Effects on Pes Planus Exercise Training Mixed With Play on Pre-school Children
Condition: Pes Planus; Flat Foot; Femoral Anteversion
MeSH terms: Flatfoot
Study type: Interventional

Summary: 
      The study was planned to assess effects on pes planus and femoral anteversion angle of
      exercise training mixed with play on pre-school children.
    

Detailed description: 
      Pes planus ( Pes planovalgus) is similar with flatfoot occurs collapse of medial longitudinal
      arch which is lower than normal range or occurs extra pressure on arch. It is separated two
      group such congenital (flexible and rigid) and acquired. The etiology of pes planus is that
      hallux rigidus, plantar calcaneonavicular ligament rupture, collapse of medial longitudinal
      arch, pathology of ligament and tendon, shortness Achilles tendon and juvenile hallux valgus.
      The most common causes of pes planus are outgroup of leg muscles (peroneal) spasticity,
      plantar fasciitis and tibial tendon insufficiency. Symptoms of pes planus are indicated heel
      pain, gait abnormalities, decreased dorsiflexion range of ankle, plantar ulceration, limited
      mobility of 1.metatarsophalangeal joint and spasm of peroneal muscle. There is a high
      prevalence rates among males and occur positive correlation between with pes planus and BMI.
      Evaluation methods of pes planus are X-ray, heel height, gait analysis and Achilles strain.
      The most commonly used method are line that medial malleolus, 1st metatarsal head and the
      navicula is on the same line, and the footprint technique from ink rubber plates. Treatment
      of pes planus is maintained medial displacement calcaneal osteotomy operation with the
      transfer of the flexor digitorum longus. Non- invasive treatment methods are given such as
      peroneal muscles and Achilles stretching exercises. 25 degree angle inverted foot orthoses
      are commonly used because of increasing stance phasic in treatment. Peroneal neural
      mobilization, play training and stretching exercises are often used treatment method of pes
      planus. Main purpose of this study is that assess effects of mixed training program with
      playing on pes planus and increased femoral anteversion angle in pre-school students.
    

Intervention name(s): Exercise Training Mixed With Play; Controlled
Intervention type(s): Behavioral; Other
Intervention description(s): To assess effects of training program which includes mixed exercises with playing.Study included 90 pre-school children who suffer from pes planus and increased femoral anteversion angle. Demographic data, navicular height, weight-bearing and non-weight bearing of subtalar joint motion, metatarsal width(weight and non-weight), range of hallux valgus,height of foot, tension of Achilles tendon, habits of W standing(hour/day), angle of Quadriceps(Q degree), angle of hip rotation were recorded . Craig Test, foot posture index, Chippaux-Smirak Index(CSI),Beighton hypermobility score, valgus index, thigh foot angle examination were used. CSI measurements were positive correlation with severity of pes planus.; First and last measurements will be done. There will be no intervention. Study will include 30 healthy pre-school children. Demographic data, navicular height, weight-bearing and non-weight bearing of subtalar joint motion, metatarsal width(weight and non-weight), range of hallux valgus,height of foot, tension of Achilles tendon, habits of W standing(hour/day), angle of Quadriceps(Q degree), angle of hip rotation were recorded . Craig Test, foot posture index, Chippaux-Smirak index(CSI),Beighton hypermobility score, valgus index, thigh foot angle examination were used.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Experimental, Randomized Controlled Study
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Pedography; Exercise; Play Training; Pes Planus; Femoral Anteversion