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There is a gap of literature about the role of core stability exercises on management of flexible flatfoot, as a result this study will take a deeper look on the effect of core stability exercises on navicular height, Arch height index, balance and disability function of ankle joint in individuals with bilateral flexible flat foot.
It was proved that Individuals with flexible flat foot have reduced core stability. Thus, core stability must be assessed while treating individuals with flexible flat foot and interventions that address core stability must be included in the treatment of flexible flat foot . It was demonstrated that there was a poorer balance in individual with bilateral flexible flat foot. Therefore, it is recommended to add balance training exercises to traditional physical therapy program in cases of flatfoot patients .
40 Participants of both genders with bilateral flexible flatfoot. will be assigned randomly into 2 equal groups: Group A (control group): will receive conventional therapy. Group B (Experimental group): will receive core training protocol and conventional therapy. Subjects will receive 3 sessions per week for 6 weeks.
Outcome measures:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Active Comparator | Control group will receive conventional treatment |
|
| Study group | Experimental | Study group: will receive core training protocol and conventional therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional | Other | patients will receive conventional therapy that include
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Navicular height | at enrollment and at the end of 6 weeks of treatment | |
| Balance | Dynamic balance will be assessed by Biodex system | at enrollment and at the end of 6 weeks of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Medial longitudinal arch height | at enrollment and at the end of 6 weeks of treatment | |
| Function of ankle joint | Function of ankle joint will be assessed by Arabic version of foot function index scale. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Doaa Rafat Assistant professor of physical therapy - Cairo university, Assistant professor | Contact | 201005591580 | doaa.rafat@pt.cu.edu.eg | |
| Mohamed Elgendy Professor of physical therapy - Cairo university | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Magda Gaid Professor of physical therapy - Cairo University | Department of Basic sciences for physical therapy, Faculty of Physical Therapy , Cairo university, Cairo, Egypt | Study Director |
| Ahmed Abdou, Assistant lecturer | Department of Basic sciences for physical therapy, Faculty of Physical Therapy , Cairo university, Cairo, Egypt |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Physical therapy College - Cairo university | Recruiting | Cairo | Egypt |
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| ID | Term |
|---|---|
| D005413 | Flatfoot |
| ID | Term |
|---|---|
| D000070558 | Talipes |
| D005531 | Foot Deformities, Acquired |
| D005530 | Foot Deformities |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D003226 | Congresses as Topic |
| ID | Term |
|---|---|
| D009938 | Organizations |
| D004472 | Health Care Economics and Organizations |
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| Experimental | Other | Core stability exercises: The training programs will last 6 weeks and comprise 3 training sessions per week. Each training session lasted 30 min, starting with a brief, standardized warm-up program mainly consisting of low-intensity core strength exercises to prepare the neuromuscular system for the training loads and ending with a cool-down program (i.e., dynamic stretching). During the main part of training, research group will conduct the "big 3" exercises as described by McGill (Mcgill, 2001). These include the curl-up, side bridge, and quadruped position. In other words, every single training session consisted of frontal, dorsal, and lateral core exercises. Training intensity will be progressed and individually increased over the 6-week training program by modulating lever lengths, movement velocity |
|
| at enrollment and at the end of 6 weeks of treatment |
| Principal Investigator |
| Physical Therapy faculty, Cairo University | Recruiting | Cairo | Egypt |
|
| D005532 |
| Foot Deformities, Congenital |
| D038061 | Lower Extremity Deformities, Congenital |
| D017880 | Limb Deformities, Congenital |
| D009139 | Musculoskeletal Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |