nctId: NCT06313125 id: E-77082166-302.08.01-796166 briefTitle: Comparison of Exercise Effects in Individuals With Flatfoot overallStatus: RECRUITING date: 2024-04-21 date: 2024-05-31 date: 2024-08-31 date: 2024-03-15 date: 2024-03-15 name: Mustafa Kemal University class: OTHER briefSummary: Flexible flatfoot deformity, also known as flexible pes planus, is a common pathological condition characterized by decreased medial longitudinal arch height, eversion of the calcaneus and abduction of the forefoot, especially during loading. Conservative treatments are generally considered as the first step in treatment. In conservative treatments, exercise methods are one of the most frequently used interventions. It has been reported that exercise can improve functional outcomes such as navicular drop, plantar pressure distribution, foot posture, balance, and muscle strength in adults with flexible flatfoot. Although it is known that intrinsic muscle strengthening exercises are a frequently used intervention method in foot pathologies, there is a deficiency in the literature regarding studies investigating the effect of the combination of the most basic foot intrinsic muscle strengthening exercises with different exercise interventions on targeted clinical gains. However, the effect of three-dimensional foot-ankle exercise on flat feet is unknown. Additionally, there are a limited number of studies in the literature investigating the effects of hip abductor and external rotator muscle strength training on foot posture in individuals with flat feet. The aim of this thesis study, planned in the light of this information, is to determine the effects of three-dimensional foot-ankle extension exercises and hip abductor-external rotator muscle strengthening exercise primarily on navicular drop and MLA height in individuals with flexible flat feet; Secondly, it is to examine and compare the effects of static foot posture, hip abductor/external rotator, ankle circumference and intrinsic muscle strength on the functional performance of the lower extremity (endurance, dynamic balance and single leg forward jumping performance). To our knowledge, this study will be the first randomized controlled study to examine and compare the effects of two different exercise interventions that exercise the proximal and distal regions in flatfoot rehabilitation, and the results obtained will contribute to the development of better exercise and treatment programs in this population. In individuals with flat feet, when hip abductor/external rotator strengthening exercises or 3D foot-ankle extension exercises in the PNF pattern are added to short-foot exercise, MLA structure, muscle strength and lower extremity function will be improved more, and when these exercises are combined with short-foot exercise, they are comparable to intrinsic muscle strengthening exercises alone. The investigators hypothesized that it would produce superior clinical results. conditions: Flat Foot [Pes Planus] (Acquired), Unspecified Foot studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL interventionModelDescription: There will be three groups in the study. Short-foot exercise for the control group; short-foot and 3-dimensional foot-ankle exercise for the foot-ankle group; short-foot and clam exercise will be applied for the hip group. primaryPurpose: TREATMENT masking: DOUBLE maskingDescription: The evaluator researcher and participants will be blinded to group allocation. whoMasked: PARTICIPANT whoMasked: OUTCOMES_ASSESSOR count: 60 type: ESTIMATED name: 3-dimensional foot-ankle extension exercises name: Clam exercise name: Short-foot exercise measure: Medial longitudinal arch height-Navicular Drop Test measure: Static foot posture-Foot Posture Index-6 measure: Foot structure-Photopodometric analysis measure: Recording demographic and clinical information on the evaluation form sex: ALL minimumAge: 18 Years maximumAge: 50 Years stdAges: ADULT facility: Gazi University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation status: RECRUITING city: Ankara state: Çankaya zip: 06540 country: Turkey name: Dilek Ha Esen, PhD. c. role: CONTACT phone: +90533 815 23 71 email: dilekhandeesen@gmail.com name: Nihan Kafa, Prof. role: CONTACT email: fztnihankafa@gmail.com lat: 39.91987 lon: 32.85427 hasResults: False