Clinical trial NCT05320003: Assessment of Balance in Patients With Pes Planus
Official title: Assessment of Balance in Patients With Pes Planus Aged 50-65, Clinically and With Static Posturography
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Pes Planus
Fall Risk
Keywords: Pes planus
Ink foot analysis
Pedobarography
Computed posturography
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2022-04-11
Enrollment: 40
Sex: ALL
Minimum age (years): 50
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: DIAGNOSTIC

Brief summary: Introduction: Pes planus is a foot deformity with increased contact of the foot with the ground as a result of the decrease or disappearance of the medial longitudinal arch of the foot. The arch of the foot creates an adaptive and flexible support for the whole body, and biomechanical changes in the foot can affect the whole body posture and balance. The results of the studies evaluating balance and plantar pressure analysis in adults with pes planus seem contradictory. The aim of this study is to evaluate fall risk and plantar pressure in adults with pes planus aged 50 -65 years

Detailed description: Materials and Methods: 34 cases with pes planus will be included in the study. Medial longitudinal arch height of all cases will be evaluated by physical examination . Affected foot, presence of "too many toes" sign will be observed. With the fingertip rise test, it will be checked whether the pes planus is flexible or rigid.

Inky foot analysis and plantar pressure analysis will be performed in cases. Chippaux-Smirak index and Staheli arch index of all cases will be evaluated for the diagnosis of pes planus.The risk of falling will be calculated by evaluation of the balance with clinically and with posturography.

Results: Statistical analyzes in the study will be made with the NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) package program.

In addition to descriptive statistical methods (mean, standard deviation) in the evaluation of the data, the distribution of the variables will be examined with the Shapiro - Wilk normality test, one-way analysis of variance in the comparison of the normally distributed variables, Tukey multiple comparison test in the comparison of subgroups, independent t test in the comparison of the paired groups, Chi-square test will be used in comparisons of qualitative data. Results will be evaluated at the level of significance p\<0.05.

Discussion: The results will be discussed according to the recent literature. In the literature, there are conflicting results about the balance and gait of adults with pes planus. In several studies in the literature, it has been found that the risk of falling is increased in elderly individuals with pes planus. The study can contribute to the literature in this perspective.

Eligibility criteria: Inclusion Criteria:

* Patients aged 50 years and above with pes planus according to Staheli Arch Index and Chippaux- Smirak Index

Exclusion Criteria:

* Congenital anomalies of the foot
* Prior lower extremity surgery Inflammatory arthritis
* Neuromuscular diseases
* Diseases that interfere with lower extremity circulation
* Presence of orthostatic hypotension
* Untreated visual impairment
* Neurological and vestibular diseases
* Use of drugs that can cause balance disorders (Antipsychotics, Pregabalin, etc.)

Primary outcomes:
measure: Fall risk
timeFrame: 10 minutes
measure: Fall risc
timeFrame: 5 minutes
Secondary outcomes:
measure: Plantar Pressure Analysis
timeFrame: 10 minutes
Other outcomes:
Locations:
Study officials:
affiliation: Istanbul University - Cerrahpasa
name: Shahla Alimadatli
role: PRINCIPAL_INVESTIGATOR
References:
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