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dc.contributor.authorKim, Chulhwan
dc.date.accessioned2015-01-06T19:01:03Z
dc.date.available2015-01-06T19:01:03Z
dc.date.issued2014en_NZ
dc.identifier.urihttps://hdl.handle.net/10652/2517
dc.description.abstractBackground: Flexible pes planus presents under the age of 10 years and may progress leading to various lower-limb symptoms later in life. To date, there is little evidence for non-orthotic rehabilitative strategies. Objectives: The objectives of this study were to determine the impact of an osteopathic and exercise intervention on objective measures of navicular heights and positions, navicular drop, and self-report measures of pain using a short-form McGill’s pain questionnaire in participants with progressed flexible pes planus. Methods: Fourteen participants with pre-diagnosed or examined progressed flexible pes planus were randomly allocated into either the immediate start group (one week of baseline, three weeks of intervention, four weeks follow-up) or the delayed start group (four weeks baseline, three weeks intervention, one week follow-up). Navicular heights, positions, and drop were recorded weekly using sagittal photographs taken with an infrared-filter and analysed using AutoCAD 2010. Pain change was monitored by a short-form McGill’s pain questionnaire. Results: Welch’s t-test indicated a statistically significant (left feet p = 0.05) improvement of sitting navicular heights at the follow-up between the two groups. Pain sensitivity (p < 0.01) and present pain intensity (p < 0.01) exhibited a significant difference between baseline and follow-up with both measures improving by at least 30%. Conclusion: The results of this mixed research study ( a randomised controlled trial and single cohort) found the osteopathic manipulative treatment with home based exercise to be beneficial in reducing the pain sensitivity and intensity experienced in individuals with progressed flexible pes planus.en_NZ
dc.language.isoenen_NZ
dc.subjectflexible flatfeeten_NZ
dc.subjectflexible pes planusen_NZ
dc.subjectfoot disorderen_NZ
dc.subjectNew Zealanden_NZ
dc.subjectosteopathic medicineen_NZ
dc.subjectphysical therapyen_NZ
dc.subjectprogressed flexible pes planusen_NZ
dc.subjectprogressed flexible flatfeeten_NZ
dc.titleEffectiveness of osteopathic manipulative treatment with home based exercises on progressed flexible pes planusen_NZ
dc.typeMasters Thesisen_NZ
thesis.degree.nameMaster of Osteopathyen_NZ
thesis.degree.levelMastersen_NZ
thesis.degree.grantorUnitec Institute of Technologyen_NZ
dc.subject.marsden110499 Complementary and Alternative Medicine not elsewhere classifieden_NZ
dc.identifier.bibliographicCitationKim, C. (2014). Effectiveness of osteopathic manipulative treatment with home based exercises on progressed flexible pes planus. An unpublished research thesis submitted in partial requirement for the degree of Master of Osteopathy.en_NZ
unitec.pages98en_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
unitec.advisor.principalMannion, Jamie
unitec.advisor.associatedWhalley, Gillian
unitec.institution.studyareaOsteopathy


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