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Effect of Foot Orthoses in Children With Symptomatic Flexible Flatfoot Based on Ultrasonography of the Ankle Invertor and Evertor Muscles

So Young Ahn|Dong Joon Cho|Soo-Kyung Bok
대한재활의학회 (Korean Academy Of Rehabilitation Medicine)|2021.12|Annals of Rehabilitation Medicine|제45권 제6호|pp. 459-470|DOI 10.5535/arm.21137

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참고문헌

키워드

ChildAnkleFlatfootUltrasonographyFoot orthoses
주제분류재활의학

초록

Objective To examine the changes in the cross-sectional area (CSA) ratio of the ankle invertors and evertors following rigid foot orthosis (RFO) application in children with symptomatic flexible flatfoot and to determine the correlation between the degree of change in CSA ratio and pain-severity after RFO application.Methods We included 24 children with symptomatic flexible flatfoot without comorbidities and measured the CSAs of tibialis anterior (TA), tibialis posterior (TP), and peroneus longus (PL) using ultrasonography, resting calcaneal stance position (RCSP) angle, calcaneal pitch (CP), Meary’s angle, talonavicular coverage angle, and talocalcaneal angle using radiography, and foot function index (FFI) at baseline and 12 months after RFO application. We analyzed 48 data by measuring both feet of 24 children. The CSA ratios, the ratio of CSA of each muscle to the sum of CSA of TA, TP, and PL, were also compared. Correlations between the degree of change in FFI, each muscle’s CSA ratio, RCSP angle, and radiographic measurements were investigated.Results Following RFO application, significant increase in the PL ratio and CP and significant decrease in the RCSP angle, FFI total, pain, and disability scores were observed. The degree of change in the total score, pain, and disability score of FFI were significantly correlated with the degree of change in the PL ratio and RCSP angle.Conclusion RFOs applied to children with symptomatic flexible flatfoot might reduce the compensatory activities of the ankle invertors, thereby increasing the PL ratio, and pain decreases as the PL ratio increases.

Abstract

Objective To examine the changes in the cross-sectional area (CSA) ratio of the ankle invertors and evertors following rigid foot orthosis (RFO) application in children with symptomatic flexible flatfoot and to determine the correlation between the degree of change in CSA ratio and pain-severity after RFO application.Methods We included 24 children with symptomatic flexible flatfoot without comorbidities and measured the CSAs of tibialis anterior (TA), tibialis posterior (TP), and peroneus longus (PL) using ultrasonography, resting calcaneal stance position (RCSP) angle, calcaneal pitch (CP), Meary’s angle, talonavicular coverage angle, and talocalcaneal angle using radiography, and foot function index (FFI) at baseline and 12 months after RFO application. We analyzed 48 data by measuring both feet of 24 children. The CSA ratios, the ratio of CSA of each muscle to the sum of CSA of TA, TP, and PL, were also compared. Correlations between the degree of change in FFI, each muscle’s CSA ratio, RCSP angle, and radiographic measurements were investigated.Results Following RFO application, significant increase in the PL ratio and CP and significant decrease in the RCSP angle, FFI total, pain, and disability scores were observed. The degree of change in the total score, pain, and disability score of FFI were significantly correlated with the degree of change in the PL ratio and RCSP angle.Conclusion RFOs applied to children with symptomatic flexible flatfoot might reduce the compensatory activities of the ankle invertors, thereby increasing the PL ratio, and pain decreases as the PL ratio increases.

참고문헌 (40)

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관련 논문AI추천

Relationships Between Relative Ankle Muscle Ratios, Severity of Symptoms, and Radiologic Parameters in Adolescent Patients With Symptomatic Flexible Flat FeetAhn So Young, Bok Soo-Kyung, Shin Youngju대한재활의학회 · Annals of Rehabilitation Medicine2021 · 제45권 제2호Long-Term Effect of Rigid Foot Orthosis in Children Older Than Six Years With Flexible Flat Foot안소영, Bong-Ok Kim, In Sik Park, Kyo-Jun Youn, Soo-Kyung Bok대한재활의학회 · Annals of Rehabilitation Medicine2019 · 제43권 제2호Changes in Resting Calcaneal Stance Position Angle Following Insole Fitting in Children With Flexible Flatfoot김명옥, 김효상, 이의창, 홍상은대한재활의학회 · Annals of Rehabilitation Medicine2017 · 제41권 제2호Effects of Custom-Made Rigid Foot Orthosis on Pes Planus in Children Over 6 Years Old김봉옥, 복수경, Jun Ho Lim, So-Young Ahn대한재활의학회 · Annals of Rehabilitation Medicine2014 · 제38권 제3호Effect of Custom-Molded Foot Orthoses on Foot Pain and Balance in Children With Symptomatic Flexible Flat Feet유지현, 윤성원, 윤현주, 이홍재, 임길병, 정태호대한재활의학회 · Annals of Rehabilitation Medicine2015 · 제39권 제6호Biomechanical Evidence From Ultrasonography Supports Rigid Foot Orthoses in Children With FlatfootJoon-Ho Shin대한재활의학회 · Annals of Rehabilitation Medicine2021 · 제45권 제6호

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