Pilates on Dynamic Balance in Flexible Flat Feet

Efficacy of Pilates Training on Dynamic Balance in Flexible Flat Feet

Flexible flatfoot is one of the most common types of flatfeet. It has an arch that is present in open kinetic chain and lost in closed kinetic chain Balance is defined as the process that maintains the center of gravity within the body's support base.

Pilates exercises is a whole body conditioning program which was initially used for managing low back pain and improving balance in elderly. Now-a-days it is used for posture correction and fitness training.

Study Overview

• Status: Completed
• Conditions: Flexible Flatfoot
• Intervention / Treatment: Other: pilates training

Detailed Description

Individuals with flatfeet are more unstable when compared with normal individuals during quiet standing. About 10% to 25% of population exhibits a flat foot to varying degrees. In clinical practice, some subjects become symptomatic with feet pain or lower extremity soreness and limitation in their functional activities such as limitation of long-distance walking or running and high-impact sports.Patients with flexible flat feet have poorer static and dynamic balance than healthy individuals. Taking into consideration effect of flat feet on body alignment, the implication of flat feet on balance have received little attention to date Pilates is an individual body-based exercise, it has an advantage in that exercise load can be controlled according to the body's center of balance.Pilates based exercise works on the principles of trunk stability, also known as "core stability". "Core is described as a box, with the abdominals (transversus) in front, paraspinals (multifidus) in back, diaphragm in top and pelvic floor at the bottom". Pilates is a popular form of exercise training program which includes series of stretching and strengthening exercises with proper trunk control and breathing.

• Study Type: Interventional
• Enrollment (Actual): 44
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • Faculty of Physical Therapy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

1. Subject's age ranged from 18-21 years old
2. Subjects had bilateral pronated feet posture according to the Navicular Drop Test by Brody method: normal feet (between five and nine mm of navicular drop), a pronated foot (more than 10 mm of navicular drop)
3. Body Mass Index (MBI) ranged from 18.5 to 25 kg/ m2

Exclusion Criteria:

• 1-Repeated lower extremity injuries as fractures or deformities. 2-History of surgery to the lower extremity. 3- Any neurological deficit affecting balance. 4-Any medication can affect the balance. 5- pregnant and breast feeding females

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A (Experimental group):22 subjects; 22 subjects will receive Pilates training. twice a week for 5 consecutive weeks, with The duration of Pilates is 30 minutes. 10 repetitions for each exercise with 10 seconds of rest between each Pilates.And short feet exercises daily 3 minutes per time, for a total of five weeks	Other: pilates training; The Pilates that will be used in this study are articulating bridge, Hundreds, Plank , rolls up, one leg stretch, lift leg supine.; Other Names: short feet exercises
Active Comparator: Group B (control group):22 subjects; 22 subjects will receive short feet exercise daily 3 minutes per time for a total of five weeks.	Other: pilates training; The Pilates that will be used in this study are articulating bridge, Hundreds, Plank , rolls up, one leg stretch, lift leg supine.; Other Names: short feet exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
dynamic balance	is the ability to remain standing and stable while performing movements or actions that require displacing or moving oneself. In this way, each time that we take a step in any direction, we will be testing this type of balance. And, of course, the ability to walk requires its continuous use. Balance check 636 device (Dr Wolff, Arnsberg, Germany)for assessment of dynamic balance in each subject individually	6months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
quialty of life	sense of wellbeing embracing the physical, psychological, social, and spiritual state. • Foot function index Questionnaire (FFI) for quality of life assessment.	6months

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2024
• Primary Completion (Actual): March 1, 2025
• Study Completion (Actual): May 1, 2025

Study Registration Dates

• First Submitted: July 28, 2024
• First Submitted That Met QC Criteria: August 1, 2024
• First Posted (Actual): August 6, 2024

Study Record Updates

• Last Update Posted (Actual): June 6, 2025
• Last Update Submitted That Met QC Criteria: June 4, 2025
• Last Verified: June 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Talipes; Musculoskeletal Diseases; Musculoskeletal Abnormalities; Congenital Abnormalities; Lower Extremity Deformities, Congenital; Limb Deformities, Congenital; Foot Deformities; Foot Deformities, Acquired; Foot Deformities, Congenital; Flatfoot
• Other Study ID Numbers: P.T.REC/012/005435

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No