The Relationship Between Pes Planus, Diaphragm, Postural Control, and Plantar Pressure

Alanya Alaaddin Keykubat University

Status: Enrolling

Conditions: Diaphragm Issues; Pes Planus; Postural Control; Plantar Pressure

Treatments: Diagnostic Test: Determination of Foot Deformity Level; Diagnostic Test: NeuruCom Balance Master Balnce and Performans Test; Diagnostic Test: Plantar Pressure Assessment; Diagnostic Test: Foot Function Index; Diagnostic Test: UFAA-International Physical Activity Questionnaire; Diagnostic Test: Diaphragm ultrasound measurements

Study type: Interventional

Funder types: Other

Identifiers

NCT06491212

8880-GOA

Details and patient eligibility

About

Our primary aim is to compare diaphragm function (resting thickness, activity/resting thickness ratio indicating contractility), postural control, and plantar pressure between individuals with pes planus and healthy controls without pes planus.

Full description

Pes planus deformity, by causing pronation during standing, affects the biomechanics of the lower extremities. Improper foot positioning can lead to changes in load distribution under the sole, and consequently, abnormal tensions in the soft tissues of the feet can spread to the upper body parts through the myofascial system. In light of all this information, our primary aim is to examine the diaphragm function and thickness in individuals with pes planus deformity and healthy individuals, and to investigate the relationship between diaphragm thickness and balance. Additionally, our secondary aim is to evaluate the relationship between pes planus, diaphragm thickness, and balance.

Enrollment: 34 estimated patients

Sex: All

Ages: 18 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Inclusion criteria for individuals with Pes Planus Deformity

• Willing to participate in the study voluntarily
• Having a Navicular drop test value of 10mm or above
• Being between the ages of 18-30
• Having the physical capacity to perform assessments and tests
• Having a body mass index of 18-25 kg/m²

Exclusion criteria

• Exclusion criteria for individuals with Pes Planus Deformity:
• Termination of voluntariness
• Those with rigid flatfoot, pes cavus, hallux valgus, hallux rigidus, or calcaneal spur deformity
• Those with chronic systematic and metabolic diseases (e.g., diabetes mellitus, rheumatoid arthritis, etc.) and musculoskeletal problems (e.g., pes planus) that may affect foot functions and gait
• Those with any surgical history likely to affect balance, lower extremity strength, and postural control
• Those with any visual/vestibular, musculoskeletal, or neurological problems"

Inclusion criteria for healthy participants:

• Willing to participate in the study voluntarily
• Being between the ages of 18-30
• Having the physical capacity to perform assessments and tests
• Having a body mass index of 18-25 kg/m²
• Having the ideal height of the medial longitudinal arch of the foot (not having pes planus)

Exclusion criteria for healthy participants:

• Termination of voluntariness
• Those with chronic systematic and metabolic diseases (e.g., diabetes mellitus, rheumatoid arthritis, etc.) and musculoskeletal problems (e.g., pes planus) that may affect foot functions and gait
• Those with any surgical history likely to affect balance, lower extremity strength, and postural control
• Those with any visual/vestibular, musculoskeletal, or neurological problems"

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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34 participants in 2 patient groups

People with pes planus

Experimental group

Description:

Individuals with pes planus that we identified according to the inclusion criteria will be evaluated in this group.

Treatment:

Diagnostic Test: Diaphragm ultrasound measurements

Diagnostic Test: UFAA-International Physical Activity Questionnaire

Diagnostic Test: Plantar Pressure Assessment

Diagnostic Test: Foot Function Index

Diagnostic Test: NeuruCom Balance Master Balnce and Performans Test

Diagnostic Test: Determination of Foot Deformity Level

Healthy People

Active Comparator group

Description:

Volunteer individuals without pes planus who meet the inclusion criteria will be evaluated for comparison in this group

Treatment:

Diagnostic Test: Diaphragm ultrasound measurements

Diagnostic Test: UFAA-International Physical Activity Questionnaire

Diagnostic Test: Plantar Pressure Assessment

Diagnostic Test: Foot Function Index

Diagnostic Test: NeuruCom Balance Master Balnce and Performans Test

Diagnostic Test: Determination of Foot Deformity Level