- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07426887
Effects of Intrinsic Muscles Training on Pain, Balance and Foot Function in Patients With Pes Planus
February 17, 2026 updated by: Riphah International University
The study was conducted to determine the Effects of intrinsic muscles training on pain, balance and foot function in patients with Pes Planus
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
66
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Punjab Province
-
Sialkot, Punjab Province, Pakistan, 51310
- Imran Idrees Teaching Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age group between 20 to 45 years
- Both male and female
- Patients with a flat foot (Congenital and acquired both)
- Patients with Collapsed arch
- Navicular drop ≥10mm
Exclusion Criteria:
- Acute fracture to lower limb
- Any foot surgery over past 12 months
- Patients with club foot
- Patients with poliomyelitis
- Navicular drop < 10mm
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Experimental Group: Intrinsic Muscle Training + Conventional Therapy
|
Intrinsic muscle training includes Feet rolling exercise, Toe flexion (curls) exercise, Big toe extension exercise, Short foot exercise and Towel gathering exercise.
All these exercises were performed by the participants of Experimental group in 3 sets each set comprising 10-20 repetitions.
Conventional physical therapy session includes
|
|
Active Comparator: Control Group: Conventional therapy
|
Conventional physical therapy session includes
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Numeric pain rating scale
Time Frame: From enrolment to end of treatment at 6 weeks.
|
Numeric Pain rating scale is used to evaluate pain.
It consists of 11 points, having score ranging from 0 to 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 represents moderate pain and 7-10 represents severe pain.
|
From enrolment to end of treatment at 6 weeks.
|
|
Berg Balance scale
Time Frame: From enrolment to the end of treatment at 6 weeks.
|
The Berg Balance Scale is a scale used to assess functional balance.
It evaluates both dynamic and static balance through 14 tasks regarding mobility
|
From enrolment to the end of treatment at 6 weeks.
|
|
Foot Function Index
Time Frame: From enrolment to end of treatment at 6 weeks.
|
Foot Function Index questionnaire is used to measure the impact of foot pathology on pain, disability and activity restriction
|
From enrolment to end of treatment at 6 weeks.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Naila Kanwal, Riphah International University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Unver B, Erdem EU, Akbas E. Effects of Short-Foot Exercises on Foot Posture, Pain, Disability, and Plantar Pressure in Pes Planus. J Sport Rehabil. 2019 Oct 18;29(4):436-440. doi: 10.1123/jsr.2018-0363. Print 2020 May 1.
- Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Man Ther. 2013 Oct;18(5):425-30. doi: 10.1016/j.math.2013.02.007. Epub 2013 Apr 28.
- Moon D, Jung J. Effect of Incorporating Short-Foot Exercises in the Balance Rehabilitation of Flat Foot: A Randomized Controlled Trial. Healthcare (Basel). 2021 Oct 13;9(10):1358. doi: 10.3390/healthcare9101358.
- Hara S, Kitano M, Kudo S. The effects of short foot exercises to treat flat foot deformity: A systematic review. J Back Musculoskelet Rehabil. 2023;36(1):21-33. doi: 10.3233/BMR-210374.
- Preethi K, Kamalakannan M, Anitha A, Ramana K. Effectiveness of Jumping Rope Exercise Verses Short Foot Exercise on Pain and Quality of Life for Subjects with Flat Foot. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18.
- Khisty A, Kulkarni R, Desai P, Palekar TJ. Effect of short foot exercises on patients with flexible flat foot: a pre-post experimental study. Int J Health Sci Res. 2022;12(1):105-10.
- Demircioglu G, Genc H. The impact of different exercise approaches on balance in people with pes planus. Physiotherapy Quarterly. 2025;33(1).
- Effects of exercise training programs on postural control and dynamic balance in individuals with flat feet and cavus feet: A systematic review and meta-analysis. Journal of Rehabilitation Sciences & Research. 2023;10(1):1-8.
- Saleh M, Elimy D, Ibrahim A, Moharam A. Effect of backward walking training on foot posture and balance in flat foot adults. Physiotherapy Quarterly. 2022;30(2):24-9.
- Iram A, Aman M, Aziz K, Abdullah B, Chaudhary AS. Effect of Short Foot Exercises on Pain and Foot Posture in Patients with Acquired Pes Planus. Journal of Health, Wellness and Community Research. 2025:e837-e
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 13, 2025
Primary Completion (Actual)
May 31, 2025
Study Completion (Actual)
October 31, 2025
Study Registration Dates
First Submitted
February 17, 2026
First Submitted That Met QC Criteria
February 17, 2026
First Posted (Actual)
February 23, 2026
Study Record Updates
Last Update Posted (Actual)
February 23, 2026
Last Update Submitted That Met QC Criteria
February 17, 2026
Last Verified
February 1, 2026
More Information
Terms related to this study
Keywords
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
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Flatfoot
Other Study ID Numbers
- REC/RCR & AHS/24/0193
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
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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