Comparison of Navicular Mobilization and Rigid Tape in Pes Planus
Condition: Pes Planus
MeSH terms: Flatfoot
Study type: Interventional

Summary: 
      Pes planus, sometimes known as flat feet, is one of these disorders and is characterized by a
      collapsed medial longitudinal arch, hindfoot eversion, and forefoot abduction. Pes planus is
      a musculoskeletal condition that causes hip, knee, and foot discomfort. According to a
      descriptive cross-sectional survey, 17% of school-aged children, 64% men and 34% females have
      flat foot deformity. Talonavicular joint is responsible for translating inversion and
      eversion movements of the foot. Mobilization of the Talonavicular joint helps in the
      improvement of joint dysfunction caused by inappropriate or bad posture via the
      proprioceptors.

      Rigid tape also known as low dye tape is defined as non-elastic zinc oxide tape used by
      physical therapists to stabilize a joint and limit movement. The conventional rigid tape is
      frequently used with non-contractile tissue, which then acts similarly to a ligament to limit
      joint mobility and prevent joints from moving into dangerous or end range positions.
    

Detailed description: 
      Foot disorders are very frequent in elder adults, with some illnesses having a prevalence of
      up to 65 percent. Foot diseases and accompanying symptoms have been linked to a variety of
      negative health outcomes, including falls and functional restrictions. The biomechanics of
      many foot problems, however, are yet unknown. Foot biomechanics during functional activities,
      such as walking could play a role in the onset and progression of foot problems.

      Pes planus, sometimes known as flat feet, is one of these disorders and is characterized by a
      collapsed medial longitudinal arch, hindfoot eversion, and forefoot abduction. Pes planus is
      a musculoskeletal condition that causes hip, knee, and foot discomfort.

      Pes planus is a common deformity that affects newborns and children and normally goes away by
      the time they reach puberty. After that, the incidence tends to drop with age, with just 4%
      of children having flatfoot by the age of ten. This backs up the assumption that flatfoot in
      children normally resolves on its own throughout the first ten years of life.

      Pes planus is divided into two types: flexible (functional) and rigid (structural).

      The initial treatment of painful-but-flexible flatfoot is nonoperative. Conservative therapy
      techniques such as rest, icing, massage, and nonsteroidal anti inflammatory medication,
      should always be used initially to reduce pain in symptomatic flexible and rigid flatfeet.
      Physical therapy plan which includes electrotherapy, Achilles' tendon stretching ,
      strengthening of calf muscles, intrinsic muscles of the foot, and navicular mobilization are
      used as treatment options.

      Talo-navicular joint is responsible for translating inversion and eversion movements of the
      foot. Mobilization of the talo-navicular joint helps in the improvement of joint dysfunction
      caused by inappropriate or bad posture via the proprioceptors.

      Rigid tape also known as low dye tape(18) is defined as non-elastic zinc oxide tape used by
      physical therapists to stabilize a joint and limit movement. The conventional rigid tape is
      frequently used with non-contractile tissue, which then acts similarly to a ligament to limit
      joint mobility and prevent joints from moving into dangerous or end range positions.
    

Intervention name(s): navicular mobilization; rigid tapping; Navicular Mobilization and Rigid Taping
Intervention type(s): Other; Other; Other
Intervention description(s): Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week; A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.
Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.; Plantar glide combined with rotation of navicular bone against the talus The glide will be given in 20 repetitions of 3 sets, for 5 days a week.
A non-elastic zinc oxide sports tape will be applied to patients. Patient will be advised to protect the tape from getting wet.
Tape will be changed on every 3rd day (48 hours) on Wednesday and Friday.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: pain; navicular mobilization; rigid tape; tibial torsion