- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05437042
Effect of Medial Wedge on Static Balance in Pronated Feet
Does Medial Calcaneal Wedge Improve Static Balance and Load Distribution in Young Adults With Pronated Foot?
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In a normal foot, the subtalar joint is pronated from heel strike to sole contact, which makes the midtarsal joint and forefoot flexible. Between sole contact and toe lift, the subtalar joint becomes supinated and the foot turns into a rigid lever (1,2). Hindfoot overpronation can be defined as pronation of the subtalar joint during gait phases in which supination is normal. It can cause problems such as abnormal pronation in the foot, increased flexibility, deterioration in load distribution, hallux valgus and heel spurs, and postural disorders involving the leg, knee, hip and spine (3). In addition, the increase in rear foot pronation negatively affects the physical performance of individuals such as jumping and running (4). Commonly used conservative methods to prevent pronation in the subtalar joint include exercises to support the medial arch, strengthen muscles and ligaments, electrical stimulation, insoles, wedges, and applications such as flexible and inflexible taping techniques (1,5).
Medial wedge is a method frequently preferred by physiotherapists in terms of ease of use among the methods used in the routine. It is thought that the contact of the medial longitudinal arch support of the insole with the foot prevents the increase in pronation of the foot and reduces the load on the arch structures. The medial longitudinal arch support transfers the load on the heel region to the midfoot and the decrease in maximum pressure in the 2nd and 3rd metatarsal regions is explained by the insoles turning the foot towards supination. It is stated that excessive pronation of the hindfoot and the secondary deformities it may cause can be prevented by the use of simple supports applied under the foot.
The foot is located at the most distal point and acts as the support base for this kinematic chain. For this reason, the smallest dynamic change in the foot affects the balance of the whole body (6). Balance is the ability to keep the body's center of gravity within the acceptable limits of the support surface during activities such as sitting, standing or walking, and it is a complex process that includes versatile sensory, motor and biomechanical components (7).
It is known that foot deformities in seniors negatively affect balance and cause falls (8). Along with the changes in the gravity line in neurological diseases, problems are seen in maintaining the balance starting from the sitting level and in situations that require a change in movement. Conditions such as loss of balance or inability to maintain body position in athletes may prevent the athlete from performing the expected performance, as well as cause injuries (9). Balance improvement has an important place in every field of physiotherapy. Improving balance, increasing function in the athlete, improving performance; To ensure the continuity of mobility in neuromuscular diseases and neurological problems, to increase the quality of life; in healthy individuals, it is important to prevent injuries. In this study, the immediate effect of the medial heel wedge on static balance and weight distribution in individuals with pronated foot was investigated.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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-
Sıhhiye
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Ankara, Sıhhiye, Turkey
- Hacettepe University, Faculty of Physical Therapy and Rehabilitation
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Standing subtalar angle of 5° or more
- Foot Posture Index score of 6 or more
- Right lower limb dominance
- Agreeing to participate in the study voluntarily
Exclusion Criteria:
- Having a neurological or orthopedic problem
- Having any surgery on the lower extremity
- Having a foot-ankle complex Visual Analog Scale (VAS) pain score above 6.4
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Retrospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Individuals with pronated foot
|
Immediate effect of medial calcaneal wedge for static balance and weight distribution
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Immediate effect of medial heel wedge on static balance
Time Frame: Day 1
|
Day 1
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Immediate effect of medial heel wedge on load distribution
Time Frame: Day 1
|
Day 1
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Leung AK, Mak AF, Evans JH. Biomedical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot. Prosthet Orthot Int. 1998 Apr;22(1):25-34. doi: 10.3109/03093649809164454.
- McPoil TG, Hunt GC. Evaluation and management of foot and ankle disorders: present problems and future directions. J Orthop Sports Phys Ther. 1995 Jun;21(6):381-8. doi: 10.2519/jospt.1995.21.6.381.
- Valmassy RL. clinical biomechanics of the lower extermities. Mosby, Missouri. 1996;12:143-5.
- Kararti C, Bilgin S, Buyukturan O, Buyukturan B. Arka Ayaktaki Pronasyon Artisinin Fiziksel Performans Uzerine Etkisi. Hacettepe University Faculty of Health Sciences Journal. 2018;5(1):1-0.
- Hadley A, Griffiths S, Griffiths L, Vicenzino B. Antipronation taping and temporary orthoses. Effects on tibial rotation position after exercise. J Am Podiatr Med Assoc. 1999 Mar;89(3):118-23. doi: 10.7547/87507315-89-3-118.
- Al Abdulwahab SS, Kachanathu SJ. The effect of various degrees of foot posture on standing balance in a healthy adult population. Somatosens Mot Res. 2015;32(3):172-6. doi: 10.3109/08990220.2015.1029608. Epub 2015 Sep 7.
- Winter DA. Human balance and posture control during standing and walking. Gait & posture. 1995 Dec 1;3(4):193-214.
- Whitney KA. Foot deformities, biomechanical and pathomechanical changes associated with aging including orthotic considerations, Part II. Clin Podiatr Med Surg. 2003 Jul;20(3):511-26, x. doi: 10.1016/S0891-8422(03)00046-6.
- Borklu T, Dolu N. Sporcularda Isitsel Uyarilma Potansiyellerindeki Hemisferik Farkliliklar. Sağlık Bilimleri Dergisi (Journal of Health Sciences). 2010;19(2):108-18.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HU/PAU/GUVEN-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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