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.
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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.
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.
Parallel
Hip-based Exercise with hot pack and intrinsic foot strengthening exercises
Procedure/SurgeryBaseline: 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.
Knee-based exercises with a hot pack and intrinsic foot strengthening exercises
Procedure/SurgeryBaseline: 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.
Lower extremity muscle strength
Digital handheld dynamometer will be used to evaluate improvement in muscular performance associated with each intervention.
Medial longitudinal arch height and dynamic balance.
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