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NCT Number: NCT07576816

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

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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Key information

Age range

25 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Madinah Teaching Hospital

Faisalābad, Punjab Province, Pakistan

Location status: Recruiting

Location contact

Dr Izza aYUB; pt Assistant Professor

CONTACT

[email protected]

0330 1980690

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

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

Procedure

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.

Knee-based exercises with a hot pack and intrinsic foot strengthening exercises

Procedure

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.

Primary outcomes

  1. Lower extremity muscle strength

    Time frame: 6 weeks

    Digital handheld dynamometer will be used to evaluate improvement in muscular performance associated with each intervention.

Secondary outcomes

  1. Medial longitudinal arch height and dynamic balance.

    Time frame: 6 weeks

Study contacts

Contact information is provided by the study sponsor or research team.

Dr Izza Ayub; PT Assistant Professor

CONTACT

[email protected]

0330 1980690

Sponsors and collaborators

Lead sponsor

University of Faisalabad

Other

Registry information

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 8, 2026
Registry last updated
May 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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