technique.

Primary Outcome Measures

Name	Time	Method
Timed up and go test (TUG)	Change from baseline at immediately after one-session treatment	The timed up and go test is used to assess functional mobility. The test involves getting up from a standard chair without armrests, walking around a cone 3 m in front of the chair, and returning to the original sitting position as quickly as possible without running. The test is started with the researcher's verbal "go" instruction and the time to complete the test is recorded. After a familiarization attempt, three recorded exercises are performed with one-minute rest intervals. The fastest of three attempts is saved.

Secondary Outcome Measures

Name	Time	Method
Heel rise test (HRT)	Change from baseline at immediately after one-session treatment	The endurance of the gastro-soleus muscle complex is evaluated with the heel rise test. The number of toe-ups in one minute is determined when the knees of the subjects are in extension. The results are recorded as the number of repetitions.
Functional reach test (FUT)	Change from baseline at immediately after one-session treatment	Balance is assessed with the functional reach test. In the application of the test, the individual is asked to keep his feet open and close to a parallel shoulder-width wall. The individual have a measuring stick attached to the wall at shoulder level. The individual is asked to punch his hand and flex his shoulder 90 degrees without touching the wall, and bring the third metacarpal finger joint of his hand to the starting point of the measuring stick.The individual is guided to reach as far as possible without taking a step, without lifting his heels, without bending his knees, and the end point is recorded. The difference between the starting position and the ending position is measured in cm. The test is repeated three times and the average of the three measurements is recorded.
10 meter walk test, walking speed	Change from baseline at immediately after one-session treatment	Walking speed is evaluated with the 10 meter walking test. The test is performed at a comfortable walking pace on a 10 m walk, 14 m walkway for the start (2 m) and finish (2 m). Measurements are repeated 3 times and the average time is recorded in seconds.
10 meter walk test, cadence	Change from baseline at immediately after one-session treatment	Cadence is evaluated with the 10 meter walking test. The test is performed at a comfortable walking pace on a 10 m walk, 14 m walkway for the start (2 m) and finish (2 m). During the 10-meter walk, the number of steps is recorded.

Trial Locations

Locations (1)

Ankara Yıldırım Beyazıt University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation; 🇹🇷 Ankara, Turkey