About this trial
Our primary aim is to compare diaphragm function (resting thickness, activity/resting thickness ratio indicating contractility), postural control, and plantar pressure between individuals with pes planus and healthy controls without pes planus.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Willing to participate in the study voluntarily
Having a Navicular drop test value of 10mm or above
Being between the ages of 18-30
Having the physical capacity to perform assessments and tests
Disqualifiers
Termination of voluntariness
Those with rigid flatfoot, pes cavus, hallux valgus, hallux rigidus, or calcaneal spur deformity
Those with chronic systematic and metabolic diseases (e.g., diabetes mellitus, rheumatoid arthritis, etc.) and musculoskeletal problems (e.g., pes planus) that may affect foot functions and gait
Those with any surgical history likely to affect balance, lower extremity strength, and postural control
Trial design
Parallel
Treatments tested in this trial
Determination of Foot Deformity Level
Diagnostic testOne of the methods used in our study to determine the presence and degree of pes planus is the navicular drop test.
Foot Function Index
Diagnostic testEvaluation of Foot Function
UFAA-International Physical Activity Questionnaire
Diagnostic testTo determination of physical activity level.
Diaphragm ultrasound measurements
Diagnostic testRehabilitative ultrasound imaging is a method frequently used by physiotherapists to assess muscle function.
NeuruCom Balance Master Balnce and Performans Test
Diagnostic testBalance master will be used for postural stability, static and dynamic balance measurements.
Plantar Pressure Assessment
Diagnostic testWhen assessing plantar pressure, postural control will be evaluated statically or dynamically, through examination of the behavior of the center of plantar pressure (COP).
Treatment groups
Trial outcomes
Primary outcomes
Navicular Drop Test
One of the methods used in our study to determine the presence and degree of pes planus is the navicular drop test. If the navicular height difference is between 6-9 mm, it is considered normal MLA, and if it is 10 mm or more, it is considered pes planus.
Foot Function Index
The Foot Function Index consists of 3 subscales: pain, disability and activity limitation. The pain subscale, consisting of nine items, measures the level of foot pain in various situations, while the disability subscale determines the degree of difficulty in performing various functional activities due to foot problems. The five-item activity limitation subscale assesses limitations in activities due to foot problems. Individuals score all items using the Visual Analog Scale (VAS), taking into account their foot condition one week ago. To calculate subscale and total scores, the score for each item is summed, divided by the sum of the maximum scores of the items and multiplied by 100. Higher scores indicate more pain, disability and activity limitation.
UFAA-International Physical Activity Questionnaire
In our study, the self-administered short form of the questionnaire, which includes the "last seven days", will be used to assess physical activity level. Minutes, days and METs (multiples of resting oxygen consumption) are multiplied to obtain a score as "MET-minutes/week". Physical activity levels are classified as physically inactive (\<600 MET-min/week), low physical activity (600 - 3000 MET-min/week) and adequate physical activity (\>3000 MET-min/week). In the calculation of energy expenditure for physical activities, the weekly duration (minutes) of each activity is multiplied by the MET energy values created for the International Physical Activity Questionnaire. Thus, energy expenditures for vigorous, moderate, walking, sitting and total physical activities for each individual are obtained in MET-min/week.
Evaluation of Diaphragmatic Functions
The evaluations will be performed with B-mode for bilateral hemidiaphragm in the supine position of the participant. Thickness measurements will be made between hyperechoic peritoneal and pleural borders and recorded in mm (24,25). The thickening fraction (%), which shows the constrictibility of the muscle, in other words, the change in thickness, will be calculated using the formula "(deep inspiration thickness-calm expiration thickness) x 100 / calm expiration thickness
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