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IRCT20240126060810N1 IRCT 2024-04-06 Tehran University of Medical Sciences Effects of Intrinsic foot muscle strengthening on flexible flat feet Effects of Intrinsic foot muscle(IFM) exercises on static and dynamic balance , Ankle dorsi flexion Range Of Motion(ROM) & performance of adolescent soccer players with flexible flat feet 2024-01-21 anticipated 44 Complete https://irct.ir/trial/75384 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The first physiotherapy assistant will divide people into intervention and control group using sealed envelope method. 44 envelopes(22 being number 1 and 22 being number 2) with numbers 1 & 2(one of them being intervention and the other being control group) are used which only the second physiotherapist(the main therapist) knows.Before being chosen by the patients , the order of the envelopes will be changed numerously and after they have chosen the envelope , its number will be recorded. The background information form is completed by the participant after randomization with the help of the first physiotherapist, Blinding description: In this study the person(Physiotherapist assistant) which randomizes participants and does the testings is blind. The way to conduct the tests and randomization process will be taught to assistant without telling them about the way to interpretate them. They just write the numbers. Participants will also be blind by the way of concealed envelope. N/A Flexible Flat Foot. Intervention 1: Intervention group: IFM exercises for 6 weeks The first week :Towel curl exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first and fifth metatarsals tries to curl towels) The second week : The Big toe extension exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first metatarsal and the fifth metatarsal tries to lift the big toe while the rest of the toes are on the ground and not bent) The third week : The second to fifth metatarsal extension exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, The first metatarsal and the fifth metatarsal tries to lift the second to fifth toes, while the big toe rests on the ground and does not bend. The fourth week : Toe Spread Out exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first metatarsal And the fifth metatarsal tries to lift all the toes together and first places the big toe, then the fifth toe, and then the fourth, third and second toes respectively, while an abductor component is applied to the toes.(tries to open fingers) The fifth week : Short Foot exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first metatarsal and The fifth metatarsal tries to bring the first and fifth metatarsals closer to the heel and increases the arch of the foot. The sixth week : Vele's Forward lean exercise (in this exercise, the person stands and tries to push himself forward without lifting the heel as far as he can with straight knees and hands by the side of the body. After completing this exercise, tries to walk backwards in Tandem position). Intervention 2: Control group: Non bio mechanic function of ankle exercises for 6 weeks These exercises include plantar and dorsiflexion of the metatarsophalangeal joint in the Unloaded position (sitting) with the knee bent at 90 degrees. The control group performs these exercises for 6 weeks. The control group will do these exercises 5 times a day, hold the movement for 30 seconds each time and rest for 10 seconds and do 10 repetitions and then do the next exercise. In order to comply with ethical principles, the control group will benefit from the exercises of the intervention group after the completion of the research project. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No further detail
public Poorya Rouhidel
No. 5 , 1st Golestan Street , Shahrak Shid Mahallati Town , Mini city District
Tehran Iran (Islamic Republic of) 1955754691 +98 21 2246 4265 pooryarouhidel@yahoo.com Tehran University of Medical Sciences scientific Poorya Rouhidel
No. 5 , 1st Golestan Street , Shahid Mahallati Town , Mini city District
Tehran Iran (Islamic Republic of) 1955754691 +98 21 2246 4265 pooryarouhidel@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Adolescent football players from different football clubs that are professional according to Early sport specialization 10-19 years of age More than +6 FPI(Foot Posture Index) 10 years 19 years Male No acute injury , fracture or surgery of the lower extremity in the past 3 months No history of foot or lower leg pathology and gait disturbances in the past 6 months No neurological or vestibular disease Treatment - Other Treatment - Other Intervention group: IFM exercises for 6 weeks The first week :Towel curl exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first and fifth metatarsals tries to curl towels) The second week : The Big toe extension exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first metatarsal and the fifth metatarsal tries to lift the big toe while the rest of the toes are on the ground and not bent) The third week : The second to fifth metatarsal extension exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, The first metatarsal and the fifth metatarsal tries to lift the second to fifth toes, while the big toe rests on the ground and does not bend. The fourth week : Toe Spread Out exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first metatarsal And the fifth metatarsal tries to lift all the toes together and first places the big toe, then the fifth toe, and then the fourth, third and second toes respectively, while an abductor component is applied to the toes.(tries to open fingers) The fifth week : Short Foot exercise (in this exercise, the person sits and the knee is bent at 90 degrees, bends slightly forward and puts the weight of the hand on the knee to load the ankle joint. Then, without lifting the heel, the first metatarsal and The fifth metatarsal tries to bring the first and fifth metatarsals closer to the heel and increases the arch of the foot. The sixth week : Vele's Forward lean exercise (in this exercise, the person stands and tries to push himself forward without lifting the heel as far as he can with straight knees and hands by the side of the body. After completing this exercise, tries to walk backwards in Tandem position) Control group: Non bio mechanic function of ankle exercises for 6 weeks These exercises include plantar and dorsiflexion of the metatarsophalangeal joint in the Unloaded position (sitting) with the knee bent at 90 degrees. The control group performs these exercises for 6 weeks. The control group will do these exercises 5 times a day, hold the movement for 30 seconds each time and rest for 10 seconds and do 10 repetitions and then do the next exercise. In order to comply with ethical principles, the control group will benefit from the exercises of the intervention group after the completion of the research project. Reaching distance in modified star balance test in three directions anterior, posterior medial and posterior lateral. Timepoint: Before intervention , 3rd week , 6th week. Method of measurement: Tape measure. Number of errors in the balance error scoring system. Timepoint: Before intervention , 3rd week , 6th week. Method of measurement: Balance Error Scoring System. Lateral hop test score. Timepoint: Before intervention , 3rd week , 6th week. Method of measurement: Digital watch. Ankle dorsiflexion range of motion. Timepoint: Before intervention , 3rd week , 6th week. Method of measurement: Goniometer. Tehran University of Medical Sciences Approved 1998-07-14 Ethics committee of Tehran University of Medical Sciences No. 5 , first Golestan street , Shahid Mahallati town , Minicity district Tehran Tehran Iran (Islamic Republic of)