Esnek pes planuslu bireylerde silikon tabanlıkların farklı egzersiz yöntemleriyle birlikte uygulanmasının etkileri

Abstract

Amaç: Pes planus ayak deformitesinin varlığı, dengeyi olumsuz etkileyerek küçük postüral bozukluklara ve farklı denge stratejilerinin gelişimine yol açmaktadır. Bu durumda, intrinsik ayak kaslarının güçlendirilmesi büyük önem taşımaktadır. Bu çalışmanın amacı, esnek pes planusa sahip bireylerde intrinsik kas güçlendirme ve dinamik denge egzersizlerinin etkilerini araştırmaktır. Yöntem: Çalışmaya pes planusu olan, 18–35 yaş aralığında 45 katılımcı dahil edildi. Birinci grup kısa ayak egzersizleri (KAE) ile intrinsik kas kuvvetlendirme eğitimi aldı ve silikon tabanlık kullandı. İkinci grup dinamik dengeyi geliştiren balance board egzersizleri yaptı ve silikon tabanlık kullandı. Üçüncü grup ise yalnızca silikon tabanlık kullandı. Tedavi süresi 8 hafta ve haftada 3 gün olacak şekilde planlandı. Ayak deformitesi; medial longitudinal ark açısı ve subtalar açı ölçümleriyle değerlendirildi. Ayak pronasyon seviyesi navicular düşme testiyle değerlendirildi. Ayak postürü ayak postür indeksi (API) ile, statik denge Flamingo Denge Testi ile, dinamik denge ise dinamik postüral kontrolü ölçen BOBO Health Platform with Gaming® cihazı kullanılarak değerlendirildi. Bulgular: Müdahale sonrasında Grup 1’de medial longitudinal ark açısı ve API skorlarında istatistiksel olarak anlamlı iyileşme gözlendi. Kısa ayak egzersizlerinin; ayak arkını, subtalar açıyı, naviküler seviyeyi ve API skorlarını iyileştirdiği, ayrıca statik ve dinamik dengeyi artırdığı bulundu (p≤0,05). Yalnızca silikon tabanlık kullanımının ise medial longitudinal ark, API ve denge parametrelerinde anlamlı bir değişiklik oluşturmadığı saptandı (p>0,05). Sonuç: Esnek pes planusun yönetiminde silikon tabanlık kullanımının egzersiz tedavisine ek olarak kullanılması, dengeyi ve ayak postürünü iyileştirmektedir.

Keywords

• Pes planus
• Tabanlık
• Denge
• Egzersiz

Effects of silicone insoles combined with different exercise methods in individuals with flexible pes planus

Abstract

Purpose : Presence of a pes planus foot deformity negatively affects the balance of the individual, revealing disturbances and different balance strategies. In this situation, the training of intrinsic muscles is of great importance. The purpose of this study is to investigate the effects of intrinsic strengthening and dynamic balance exercises in participants having flexible pes planus. Methods: Forty-five participants with pes planus aged 18 to 35 years were enrolled in the study, and the first group underwent intrinsic foot muscle strengthening training with short foot exercises (SFE) and used insoles. The second group trained using the dynamic balance board, which promotes dynamic balance and used insoles. The third group used only insoles. The total duration of treatment was 8weeks/3days. The degree of foot deformity was assessed with the medial longitudinal arch (MLA) angle, measurements of subtalar angle. Navicular drop test was assessed with foot pronation level. Foot posture assessed using Foot Posture Index (FPI) Static balance was assessed with the Flamingo Balance Test and dynamic balance was assessed using the BOBO Health Platform with Gaming®, a technology-based system designed to measure dynamic postural control. Results: After the intervention, statistically significant improvements were observed in the medial longitudinal arch angle and foot posture index scores in Group 1. SFE were found to improve foot arch, subtalar angle, navicular level, and foot posture index scores, as well as static and dynamic balance(p≤0.05). No significant changes were observed in the medial longitudinal arch, foot posture index, or balance parameters with the use of silicone insoles alone (p > 0.05). Conclusion: The use of silicone insoles in addition to exercise therapy in the management of flexible pes planus improves balance and foot posture.

Keywords

• Pes planus
• Insole
• Balance
• Exercise

Supporting Institution

This study is funded by Biruni University Scientific Research Projects.

Ethical Statement

The appropriate ethics review boards (Research Ethics Committee of Biruni University (Number: 2021/49-14) approved the study design.

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