Foot Posture and Balance in Children With Flexible Flatfeet: Effects of Mud-walk
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: mud-walk.
- Who it may be relevant to
- Registry conditions: Flexible Flatfoot. Basic parameters: 6 years — 11 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Effects of Mud-walk on Foot Posture and Balance in Children With Flexible Flatfeet
Overview
The study will be a quasi-experimental study with a pre-post study design. 37 children with bilateral flexible flatfeet of age 6-11 years will be recruited by non-probability convenience sampling with pre and post assessment. The navicular height, foot posture, balance and functional performance of lower limb will be assessed through Navicular Drop Test, Foot Posture Index-6, Pediatric Berg Balance Scale and Single Leg Hop Test respectively. All recruited children will receive intervention for 30 minutes a day for 3 days a week for total 6 weeks. The exercise program will include warm up phase, walk on mud and cool down phase. Data will be analyzed through SPSS version 27.0.
Detailed description
Flatfeet is one of the predominant conditions of feet in children and is characterized by absence of medial longitudinal arch. Flatfeet affect the foot posture by altering the entire biomechanics of musculoskeletal system of lower limb. It ultimately affects the balance and functional mobility in children and may have poor quality of life in adulthood. The strength training programs and uneven surfaces have been used previously for its intervention. The mud-walk provides natural resistance along with sensory feedback due to its soft, variable surface. The aim of this study is to determine effects of mud-walk on foot posture, balance and functional performance of lower limb in children with flexible flatfeet.
The study will be a quasi-experimental study with a pre-post study design. 37 children with bilateral flexible flatfeet of age 6-11 years will be recruited by non-probability convenience sampling with pre and post assessment from Presentation Convent High School and The Sanai School Sargodha. All children will be assessed for inclusion and exclusion. The navicular height, foot posture, balance and functional performance of lower limb will be assessed through Navicular Drop Test, Foot Posture Index-6, Pediatric Berg Balance Scale and Single Leg Hop Test respectively. All recruited children will receive intervention for 30 minutes a day for 3 days a week for total 6 weeks. The exercise program will include warm up phase, walk on mud and cool down phase. Data will be analyzed through SPSS version 27.0.
Interventions
- Other mud-walk
* The participants will walk on the mud within a rectangular boundary of "2 × 8 dimension" (2 feet by 8 feet) with 5 cm depth. * The exercise program will have 3 phases: warm up, walk on mud and cool down. * The warm up phase will consist of stretching of the hamstring muscles using the static technique. The main exercise phase will consist of 20 minutes of walk on mud in four manners with each manner for 5 minutes: 1. forward walk 2. back ward walk 3. sideways walk 4. S-shaped or figure-eight
Primary outcome measures
- Foot Posture Index-6 (FPI-6) [Time frame: Baseline and 6th week]
- Navicular Drop Test (NDT) [Time frame: Baseline and 6th week]
- Pediatric Berg Balance Scale (PBBS) [Time frame: Baseline and 6th week]
Secondary outcome measures (1)
- Single Leg Hop Test [Time frame: Baseline and 6th week]
Eligibility criteria
Inclusion criteria
- Children with bilateral flexible flat feet
- Children aged 6-11 years
- Children who are not involved in any other trial
- FPI-6 score >6
Exclusion criteria
- Children with rigid flatfeet
- Prior foot or ankle surgery
- Pain in lower extremities
- Overweight or obese
- Any other foot deformities
- Any neurological or neuromuscular disorder
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Other
Study locations
Pakistan · 1 center
- Imran Amjad — Lahore
Publications
- Markowicz M, Skrobot W, Labuc A, Poszytek P, Orlikowska A, Perzanowska E, Krasowska K, Drewek K, Kaczor JJ. The Rehabilitation Program Improves Balance Control in Children with Excessive Body Weight and Flat Feet by Activating the Intrinsic Muscles of the Foot: A Preliminary Study. J Clin Med. 2023 May 9;12(10):3364. doi: 10.3390/jcm12103364. PMID 37240471
Identifiers
NCT: NCT07244172 · REC/RCR&AHS/SAMANMAQBOOL