Current Exercise Approaches in Adults with Flexible Pes Planus: A Review

Yıl 2024, Cilt: 2 Sayı: 2, 155 - 171, 30.10.2024

Dilek Hande Esen , Serkan Taş , Nihan Kafa

Öz

Flexible pes planus (flat foot) deformity is a common pathological condition characterized by decreased medial longitudinal arch height, especially during loading. There is no consensus yet on the treatment algorithm for flexible pes planus. Conservative treatments are generally considered as the first step in treatment. In conservative treatments, exercise methods are one of the most frequently used interventions. It has been reported that exercise can improve functional outcomes such as navicular drop, plantar pressure distribution, foot posture, balance, and muscle strength in adults with flexible pes planus. Therefore, knowing and understanding the different current exercise approaches used in the rehabilitation of individuals with pes planus is important in order for this population to obtain optimum benefit from conservative treatment and to contribute to the exercise prescribing ability of healthcare professionals who do not yet have sufficient clinical experience in foot-ankle rehabilitation. In this review, current exercise approaches used in the conservative treatment of adult individuals with flexible pes planus were examined. As supported by the study results, structured comprehensive exercise programs should be recommended in the conservative treatment of flexible pes planus, as rich treatment programs that include exercises for the ankle and gluteal muscles combined with foot exercises may be more effective in improving clinical outcomes for pes planus compared to foot exercises alone. Future studies should focus on creating standardized exercise protocols that provide optimum benefit in accordance with the patient's demands. Exercise is an effective intervention method that provides satisfactory functional results for adults with pes planus.

Anahtar Kelimeler

Short-foot exercise, navicular drop, proprioceptive neuromuscular facilitation, three-dimensional foot-ankle exercises, adult-acquired flatfoot deformity

Proje Numarası

Proje numarası bulunmamaktadır.

Esnek Pes Planuslu Yetişkinlerde Güncel Egzersiz Yaklaşımları: Derleme

Öz

Esnek pes planus (düz taban) deformitesi, özellikle yüklenme sırasında medial longitudinal ark yüksekliğinin azalması ile karakterize yaygın bir patolojik durumdur. Esnek pes planusun tedavi algoritmasıyla ilgili henüz fikir birliği bulunmamaktadır. Genellikle tedavide ilk basamak olarak konservatif tedaviler düşünülmektedir. Konservatif tedavilerde ise en sık başvurulan müdahalelerin başında egzersiz yöntemleri gelmektedir. Egzersizin, esnek pes planuslu yetişkinlerde, naviküler düşme, plantar basınç dağılımı, ayak postürü, denge ve kas kuvveti gibi fonksiyonel sonuçları iyileştirebileceği bildirilmiştir. Dolayısıyla, pes planuslu bireylerin rehabilitasyonunda kullanılan farklı güncel egzersiz yaklaşımlarının bilinmesi ve anlaşılması, bu popülasyonun konservatif tedaviden optimum fayda sağlayabilmesi ve ayak-ayak bileği rehabilitasyonunda henüz yeterli klinik deneyimi olmayan sağlık profesyonellerinin egzersiz reçeteleyebilme yetisine katkıda bulunabilmesi açısından önem arz etmektedir. Bu derlemede, esnek pes planuslu yetişkin bireylerin konservatif tedavisinde kullanılan güncel egzersiz yaklaşımları incelenmiştir. Çalışma sonuçlarının da desteklediği şekilde, ayak egzersizleri ile kombine ayak bileği ve gluteal kaslara yönelik egzersiz uygulamalarını içeren zengin içerikli tedavi programları, tek başına ayak egzersizlerine kıyasla pes planusa yönelik klinik sonuçları iyileştirmede daha etkili olabileceği için, esnek pes planusun konservatif tedavisinde yapılandırılmış kapsamlı egzersiz programları önerilmelidir. Gelecekteki çalışmalarda, hastanın taleplerine uygun olarak optimum fayda sağlayıcı standartlaştırılmış egzersiz protokollerinin oluşturulmasına odaklanılmalıdır. Egzersiz, pes planuslu yetişkin bireyler için tatmin edici fonksiyonel sonuçlar veren etkili bir müdahale yöntemidir.

Anahtar Kelimeler

Kısa-ayak egzersizi, naviküler düşme, proprioseptif nöromusküler fasilitasyon, üç boyutlu ayak-ayak bileği egzersizleri, yetişkinlerde-edinilen düz taban deformitesi

Etik Beyan

Bu çalışmada, geçmiş yıllara ait başka çalışma verileri incelenmiş olup insanlar üzerinde herhangi bir uygulamanın etkisi araştırılmadığından, çalışma için etik kurul onayına ve bilgilendirilmiş gönüllü birey onamına gerek duyulmamıştır.

Destekleyen Kurum

Çalışmayı destekleyen herhangi bir kurum bulunmamaktadır.

Proje Numarası

Proje numarası bulunmamaktadır.

Kaynakça

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