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This study aims to compare the effects of hip-based and knee-based exercise interventions on medial longitudinal arch height, dynamic balance, and lower limb muscle strength in individuals with flexible flat feet. Participants will be randomly assigned to two groups: one receiving hip-focused strengthening and stretching exercises, and the other receiving knee-focused exercises, while both groups will perform a common set of foot intrinsic exercises. The intervention will be conducted over 6 weeks. Outcomes will be measured pre- and post- intervention and in the middle of intervention to determine which approach is more effective in improving foot stability and functional performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: Hip-based Exercise with hot pack and intrinsic foot strengthening exercises | Experimental |
| |
| Group B: Knee-based exercises with a hot pack and intrinsic foot strengthening exercises | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hip-based Exercise with hot pack and intrinsic foot strengthening exercises | Procedure | Baseline: Hot pack will be applied to the calf muscle for 5-10 minutes. Then the calf muscles will be stretched with 5 repetitions. Treatment: Clamshell exercises with 4 progressions with 5-10 repetitions and iliopsoas stretching with 3 repetitions per session. |
| Measure | Description | Time Frame |
|---|---|---|
| Lower extremity muscle strength | Digital handheld dynamometer will be used to evaluate improvement in muscular performance associated with each intervention. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Medial longitudinal arch height and dynamic balance. | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dr Izza Ayub; PT Assistant Professor | Contact | 0330 1980690 | drizzaayub@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Madinah Teaching Hospital | Recruiting | Faisalābad | Punjab Province | Pakistan |
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| Knee-based exercises with a hot pack and intrinsic foot strengthening exercises | Procedure | Baseline: Hot pack will be applied to the calf muscle for 5-10 minutes. Then the calf muscles will be stretched with 5 repetitions. Treatment: Knee isometrics with 5-1o repetitions along with hamstring stretching 3 repetitions per session. |
|
| ID | Term |
|---|---|
| D005413 | Flatfoot |
| ID | Term |
|---|---|
| D000070558 | Talipes |
| D005531 | Foot Deformities, Acquired |
| D005530 | Foot Deformities |
| D009140 | Musculoskeletal Diseases |
| 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 |
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