Paper Title
THE EFFECT OF SIX WEEKS OF CORRECTIVE EXERCISES WITH AND WITHOUT MEDIAL WEDGE ON PRESSURE APPLICATION PATTERN AND LOWER LIMB PRONATION SYNDROME IN 12-15 YEAR OLD BOYS
Abstract
Introduction: Pronation deviation syndrome is one of the most common physical abnormalities that cause abnormalities in the structures of the lumbar-pelvic and lower limbs, considering that past studies have shown that corrective exercises alone are not enough to correct deformities. and various methods with and without tools have been examined, and in the new method, corrective movement programs include a comprehensive protocol of exercises in the form of a chain, which is very effective in correcting these abnormalities. be Therefore, the purpose of this research is to investigate the effect of 6 weeks of corrective exercises with and without wedges on the distribution pattern of plantar pressure and lower limb pronation syndrome in adolescents aged 12 to 15 years. Methodology: The present study is mainly a semi-experimental research design with pre-test and post-test. The statistical population of the current research will be all adolescent boys with lower limb pronation syndrome who refer to the corrective movement clinics of Urmia city, among them 16 people (average age between 12 and 15 years) were randomly selected. They will be divided into two groups of 8 including experimental group 1 (exercises with wedges) and experimental group 2 (exercises without wedges). In order to measure the distance of the biceps and the navicular drop, a meter was used, and to check the pressure distribution of the foot, the VIEW 3BODY foot scanner device made in America was used. The wedge with a 6-mile slope was designed and made for each person according to the size of the sole of the foot. subjects performed the selected corrective exercises under the supervision of the researcher three sessions a week for six months and the measurements were made again. In order to analyze the data from the Skewness and Kurtosis tests, in order to check the normality of the research data and from the Paired-Samples t Test, the intra-group differences of the research samples and from the Independent Test t Test) will be used to check out-group differences.
Findings: Based on the findings of the present research, between the two groups of corrective exercises with and without wedge in the pre-test and post-test, the pattern of pressure distribution in the ten areas of the sole of the foot, only in the post-test of the 4th metatarsal, with a value of t = 2.18 and a significance level of 0.4 0 and in the pre-test and post-test outside the heel, a significant difference was observed with values of t = -2.34 and a significance level of 0.03 and t = -2.20 and a significance level of 0.04. However, in the pre-test and post-test, there was no significant difference in navicular drop with a significance level of 0.20 and 0.26, respectively, and the distance between the inner ankles with a significance level of 0.55 and 0.19, respectively. Also, there was no significant difference between the two groups of corrective exercises with and without medial wedge in the pre-test and post-test Achilles deviation angle with a significance level of 0.58 and 0.51, respectively. Conclusion: Based on the significant levels obtained and according to the average values obtained, which show the change and reduction of pressure on different areas of the soles of the feet, it can be concluded that providing basic solutions and using insoles Vajdars can reduce the side effects caused by this abnormality to some extent and prevent further injuries. Therefore, doing corrective exercises and using wedged insoles can be used as a preventive factor and even improve performance in these cases.
Keywords - Corrective Movements, Lower Limb Pronation Syndrome, Plantar Pressure