Analysing The Effects of Different Foot Arch Heights on The Leg Muscle Tone and Balance in Young Adults.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Lower Extremity Muscle Tone
研究概览
简要总结
The goal of this observational study is to explore how the shape of the foot arch affects muscle tone, strength, and balance in healthy young adults aged 18-25, of all genders.
The main questions it aims to answer are:
- Does foot postures as Pes Planus, Pes Cavus, and Normal arch has significant effect on static and dynamic balance performance, lower limb muscle tone, or muscle strength in young adults?
- What is the functional impact of foot posture on stability, movement efficiency, and injury risk?
Participants will be grouped based on foot arch type: flat (pes planus), high (pes cavus), or normal using Arch Height Index (AHI).
The investigators will compare groups to see if differences in foot arch affect postural stability, muscle tone, and strength. Participants will:
- Complete a sociodemographic questionnaire (Age, gender, physical activity level, dominant leg, and footwear habits), and anthropometric measurements (Height, weight, and BMI).
- Undergo static balance test for both legs:
Single Leg Stance, counting the errors made in 30 seconds for 3 trials.
- Undergo dynamic balance tests for both legs: Star Excursion Balance Test (SEBT) by reaching in 8 directions while balancing on one foot, and Single-Leg Hop for Distance by hopping forward on one leg.
- Have muscle tone and stiffness assessed using the MyotonPRO device on specified lower limb muscles.
- Have muscle strength measured using a handheld dynamometer (MicroFET2) across major specified leg muscles.
People have different types of foot arches. Some have flat feet (pes planus), some have high arches (pes cavus), and others have normal arches. These variations affect how the body aligns during movement and balance. Flat feet may cause inward rolling (overpronation), fatigue, and pain. High arches may cause stiffness, poor shock absorption, and a higher risk of ankle injuries.
Both arch types can reduce postural control and increase the risk of imbalance. Since lower body muscles are critical for maintaining posture, weak or poorly coordinated muscles can worsen these effects. However, no previous study has comprehensively explored the combination of foot arch structure, muscle tone, muscle strength, and both static and dynamic balance. This study aims to fill that gap.
The results may help healthcare professionals develop better screening and treatment strategies, such as exercise programs, rehabilitation approaches, and shoe recommendations for individuals with flat or high arches. By understanding these factors, the investigators can improve movement efficiency, prevent injuries, and support better quality of life.
All participants will be informed of the study procedures and will provide both written and verbal consent. The study will be conducted in compliance with ethical standards.
详细描述
Foot posture abnormalities due to high or low arches, such as pes planus (flatfoot) and pes cavus (high-arched foot), significantly impact daily activities, particularly among young adults engaged in prolonged standing, walking, or physical activities. Pes planus is commonly associated with ligamentous laxity, muscle weakness, or genetic predisposition, leading to diminished medial, lateral, and transverse arches, resulting in excessive pronation, instability, and compromised shock absorption. This has been linked to knee pain and altered lower extremity alignment, and individuals with pes planus often experience foot pain, fatigue, and reduced physical performance.
Conversely, pes cavus is characterized by an exaggerated medial and lateral arch and diminished transverse arch, often linked to neuromuscular disorders, tight plantar fascia, or congenital factors. This condition leads to reduced shock absorption and uneven weight distribution, increasing the risk of recurrent ankle sprains, calluses, and metatarsalgia. Individuals with pes cavus frequently encounter discomfort during weight-bearing tasks and difficulties maintaining balance, which can hinder participation in physical and social activities.
Pes planus is linked to excessive pronation, while pes cavus is associated with excessive supination and rigidity, limiting adaptive responses to uneven surfaces. Both conditions have been associated with deficits in static and dynamic balance due to altered foot and lower limb alignment, leading to postural instability and increased sway during quiet standing and movement tasks. These balance deficits highlight the need for comprehensive assessments to identify individuals at greater risk of mobility impairments.
Lower extremity muscle tone plays a critical role in postural stability and overall functional movement, contributing to joint stabilization, shock absorption, and postural control during both static and dynamic activities. Individuals with lower muscle tone and stiffness have been shown to exhibit greater postural sway, indicating reduced postural control. Myotonometry provides reliable, repeatable, and non-invasive measurement of muscle tone, stiffness, and elasticity. Muscle strength and power also play a crucial role in foot function, balance, and postural stability by providing the necessary force for efficient movement and weight-bearing. Deficiencies in muscle power can lead to compensatory movement patterns that increase the risk of falls and injuries, particularly in individuals with foot posture abnormalities.
Prior research has examined dynamic balance, static balance, and muscle tone across different foot arch types separately, but no study has integrated foot posture, static and dynamic balance, muscle tone, and muscle strength within a single framework. This study addresses that gap by evaluating these factors together to provide a more comprehensive understanding of how foot posture abnormalities influence postural stability across genders.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 25 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged 18-25 years old-
- •Not diagnosed with other medical conditions, fractures, or deformities
- •No prior foot or lower limb surgeries affecting musculoskeletal health
- •Wears sport shoes majority of the time
排除标准
- •Neurological Disorders: Conditions affecting balance or muscle tone
- •Balance Disorders like vestibular or inner ear conditions
- •Women that wears high heels majority of the time
- •Men that wear stiff and hard material shoes majority of the time
研究组 & 干预措施
Pes Cavus
干预措施: Arch Height Index (Diagnostic Test)
Pes Cavus
干预措施: Foot Posture Index (Diagnostic Test)
Pes Cavus
干预措施: Single Leg Stance (Diagnostic Test)
Pes Cavus
干预措施: Star Excrusion Blance Test (SEBT) (Diagnostic Test)
Pes Cavus
干预措施: Single-Leg Hop for Distance (Diagnostic Test)
Pes Cavus
干预措施: Myometer Device (Diagnostic Test)
Pes Cavus
干预措施: Dynamometer (Diagnostic Test)
Pes Cavus
干预措施: Height (Other)
Pes Cavus
干预措施: Weight (Other)
Pes Cavus
干预措施: Body Mass Index (Other)
Pes Planus
干预措施: Arch Height Index (Diagnostic Test)
Pes Planus
干预措施: Foot Posture Index (Diagnostic Test)
Pes Planus
干预措施: Single Leg Stance (Diagnostic Test)
Pes Planus
干预措施: Star Excrusion Blance Test (SEBT) (Diagnostic Test)
Pes Planus
干预措施: Single-Leg Hop for Distance (Diagnostic Test)
Pes Planus
干预措施: Myometer Device (Diagnostic Test)
Pes Planus
干预措施: Dynamometer (Diagnostic Test)
Pes Planus
干预措施: Height (Other)
Pes Planus
干预措施: Weight (Other)
Pes Planus
干预措施: Body Mass Index (Other)
Normal Foot Arch
干预措施: Arch Height Index (Diagnostic Test)
Normal Foot Arch
干预措施: Foot Posture Index (Diagnostic Test)
Normal Foot Arch
干预措施: Single Leg Stance (Diagnostic Test)
Normal Foot Arch
干预措施: Star Excrusion Blance Test (SEBT) (Diagnostic Test)
Normal Foot Arch
干预措施: Single-Leg Hop for Distance (Diagnostic Test)
Normal Foot Arch
干预措施: Myometer Device (Diagnostic Test)
Normal Foot Arch
干预措施: Dynamometer (Diagnostic Test)
Normal Foot Arch
干预措施: Height (Other)
Normal Foot Arch
干预措施: Weight (Other)
Normal Foot Arch
干预措施: Body Mass Index (Other)
结局指标
主要结局
Lower Extremity Muscle Tone
时间窗: At baseline (single session)
Muscle tone of the lower extremity will be measured using the MyotonPRO device, which provides non-invasive assessment of muscle biomechanical properties including tone, stiffness, and elasticity. Target muscles include the quadriceps, hamstrings, tibialis anterior, gastrocnemius, and peroneus longus.
Lower Extremity Muscle Strength
时间窗: At baseline (single session)
Muscle strength will be assessed using a handheld dynamometer (MicroFET2) following Kendall's manual muscle testing positions. Participants will perform isolated maximal effort contractions for key lower limb muscles including the quadriceps, hamstrings, gastrocnemius, tibialis anterior, and toe flexors. The average value across 3 trials will be recorded in KgF.
Single Leg Stance (Static Balance)
时间窗: At baseline (single session)
The Single Leg Stance (SLS) test assesses static balance by timing how long a person can stand on one leg (in seconds) without support or losing position. Arms are kept by the sides or on the hips, the non-stance leg is lifted, and the trial ends when the lifted foot touches down, the stance foot moves, or support is needed. It is quick, low-cost, and widely used in clinical trials to quantify balance and fall risk.
Star Excursion Balance Test (Dynamic Balance)
时间窗: At baseline (single session)
The Star Excursion Balance Test is a dynamic balance assessment in where participant stands on one leg at the center of an 8-direction star and reaches as far as possible (measured in centimeters) along each line with the opposite foot while maintaining control and not shifting weight onto the reaching leg. Reach distances are usually normalized to leg length and averaged over multiple trials.
Height
时间窗: At baseline (single session)
Standing height was measured using a flexible metal measure to the nearest 0.1cm
Weight
时间窗: At baseline (single session)
Standing weight was measured using a calibrated digital scale to the nearest 0.1 kg
Body Mass Index (BMI)
时间窗: At baseline (single session)
Weight in kilograms and height in meters will be combined to report BMI in kg/m\^2.
次要结局
- Effect of Gender on the outcomes(At baseline (single session))
- Leg Symmetry Index(At baseline (single session))
