Gluteus medius muscle strengthening exercise effects on medial longitudinal arch height in individuals with flexible flatfoot: a randomized controlled trial

Engkananuwat, Phoomchai; Kanlayanaphotporn, Rotsalai

doi:10.12965/jer.2244572.286

Cited by 6 publications

(2 citation statements)

References 38 publications

(49 reference statements)

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“…They reported that gluteus maximus strengthening exercises were important in recovering navicular drop and providing a typical gait pattern. Engkananuwat et al [ 32 ] evaluated the effects of performing gluteus medius strengthening exercises in addition to foot exercises in individuals with flexible pes planus. For 4 weeks, one group performed the short foot exercise and the other group performed a hip-strengthening exercise in addition to the foot exercise.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Video-Based Game Exercise Therapy Applications in Pes Planus Rehabilitation: Protocol for a Randomized Controlled Trial

Erten,

Tarakçı,

Çaçan

2023

JMIR Res Protoc

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Background Pes planus is one of the most common foot deformities. Although there are many studies on the effectiveness of various exercise methods in pes planus rehabilitation, the number of studies on video-based game exercise therapy applications is very limited. Objective This study aims to evaluate the effectiveness of 2 video-based game exercise therapies and structured exercise practices in pes planus rehabilitation. Methods This study is a 3-arm, parallel-group, single-blinded randomized controlled trial. The study will include 69 patients with flexible pes planus aged between 18 and 25 years who attend the orthopedics and traumatology clinic and meet the inclusion criteria. The primary outcomes are measures of navicular drop and pedobarographic analysis before and after the intervention, and the secondary outcomes include balance, femoral anteversion, and lower extremity muscle strength. Participants will be evaluated with a navicular drop test for medial longitudinal arch height, a pedobarographic analysis system for plantar pressure analysis, a Craig test for femoral anteversion, the Becure Balance System for balance measurement, and a myometer device for lower extremity muscle strength measurement. Participants will be randomly assigned to a structured exercise group, an exergame group, or a serious game group according to their order of arrival. The structured exercise group will use a short foot exercise, a towel-picking exercise, and various walking and balance exercises. Patients in the serious play group will play the lower extremity games in the Becure Balance System. Patients in the exergame group will play balance games on the Nintendo Wii game console. All participants will participate in 18 exercise sessions (3 days a week for 6 weeks). After the treatment, the initial measurements will be repeated. Results The study started in January 2023. It is expected to be completed in June 2024. Conclusions This study will be the first randomized controlled study to evaluate the effectiveness of 2 different video-based game exercise therapy applications in pes planus rehabilitation. Through this study, the use of video-based game exercise therapy in pes planus rehabilitation, together with the developing technology, will be a guide. In addition, a new exercise protocol, including serious game exercises, will be added to the literature. In the future, it is expected that our study on the development of different game systems, especially for the ankle, will provide pioneering feedback. Trial Registration ClinicalTrials.gov NCT05679219; https://clinicaltrials.gov/study/NCT05679219 International Registered Report Identifier (IRRID) DERR1-10.2196/51772

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Video-Based Game Exercise Therapy Applications in Pes Planus Rehabilitation: Protocol for a Randomized Controlled Trial

Erten,

Tarakçı,

Çaçan

2023

JMIR Res Protoc

View full text Add to dashboard Cite

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“…125 A similar redistribution of plantar pressure was also found in previous studies after participants exercised tibialis posterior and intrinsic foot muscles. 27,126 The plantar pressure after wearing foot orthoses is commonly examined by in-shoe measuring system which differs from the current study. The results are therefore interpreted differently.…”

Section: Discussionmentioning

confidence: 99%

Effects of lower extremity muscle strengthening exercise and foot orthoseson medial longitudinal arch height in individuals with flexible flatfoot

Engkananuwat

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Background: Foot orthoses and lower extremity exercises have been widely recommended to improve medial longitudinal arch (MLA) height in adults with flexible flatfoot. However, there is little evidence to guide the choice between foot orthoses or lower extremity exercises. Objectives: This study comprised two separate studies. Study 1 aimed to establish the more effective exercise protocol by comparing the MLA height in groups performing foot exercises with and without gluteus medius (GMed) muscle strengthening exercise. Study 2 compared the established exercise protocol in Study 1 with foot orthoses to determine the actual effectiveness of each intervention. Main outcome measures: Navicular drop (ND), arch height index (AHI), plantar pressure, static balance, dynamic balance, and lower extremity muscle strength were measured at baseline, 4 weeks, and 8 weeks. Results: Study 1 included 52 participants with bilateral flatfoot who were randomly assigned to either the foot exercise group (n = 26) or the foot plus GMed exercise group (n = 26). After 4 and 8 weeks, the foot plus GMed exercise group showed significant improvements in all outcome measures, except dynamic balance, compared to the foot exercise group. Study 2 included 38 bilateral flatfoot participants who were randomly assigned to either the foot plus GMed exercise group (n = 19) and the foot orthoses group (n = 19). The foot plus GMed exercise group showed significant improvements in all outcome measures, except plantar pressure, static and dynamic balance in certain directions, compared to the foot orthoses group. Conclusion: Adding GMed muscle strengthening exercise to foot exercise proved to be more effective in supporting the MLA compared to performing foot exercise alone. In healthy adults with flexible flatfoot, lower extremity exercise was found to be more effective than foot orthoses in improving MLA height and related parameters.

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Design and Development of a Pressure Mapping Analysis and Evaluation Measurement Module for Pes Planus Individuals

Sankaran,

Britto,

Suriya

et al. 2024

2024 Third International Conference on Intelligent Techniques in Control, Optimization and Signal Processing (INCOS)

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Gluteus medius muscle strengthening exercise effects on medial longitudinal arch height in individuals with flexible flatfoot: a randomized controlled trial

Cited by 6 publications

References 38 publications

The Effectiveness of Video-Based Game Exercise Therapy Applications in Pes Planus Rehabilitation: Protocol for a Randomized Controlled Trial

The Effectiveness of Video-Based Game Exercise Therapy Applications in Pes Planus Rehabilitation: Protocol for a Randomized Controlled Trial

Effects of lower extremity muscle strengthening exercise and foot orthoseson medial longitudinal arch height in individuals with flexible flatfoot

Design and Development of a Pressure Mapping Analysis and Evaluation Measurement Module for Pes Planus Individuals

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