Clinical trial NCT03151538: Effects on Pes Planus Exercise Training Mixed With Play on Pre-school Children
Official title: Assessment Effects on Pes Planus and Femoral Anteversion Angle of Exercise Training Mixed With Play on Pre-school Children
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pes Planus
Flat Foot
Femoral Anteversion
Keywords: Pedography
Exercise
Play Training
Pes Planus
Femoral Anteversion
Lead sponsor: Inonu University
Sponsor class: OTHER
First posted: 2017-05-12
Enrollment: 90
Sex: ALL
Minimum age (years): 4
Maximum age (years): 7
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Experimental, Randomized Controlled Study
Primary purpose: TREATMENT

Brief 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.

Eligibility criteria: Inclusion Criteria:

* Children in an age range of 4-7 years,
* Having bilateral or unilateral deformity with pes planus
* CSI range \> % 62.7 measured by the referring physical therapist.
* Having no any foot surgeon,
* Without any neurological diseases,
* Who want to be involved voluntary work,
* Pre-school students who have been informed by their families(their families approved illuminated affirmation ).

Exclusion Criteria:

* Pre-school students who can not adapt to training,
* Students who do not want to be involved in voluntary work.

Primary outcomes:
measure: Foot print with pedography (%). Change from pes planus at 6 week.
timeFrame: 6 weeks
Secondary outcomes:
measure: Change from Angle of Quadriceps at 6 week.
timeFrame: 6 weeks
measure: Change from Valgus Index at 6 week.
timeFrame: 6 weeks
measure: Change from Navicular Drop at 6 week.
timeFrame: 6 weeks
measure: Change from Angle of subtalar joint at 6 week.
timeFrame: 6 weeks
measure: Change from Craig test at 6 week.
timeFrame: 6 weeks
measure: Change from thigh foot angle examination at 6 week.
timeFrame: 6 weeks
Other outcomes:
measure: Beighton Hypermobility Score
timeFrame: Baseline
Locations:
city: Malatya
country: Turkey
facility: Preschool of Battalgazi and Yesilyurt district
Study officials:
affiliation: Inonu University
name: Burcu TALU, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Evans AM, Rome K, Carroll M, Hawke F. Foot orthoses for treating paediatric flat feet. Cochrane Database Syst Rev. 2022 Jan 26;1(1):CD006311. doi: 10.1002/14651858.CD006311.pub4.
citation: Evans AM, Rome K, Carroll M, Hawke F. Foot orthoses for treating paediatric flat feet. Cochrane Database Syst Rev. 2022 Jan 14;1(1):CD006311. doi: 10.1002/14651858.CD006311.pub3.