Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic Analysis

<i>Background and Objectives:</i> Owing to the recent reports regarding the efficacy of rhythm step training (RST) in lower limb muscle development and motor skill enhancement, this study aimed to evaluate the effects of RST on foot and lower limb balance in children and adolescents diag...

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Main Authors: Ji-Myeong Park, Byung-Cho Min, Byeong-Chae Cho, Kyu-Ri Hwang, Myung-Ki Kim, Jeong-Ha Lee, Min-Jun Choi, Hyeon-Hee Kim, Myung-Sung Kang, Kyoung-Bin Min
Format: Article
Language:English
Published: MDPI AG 2024-08-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/9/1420
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author Ji-Myeong Park
Byung-Cho Min
Byeong-Chae Cho
Kyu-Ri Hwang
Myung-Ki Kim
Jeong-Ha Lee
Min-Jun Choi
Hyeon-Hee Kim
Myung-Sung Kang
Kyoung-Bin Min
author_facet Ji-Myeong Park
Byung-Cho Min
Byeong-Chae Cho
Kyu-Ri Hwang
Myung-Ki Kim
Jeong-Ha Lee
Min-Jun Choi
Hyeon-Hee Kim
Myung-Sung Kang
Kyoung-Bin Min
author_sort Ji-Myeong Park
collection DOAJ
description <i>Background and Objectives:</i> Owing to the recent reports regarding the efficacy of rhythm step training (RST) in lower limb muscle development and motor skill enhancement, this study aimed to evaluate the effects of RST on foot and lower limb balance in children and adolescents diagnosed with flat feet using radiographic analysis. <i>Materials and Methods:</i> A total of 160 children and adolescents diagnosed with flat feet from a hospital in Seoul were randomly assigned to the general flat feet training (GFFT) (<i>n</i> = 80) or RST (<i>n</i> = 80) group. Patients in both groups exercised for 50 min once a week for 12 weeks. Key variables, such as quadriceps angle (Q-angle), calcaneal pitch angle (CPA), calcaneal–first metatarsal angle (CFMA), and navicular–cuboid overlap ratio (OR) were measured before and after the intervention. <i>Results:</i> Significant improvements in Q-angle (<i>p</i> < 0.001), CPA (<i>p</i> < 0.001), CFMA (<i>p</i> < 0.001), and navicular–cuboid OR (<i>p</i> < 0.001) were observed in the RST group compared to the GFFT group. RST was found to be more effective in normalizing the biomechanical function of the calcaneus and improving lower limb function. <i>Conclusions:</i> RST significantly enhances foot and lower limb balance in children and adolescents with flat feet, suggesting its potential use as an effective intervention for this population. The study did not specifically analyze the effects of various components of rhythm training, such as music, exercise intensity, and frequency, on the outcomes. Further research is needed to determine how each of these elements individually influences the results.
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spelling doaj-art-3e4e619a57674c98a1972bee10b8df6a2025-08-20T01:55:39ZengMDPI AGMedicina1010-660X1648-91442024-08-01609142010.3390/medicina60091420Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic AnalysisJi-Myeong Park0Byung-Cho Min1Byeong-Chae Cho2Kyu-Ri Hwang3Myung-Ki Kim4Jeong-Ha Lee5Min-Jun Choi6Hyeon-Hee Kim7Myung-Sung Kang8Kyoung-Bin Min9Sports Rehabilitation Center, Ain Hospital, 372, Gyeongin-ro, Michuhol-gu, Incheon 22148, Republic of KoreaSports Rehabilitation Center, Ain Hospital, 372, Gyeongin-ro, Michuhol-gu, Incheon 22148, Republic of KoreaNowon Samsung Orthopedics, 456 Nohae-ro, Nowon-gu, Seoul 01762, Republic of KoreaNowon Samsung Orthopedics, 456 Nohae-ro, Nowon-gu, Seoul 01762, Republic of KoreaDepartment of Global Sport Studies, Korea University, 2511 Sejong-ro, Jochiwon-eup, Sejong 30019, Republic of KoreaDepartment of Sports and Exercise Medicine, Biomedical Science, Korea University, 2511 Sejong-ro, Jochiwon-eup, Sejong 30019, Republic of KoreaDepartment of Sports and Exercise Medicine, Biomedical Science, Korea University, 2511 Sejong-ro, Jochiwon-eup, Sejong 30019, Republic of KoreaDepartment of Physical Therapy, Gim Cheon University, 214 Daehak-ro, Gimcheon-si 39528, Gyeongsangbuk-do, Republic of KoreaLotte Healthcare, 300 Olympic-ro, Songpa-gu, Seoul 05551, Republic of KoreaDepartment of Global Sport Studies, Korea University, 2511 Sejong-ro, Jochiwon-eup, Sejong 30019, Republic of Korea<i>Background and Objectives:</i> Owing to the recent reports regarding the efficacy of rhythm step training (RST) in lower limb muscle development and motor skill enhancement, this study aimed to evaluate the effects of RST on foot and lower limb balance in children and adolescents diagnosed with flat feet using radiographic analysis. <i>Materials and Methods:</i> A total of 160 children and adolescents diagnosed with flat feet from a hospital in Seoul were randomly assigned to the general flat feet training (GFFT) (<i>n</i> = 80) or RST (<i>n</i> = 80) group. Patients in both groups exercised for 50 min once a week for 12 weeks. Key variables, such as quadriceps angle (Q-angle), calcaneal pitch angle (CPA), calcaneal–first metatarsal angle (CFMA), and navicular–cuboid overlap ratio (OR) were measured before and after the intervention. <i>Results:</i> Significant improvements in Q-angle (<i>p</i> < 0.001), CPA (<i>p</i> < 0.001), CFMA (<i>p</i> < 0.001), and navicular–cuboid OR (<i>p</i> < 0.001) were observed in the RST group compared to the GFFT group. RST was found to be more effective in normalizing the biomechanical function of the calcaneus and improving lower limb function. <i>Conclusions:</i> RST significantly enhances foot and lower limb balance in children and adolescents with flat feet, suggesting its potential use as an effective intervention for this population. The study did not specifically analyze the effects of various components of rhythm training, such as music, exercise intensity, and frequency, on the outcomes. Further research is needed to determine how each of these elements individually influences the results.https://www.mdpi.com/1648-9144/60/9/1420flat feetrhythm step traininglower limb balancepediatric rehabilitationbiomechanics
spellingShingle Ji-Myeong Park
Byung-Cho Min
Byeong-Chae Cho
Kyu-Ri Hwang
Myung-Ki Kim
Jeong-Ha Lee
Min-Jun Choi
Hyeon-Hee Kim
Myung-Sung Kang
Kyoung-Bin Min
Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic Analysis
Medicina
flat feet
rhythm step training
lower limb balance
pediatric rehabilitation
biomechanics
title Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic Analysis
title_full Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic Analysis
title_fullStr Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic Analysis
title_full_unstemmed Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic Analysis
title_short Effects of Rhythm Step Training on Foot and Lower Limb Balance in Children and Adolescents with Flat Feet: A Radiographic Analysis
title_sort effects of rhythm step training on foot and lower limb balance in children and adolescents with flat feet a radiographic analysis
topic flat feet
rhythm step training
lower limb balance
pediatric rehabilitation
biomechanics
url https://www.mdpi.com/1648-9144/60/9/1420
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