Foot and Lower Extremity Exercises in Adolescents With Pes Planovalgus

Study Overview
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Brief Summary
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The study aims to determine and compare the effects of 8-week intrinsic foot muscle-strengthening exercises and lower extremity strengthening exercises in adolescents with pes planovalgus.

Official Title
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Comparison of the Effects of Foot and Lower Extremity Strengthening Exercises in Adolescents With Pes Planovalgus

Conditions
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Flat Foot

Intervention / Treatment
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* Other: Foot exercise
* Other: Lower Extremity Exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between the 12-18 years, Foot posture index-6 score > 6, Navicular drop test value > 1 cm, Body mass index between 18.5 - 25 kg/m2, Children with flexible pes planovalgus Exclusion Criteria: Presence of any pathology that prevents participation in exercises Diagnosis of any neurological, psychological, or metabolic disease History of orthopedic surgery Use of insoles in the last 1 year Leg length discrepancy and scoliosis

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Foot Exercise Group (FEG)<br> | Other: Foot exercise<br>* This group will engage in an 8-week foot intrinsic strengthening training<br>|
| Active Comparator: Lower Extremity Exercise Group (LEEG)<br> | Other: Lower Extremity Exercise<br>* This group will engage in an 8-week lower extremity strengthening training<br>|
| No Intervention: Control Group (CG)<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Foot posture assesment | Foot Posture Index 6 and navicular drop will be used for assesing the foot pronation. | Pre-intervention assesment and after 8-week | 
| Foot muscle strentgh assesment | Toe muscle strength will be assessed through the utilization of a handheld dynamometer. | Pre-intervention assesment and after 8-week | 
| Performance and dynamic balance assesment | Front jump test and star excursion balance test will be performed by participants. | Pre-intervention assesment and after 8-week | 
| 3D gait analysis | The kinetic/kinematic analysis of the foot and the lower extremity will be conducted using a motion capture system, specifically employing the Oxford Foot Model and the Plug-in Gait Model. | Pre-intervention assesment and after 8-week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional assesment | The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) will be utilized for function-related aspect. | Pre-intervention assesment and after 8-week | 
| Quality of life assesment | Pediatric Quality of Life Inventory (PedsQL) will be utilized for the assessment of participants' quality of life status. | Pre-intervention assesment and after 8-week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exercise, foot posture, foot kinematic