<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20180626040244N8</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-09-04</date_registration>
      <primary_sponsor>Allameh Tabataba'i University</primary_sponsor>
      <public_title>Effectiveness of Eccentric and Concentric-Biased Exercises on flatfoot</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the effect of eccentric and concentric biased exercises on foot posture and balance in individuals with flatfoot</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-09-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>45</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/85828</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: The simple randomization method, using sealed envelopes, is employed to assign participants to different groups. Each intervention type is written on a card and placed in a sealed envelope. Participants are listed in the order of their enrollment in the study. After each participant is enrolled, the envelopes are shuffled randomly, and each participant is asked to select one envelope at random. The number of envelopes is determined based on the expected sample size, ensuring that each selected envelope is not re-entered into the randomization process. This method ensures that the number of participants in each experimental group is approximately equal, thereby reducing the risk of discrepancies in group sizes.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Flexible Flatfoot.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The eccentric/concentric-biased groups will perform the exercises for six weeks, three days per week, each lasting 20 to 40 minutes. A warm-up period of 5–10 minutes will be conducted before each session, followed by a 5–10-minute cool-down after the exercises. In eccentric-biased training, the emphasis will be on the eccentric phase of the exercises, whereas in concentric-biased training, the focus will be on the concentric phase. The exercises included in this study are heel raises, the short foot exercise, and great toe (hallux) flexion. The tempo for eccentric-biased exercises will be set at 2-0-4, while for concentric-biased exercises, it will be 4-0-2. Exercise progression will follow a structured sequence, starting from a seated position, advancing to a standing position with both feet and finally to a single-leg standing position. Intervention 2: Control group: The control group did not receive any intervention during this period and continued with their routine daily activities.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
After the article is published, raw data without identifying the participants will be available by email to the corresponding author of the article.

When:
After the article is published, raw data without identifying the participants will be available by email to the corresponding author of the article.

To whom:
Any author who needs raw data, with a reason

Conditions:
Any researcher can request data.

Where to obtain:
By email to the correspondence author

How to obtain:
By email to the correspondence author

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Rahman Sheikhhoseini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Sport Sciences, AllamehTabataba'i University, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1485743411</zip>
        <telephone>+98 21 4839 4134</telephone>
        <email>rahman.pt82@gmail.com</email>
        <affiliation>Allameh Tabataba'i University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Rahman Sheikhhoseini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Sport Sciences, AllamehTabataba'i University, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1485743411</zip>
        <telephone>+98 21 4839 4134</telephone>
        <email>rahman.pt82@gmail.com</email>
        <affiliation>Allameh Tabataba'i University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Being in the age group of 11 to 15 years
having a flexible flatfoot
having a body mass index (BMI) between 18 and 25</inclusion_criteria>
      <agemin>11 years</agemin>
      <agemax>15 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>Q66.5</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Congenital pes planus</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The eccentric/concentric-biased groups will perform the exercises for six weeks, three days per week, each lasting 20 to 40 minutes. A warm-up period of 5–10 minutes will be conducted before each session, followed by a 5–10-minute cool-down after the exercises. In eccentric-biased training, the emphasis will be on the eccentric phase of the exercises, whereas in concentric-biased training, the focus will be on the concentric phase. The exercises included in this study are heel raises, the short foot exercise, and great toe (hallux) flexion. The tempo for eccentric-biased exercises will be set at 2-0-4, while for concentric-biased exercises, it will be 4-0-2. Exercise progression will follow a structured sequence, starting from a seated position, advancing to a standing position with both feet and finally to a single-leg standing position.</i_keyword>
      <i_keyword>Control group: The control group did not receive any intervention during this period and continued with their routine daily activities.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Navicular drop. Timepoint: Before the study starts and after 6 weeks of exercise intervention. Method of measurement: Navicular drop index.</prim_outcome>
      <prim_outcome>Static balance. Timepoint: Before the study starts and after 6 weeks of exercise intervention. Method of measurement: Stork balance test.</prim_outcome>
      <prim_outcome>Dynamic balance. Timepoint: Before the study starts and after 6 weeks of exercise intervention. Method of measurement: Y balance test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Allameh Tabataba'i University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-11-01</approval_date>
        <contact_name>Ethics committee of Allameh Tabataba'i University</contact_name>
        <contact_address>West Azadi sports complex entrance, Hakim highway Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
