Effects of Hip-Based Versus Knee-Based Exercises on Medial Longitudinal Arch, Dynamic Balance, and Muscle Strength in Flexible Flatfoot

May 4, 2026 updated by: Dr Izza Ayub; PT, University of Faisalabad
This study aims to compare the effects of hip-based and knee-based exercise interventions on medial longitudinal arch height, dynamic balance, and lower limb muscle strength in individuals with flexible flat feet. Participants will be randomly assigned to two groups: one receiving hip-focused strengthening and stretching exercises, and the other receiving knee-focused exercises, while both groups will perform a common set of foot intrinsic exercises. The intervention will be conducted over 6 weeks. Outcomes will be measured pre- and post- intervention and in the middle of intervention to determine which approach is more effective in improving foot stability and functional performance.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

46

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 Contact

Study Locations

  • Pakistan
    • Punjab Province
      • Faisalābad, Punjab Province, Pakistan
        • Recruiting
        • Madinah Teaching Hospital
        • Contact:

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:

  • Give verbal or written consent to enter the study.
  • People without any pain and in the age group of about 25-40 years.
  • People in the category of normal to obese BMI.
  • People whose value of navicular drop above 10mm.

Exclusion Criteria:

  • People having any surgical procedure on the lower limb.
  • People using any kind of orthosis.
  • If the difference between the length of both legs is more than 1.1cm.
  • People having any disease like diabetes, rheumatoid arthritis, plantar fasciitis or sciatica.
  • People having any injury within 6 months.

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A: Hip-based Exercise with hot pack and intrinsic foot strengthening exercises
Procedure: Hip-based Exercise with hot pack and intrinsic foot strengthening exercises
Baseline: Hot pack will be applied to the calf muscle for 5-10 minutes. Then the calf muscles will be stretched with 5 repetitions. Treatment: Clamshell exercises with 4 progressions with 5-10 repetitions and iliopsoas stretching with 3 repetitions per session.
Active Comparator: Group B: Knee-based exercises with a hot pack and intrinsic foot strengthening exercises
Procedure: Knee-based exercises with a hot pack and intrinsic foot strengthening exercises
Baseline: Hot pack will be applied to the calf muscle for 5-10 minutes. Then the calf muscles will be stretched with 5 repetitions. Treatment: Knee isometrics with 5-1o repetitions along with hamstring stretching 3 repetitions per session.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Lower extremity muscle strength
Time Frame: 6 weeks
Digital handheld dynamometer will be used to evaluate improvement in muscular performance associated with each intervention.
6 weeks

Secondary Outcome Measures

Outcome Measure
Time Frame
Medial longitudinal arch height and dynamic balance.
Time Frame: 6 weeks
6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Faisalabad

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)

March 30, 2026

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2026

Study Registration Dates

First Submitted

May 4, 2026

First Submitted That Met QC Criteria

May 4, 2026

First Posted (Actual)

May 8, 2026

Study Record Updates

Last Update Posted (Actual)

May 8, 2026

Last Update Submitted That Met QC Criteria

May 4, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TUF/EIRB/185/26

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.

Clinical Trials on Flexible Flatfoot

Clinical Trials on Hip-based Exercise with hot pack and intrinsic foot strengthening exercises

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Burundi

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe