EFFECTS OF 8-WEEKS SYSTEMATIC CORRECTIVE EXERCISE PROGRAM ON BODY POSTURE AND STABILITY IN PRONATION DISTORTION SYNDROME
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Keywords
Distortion, Exercise, Pronation, Posture, Navicular, functional
Abstract
Background: A postural entanglement in the lower extremitythat initiates with feet contorting to hyper-pronation, leading to other dysfunctional patterns, is known as pronation distortion syndrome. Exaggerated movement of feet causes forced progression of internal tibial rotation and knee adduction while disturbing body kinetics and gait mechanics.
Objective: The purpose of this study was to determine the effects of an 8-Weeks Systematic Corrective Exercise program on Body Posture and stability in Pronation Distortion Syndrome
Methodology: The study was a randomized controlled trial. It was administered at Riphah International University and Ibrahim Medical Centre Lahore. A convenience sampling technique was utilized to collect the data. A total of 38 subjects were enrolled in the study. All 38 participants were equally divided into two groups. Group A was treated with a conventional and systematic corrective exercise program. Group B underwent conventional treatment consisting of Non-biomechanical functional exercises only. All the participants underwent three sessions per week for 8 weeks.
Results: After eight weeks of intervention, the experimental group exhibited significant improvement regarding the Functional movement screening test, navicular drop and valgus ankle angle with p-value <0.001. Group A exhibited mean age of 21.72 ± 2.19 with a mean BMI of 19.08 ± 2.99kg/m2 as compared to the mean 22.16 ± 2.35 years for age and 21.32 ± 4.92kg/m2 BMI of group B. The post-treatment mean value of FMS was 20.33 ± 0.90; ND was 9.60 ± 1.12 with a p-value of <0.001,which declares significant improvement to group B.
Conclusion: This study trial concluded that based on all findings and results, participants responded considerably more significantly in the systematic corrective exercise program than the control group that received conventional treatment. On the contrary, Body posture factors lordosis and knock knees didn't show a sufficient reduction in any groups.
References
2. Golchini A, Rahnama N, Lotfi Foroushani M. Effect of Corrective Exercises with a New Approach on the Isometric Strength in People â with Pronation Distortion Syndrome. Journal of Paramedical Sciences & Rehabilitation. 2021;9(4):41-60.
3. Zhang C. A HELPER FOR STATIC POSTURAL MEASUREMENTS IN THE GYM: Pratt Institute; 2022.
4. Marouvo J, Sousa F, Fernandes O, Castro MA, Paszkiel S. Gait Kinematics Analysis of Flatfoot Adults. Applied Sciences. 2021;11(15):7077.
5. Pountos I, Panteli M, Giannoudis PV. Cuboid Injuries. Indian journal of orthopaedics. 2018;52(3):297-303.
6. Cen X, Gao L, Yang M, Liang M, Bíró I, Gu Y. Arch-support induced changes in foot-ankle coordination in young males with flatfoot during unplanned gait termination. Journal of Clinical Medicine. 2021;10(23):5539.
7. Jafarnezhadgero A, Mousavi SH, Madadi-Shad M, Hijmans JM. Quantifying lower limb inter-joint coordination and coordination variability after four-month wearing arch support foot orthoses in children with flexible flat feet. Human Movement Science. 2020;70:102593.
8. Lee J-H, Cynn H-S, Yoon T-L, Choi S-A, Kang T-W. Differences in the angle of the medial longitudinal arch and muscle activity of the abductor hallucis and tibialis anterior during sitting short-foot exercises between subjects with pes planus and subjects with neutral foot. Journal of back and musculoskeletal rehabilitation. 2016;29(4):809-15.
9. Mashhadi M. Foot arch index during Janda's Short-Foot maneuver in subjects with excessively pronated feet. Medicina Sportiva. 2017;13:2935-9.
10. Radwan NL, Ibrahim MM, Eid MA, Aly SM. The long-term effect of foot insoles on kinetic gait parameters in female children with flexible flat foot. IMJ. 2020:485-94.
11. Karski T, Karski J, Klaudia K, Katarzyna K, Menet H, Pyrc J. Pathology of ankle joint and knee as a result of permanent distortion syndrome in car drives and passengers. Clin Surgery J. 2020:1-5.
12. Kahraman Y. Postural Structure and Mechanic Syndromes Associated with Human Movement Physiology: A Traditional Review of Re-modelling Musculature. Turkish Journal of Osteoporosis/Turk Osteoporoz Dergisi. 2021;27(2).
13. Abich Y, Mihiret T, Yihunie Akalu T, Gashaw M, Janakiraman B. Flatfoot and associated factors among Ethiopian school children aged 11 to 15 years: A school-based study. PloS one. 2020;15(8):e0238001.
14. Alam F, Raza S, Moiz JA, Bhati P, Anwer S, Alghadir A. Effects of selective strengthening of tibialis posterior and stretching of iliopsoas on navicular drop, dynamic balance, and lower limb muscle activity in pronated feet: A randomized clinical trial. The Physician and Sportsmedicine. 2019;47(3):301-11.
15. Pita-Fernandez S, Gonzalez-Martin C, Alonso-Tajes F, Seoane-Pillado T, Pertega-Diaz S, Perez-Garcia S, et al. Flat foot in a random population and its impact on quality of life and functionality. Journal of clinical and diagnostic research: JCDR. 2017;11(4):LC22.
16. Golchini A, Rahnama N. The effects of 12 weeks of systematic and functional corrective exercises on body posture of students suffering from pronation distortion syndrome. Iranian Rehabilitation Journal. 2020;18(2):181-92.
17. Park J-S, Park D-J. Validity and Reliability of New Digital Navicular Drop Test Equipment in Young People. PNF and Movement. 2021;19(2):279-85.
18. Ore V, Nasic S, Riad J. Lower extremity range of motion and alignment: A reliability and concurrent validity study of goniometric and three-dimensional motion analysis measurement. Heliyon. 2020;6(8):e04713.
19. SIRAJUDEEN MS, CHINNAKALAI T, SuHAiL M, AL-HUSSINAN NM, PILLAI PS. Reliability of the Flexible Ruler in Measuring Lumbar Lordosis among Children. Journal of Clinical & Diagnostic Research. 2020;14(11).
20. Teyhen DS, Shaffer SW, Lorenson CL, Halfpap JP, Donofry DF, Walker MJ, et al. The functional movement screen: a reliability study. Journal of orthopaedic & sports physical therapy. 2012;42(6):530-40.
21. Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function‐part 1. International journal of sports physical therapy. 2014;9(3):396.
22. Mulligan EP, Cook PG. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Manual therapy. 2013;18(5):425-30.
23. Golchini A, Rahnama N. The effect of systematic corrective exercises on the ankle proprioception in people with functional pronation distortion syndrome: A randomized controlled clinical trial study. Journal of Research in Rehabilitation Sciences. 2019;14(6):366-74.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Ghazal Hussain
MS-OMPT, Lecturer at the Department of Physical Therapy & Rehabilitation, University of Management & Technology, Lahore, Pakistan
Saima Riaz
PhD, MS-OMPT, PP-DPT, BSPT, Associate Professor/Principal, Ayesha Bakht Institute of Medical Sciences, Lahore, Pakistan
Hafsa Khan
MS-OMPT, Lecturer at Department of Physical Therapy & Rehabilitation, University of Management & Technology, Lahore, Pakistan
Aleena Waheed
MS-OMPT, Lecturer at Department of Physical Therapy, Rashid Latif Khan University, Lahore, Pakistan
Sidra Ghias
Senior Lecturer, Riphah International University Gulberg Greens Campus, Islamabad, Pakistan