Effect of Intrinsic foot muscle strengthening versus Conventional Exercises on Plantar Pressure During Walking in Asymptomatic College Students with Flexible Flat Feet: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Plantar Pressure distribution while walking.
研究概览
简要总结
Need of Study:
Flexible flat feet are common in asymptomatic college students and may cause altered biomechanics and discomfort. While intrinsic foot muscle strengthening is a common intervention its effect on plantar pressure distribution during walking remains unclear. This study aims to examine whether strengthening these muscles influences plantar pressure in individuals with flexible flat feet potentially guiding effective strategies to improve foot mechanics and overall foot health.
Brief:
The human foot is a highly complex structure vital for weight bearing, balance, walking and running, and its evolution distinguishes humans from other animals. Flat feet defined by a reduced medial longitudinal arch are common and often asymptomatic but can lead to problems such as plantar fasciitis and metatarsalgia. Their global prevalence is about 13.6 percentage i.e 12.8 percentage in males and 14.4 percentage in females with variations across regions 20 percentage in the U.S. 5 percentage in Saudi Arabia, and between 25 to 40 percentage in Indonesian populations. Among individuals aged 18 to 25 years around 20 to 30 percentage have flat feet. Strengthening the intrinsic foot muscles helps maintain the integrity of the medial longitudinal arch and prevents pronation related injuries.
The IFMs are the primary stabilizers of the medial longitudinal arch and contribute to posture, gait and proportional weight distribution. Flat foot causes biomechanical alterations that shift the body’s center of gravity and strain joints of the spine, hip, knee and lower leg leading to postural and stride issues. Short Foot Exercises are effective in strengthening the IFMs restoring the medial longitudinal arch improving posture and enhancing stability through increased sensory input from the foot. Janda and VaVrova demonstrated that SFEs activate the intrinsic muscles to elevate and shorten the arch thereby improving body position and balance. Although evidence supports the role of IFM strengthening further high quality studies are needed to confirm its effectiveness in adults with flat feet.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 25.00 Year(s)（—）
- 性别
- All
入选标准
- •1 College students aged 18-25 year.
- •2 Students with Flexible flat feet.
- •3 Asymptomatic, with no history of foot pain or related musculoskeletal issues.
- •4 Students with Navicular Drop test positive.
- •5 Willing to participate in the study and adhere to the exercise regimen.
排除标准
- •1 Individual having congenital anomalies in Lower limb.
- •3 Limb Length discrepancy of more than 1.5cm.
- •4 Presence of Corn or Calluses in foot.
- •• Use of any custom orthotic or specialized foot wear that may influence plantar pressure distribution.
结局指标
主要结局
Plantar Pressure distribution while walking.
时间窗: 1.Baseline | 2.6weeks
次要结局
未报告次要终点
研究者
Durvesh Gurap
Parul Institute of Physiotherapy