Clinical and radiological outcomes of corrective exercises and neuromuscular electrical stimulation in children with flexible flatfeet: A randomized controlled trial
| Autor: | Asmaa T. Ramadan, Emam H. El-Negamy, Amira M. Abd-Elmonem, Mahmoud A. Mahran |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Biophysics Plantar fasciitis Stimulation Flatfeet law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans Arch index Orthopedics and Sports Medicine Child Foot business.industry Rehabilitation Tarsal Bones 030229 sport sciences medicine.disease Flatfoot Electric Stimulation Exercise Therapy Radiological weapon Physical therapy Navicular drop medicine.symptom business 030217 neurology & neurosurgery Patellofemoral pain syndrome |
| Zdroj: | Gait & Posture. 88:297-303 |
| ISSN: | 0966-6362 |
| Popis: | Flexible flatfeet are common among children being scarcely symptomatic requires no specific treatment and resolves spontaneously. However, flexible flatfoot tends to advance and deteriorate overtime and eventually resulting in significant impairments such as plantar fasciitis and patellofemoral pain syndrome.What is the effect of corrective exercises and neuromuscular electrical stimulation in children with flexible flatfeet?This is a randomized controlled trial with 72 children, seven to twelve yearsold, randomly assigned to either intervention or control group (36 children for each group) and engaged in a four months (3 sessions/week) of corrective exercise and neuromuscular electrical stimulation or corrective exercise and sham neuromuscular electrical stimulation respectively. Assessments of Staheli's arch index (through foot print), navicular drop (through navicular drop test) and radiographic indexes (through anterior-posterior and medio-lateral X-ray) of both feet were performed before and after the intervention programs.Study groups were comparable with respect to all outcome measures at entry (P 0.05). Within group comparison showed significant improvements in all measured variables. Further, between groups comparison revealed significant higher improvements (P 0.05) in right and left feet Staheli's arch index, navicular drop as well as the radiographic indexes in favor of the intervention group.Integration of corrective exercises and neuromuscular electrical stimulation is more effective than exercises alone for providing clinical and radiological improvements in children with flexible flatfeet. |
| Databáze: | OpenAIRE |
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