The effect of a selected physiotherapy program on pelvic deviations in cases of supple flat feet

F. Alowais, T. Shousha
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Abstract

Supple flat feet is frequent condition having diverse effects on the entire lower limb kinetic chain including the pelvis. Thus, this study was conducted to compare the effects of an 8-weeks, conservative physiotherapy treatment program to a medial arch support on pelvic deviation. A prospective, randomized, single-blind, controlled trial was conducted at the Physiotherapy department, college of health sciences, University of Sharjah. One hundred male participant were assed for pelvic obliquity and torsion before and after 8 weeks of the either an exercise program or using an insole for medial arch support. Group (A) received progressive short feet exercises, while group (B) used the insole for medial arch support. The study results revealed a statistically significant decrease in pelvic obliquity and pelvic torsion in the exercise group (A) only with values of (p = .030 and .035) respectively. No statistically significant difference was found within the insole group (B). Between groups analysis revealed a significant difference in favour of group (A) compared to group (B) for both pelvic obliquity (p = .039) and torsion (p = .036) respectively). To sum it up, short feet exercises were more effective in decreasing pelvic deviations in cases of bilateral supple flat feet.
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选择物理治疗方案对软性扁平足患者骨盆偏差的影响
软性扁平足是一种常见的疾病,对包括骨盆在内的整个下肢运动链有不同的影响。因此,本研究旨在比较8周保守物理治疗方案与内侧弓支撑治疗骨盆偏曲的效果。沙迦大学健康科学学院理疗系进行了一项前瞻性、随机、单盲、对照试验。研究人员对100名男性参与者进行了为期8周的骨盆倾斜和扭转测试,前后分别进行了锻炼计划或使用鞋垫作为内侧足弓支撑。A组采用渐进式短足练习,B组采用鞋垫支撑内侧足弓。研究结果显示,运动组(a)的骨盆倾斜度和骨盆扭转度均有统计学意义的降低,其值分别为(p = 0.030和0.035)。在鞋垫组(B)内没有发现统计学上的差异。组间分析显示,与(B)组相比,(a)组在骨盆倾斜(p = 0.039)和扭转(p = 0.036)方面均有显著差异。综上所述,在双侧软性扁平足的情况下,短足运动在减少骨盆偏差方面更有效。
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