Foot-Core Training With/Without Visual Feedback in Pediatric FPP

Recruiting now · Not applicable

Conditions studied: Flexible Flatfoot

In brief

This study investigates flexible pes planus (flat feet) in children, a condition where the medial arch collapses during weight-bearing, affecting gait, balance, and foot function. Although foot-core strengthening and visual feedback individually improve arch stability and motor control, their combined effect in pediatric populations remains underexplored. To address this gap, a randomized controlled trial will be conducted at Rafia Grammar School, involving 24 children aged 7-12 years with clinically confirmed flexible pes planus. Participants will be randomly assigned into two groups: one receiving foot-core training alone and the other receiving foot-core training with visual feedback, with interventions carried out twice weekly for 8 weeks. Changes in foot posture and gait will be assessed using standardized outcome measures, and data will be analyzed using SPSS version 23.0. The study aims to determine whether adding visual feedback enhances treatment effectiveness and supports the development of more targeted, evidence-based pediatric rehabilitation strategies.

Key facts

Study ID

NCT07578974

Run by

Riphah International University

People needed

24

Starts

2026-04-13

Expected to finish

2026-08-30

Last updated by the study team

2026-05-11

Who can join

Age: 7 and older, up to 12. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Children aged 7-12 years with confirmed flat feet
• Both Genders
• Flexibility of flatfeet; tested using Tip toe standing test and Jack's test.
• Navicular Drop (>10mm)
• Mini Mental State Examination score > 21
• Visual acuity of 20/40 (6/12) or better in both eyes, confirmed by Snellen chart test.
• Foot Posture Index-6 (FPI-6, > +6)
• Children demonstrate altered gait parameters consistent with flexible pes planus as measured by temporal-distance gait analysis.
• Arch Height Index (< 0.31)
• Medial Longitudinal Arch Angle (<130°)
• Calcaneal Eversion Angle ( >5° eversion)
• Subtalar ROM (Dorsiflexion <10°)
• Footprint Index (Staheli >1.0 or Chippaux >45%)
• Dynamic Balance; Y-Balance Test (<85% composite score)
• Functional Scale (LEFS) (<60%)

You may not qualify if…

• Children with tarsal coalitions
• Congenital defects of lower limbs
• Previous foot surgery
• Foot/ankle trauma within the last six (6) months
• Received balance training or feet muscle strengthening within the last 3 months
• Visual and vestibular disturbance
• A history of head injury within the last 3 months
• Weakness of lower extremities (Manual Muscle testing grade <5)

Where it is running

• Rafia Grammar School — Lahore, Punjab Province, Pakistan (enrolling)

Full record on ClinicalTrials.gov

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