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Effect of Custom-Molded Foot Orthoses on Foot Pain and Balance in Children With Symptomatic Flexible Flat Feet

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주제분류재활의학

초록

Objective To evaluate the effect of custom-molded foot orthoses on foot pain and balance in children with symptomatic flexible flat foot 1 month and 3 months after fitting foot orthosis. Method A total of 24 children over 6 years old with flexible flat feet and foot pain for at least 6 months were recruited for this study. Their resting calcaneal stance position and calcaneal pitch angle were measured. Individual custom-molded rigid foot orthoses were prescribed using inverted orthotic technique to control foot overpronation. Pain questionnaire was used to obtain pain sites, degree, and frequency. Balancing ability was determined using computerized posturography. These evaluations were performed prior to custom-molded foot orthoses, 1 month, and 3 months after fitting foot orthoses. Result Of 24 children with symptomatic flexible flat feet recruited for this study, 20 completed the study. Significant (p<0.001) improvements in pain degree and frequency were noted after 1 and 3 months of custommolded foot orthoses. In addition, significant (p<0.05) improvement in balancing ability was found after 3 months of custom-molded foot orthoses. Conclusion Short-term use of custom-molded foot orthoses significantly improved foot pain and balancing ability in children with symptomatic flexible flat foot.

Abstract

Objective To evaluate the effect of custom-molded foot orthoses on foot pain and balance in children with symptomatic flexible flat foot 1 month and 3 months after fitting foot orthosis. Method A total of 24 children over 6 years old with flexible flat feet and foot pain for at least 6 months were recruited for this study. Their resting calcaneal stance position and calcaneal pitch angle were measured. Individual custom-molded rigid foot orthoses were prescribed using inverted orthotic technique to control foot overpronation. Pain questionnaire was used to obtain pain sites, degree, and frequency. Balancing ability was determined using computerized posturography. These evaluations were performed prior to custom-molded foot orthoses, 1 month, and 3 months after fitting foot orthoses. Result Of 24 children with symptomatic flexible flat feet recruited for this study, 20 completed the study. Significant (p<0.001) improvements in pain degree and frequency were noted after 1 and 3 months of custommolded foot orthoses. In addition, significant (p<0.05) improvement in balancing ability was found after 3 months of custom-molded foot orthoses. Conclusion Short-term use of custom-molded foot orthoses significantly improved foot pain and balancing ability in children with symptomatic flexible flat foot.

참고문헌 (28)

  1. Sullivan JA., "Pediatric flatfoot: evaluation and management", J Am Acad Orthop Surg, 7, pp.44~53 (1999)
  2. Garcia-Rodriguez A, "Flexible flat feet in children: a real problem?", Pediatrics, 103, pp.e84~ (1999)
  3. Kim SB, "Radiologic measurement of flatfoot", J Korean Acad Rehabil Med, 24, pp.995~1001 (2000)
  4. Harris EJ, "Diagnosis and treatment of pediatric flatfoot", J Foot Ankle Surg, 43, pp.341~373 (2004)
  5. Staheli LT, "The longitudinal arch: a survey of eight hundred and eighty-two feet in normal children and adults", J Bone Joint Surg Am, 69, pp.426~428 (1987)
  6. Mosca VS., "Flexible flatfoot in children and adolescents", J Child Orthop, 4, pp.107~121 (2010)
  7. Fabry G., "Clinical practice. Static, axial, and rotational deformities of the lower extremities in children", Eur J Pediatr, 169, pp.529~534 (2010)
  8. Yagerman SE, "Evaluation and treatment of symptomatic pes planus", Curr Opin Pediatr, 23, pp.60~67 (2011)
  9. Nemeth B., "The diagnosis and management of common childhood orthopedic disorders", Curr Probl Pediatr Adolesc Health Care, 41, pp.2~28 (2011)
  10. Houghton KM., "Review for the generalist: evaluation of pediatric foot and ankle pain", Pediatr Rheumatol Online J, 6, pp.6~ (2008)
  11. Yan GS, "Relationship between symptoms and weight-bearing radiographic parameters of idiopathic flexible flatfoot in children", Chin Med J (Engl), 126, pp.2029~2033 (2013)
  12. Lin CJ, "Correlating factors and clinical significance of flexible flatfoot in preschool children", J Pediatr Orthop, 21, pp.378~382 (2001)
  13. Evans AM, "The foot posture index, ankle lunge test, Beighton scale and the lower limb assessment score in healthy children: a reliability study", J Foot Ankle Res, 5, pp.1~ (2012)
  14. Krul M, "Foot problems in children presented to the family physician: a comparison between 1987 and 2001", Fam Pract, 26, pp.174~179 (2009)
  15. Pfeiffer M, "Prevalence of flat foot in preschool-aged children", Pediatrics, 118, pp.634~639 (2006)
  16. Powell M, "Efficacy of custom foot orthotics in improving pain and functional status in children with juvenile idiopathic arthritis: a randomized trial", J Rheumatol, 32, pp.943~950 (2005)
  17. Whitford D, "A randomized controlled trial of two types of in-shoe orthoses in children with flexible excess pronation of the feet", Foot Ankle Int, 28, pp.715~723 (2007)
  18. Benedetti MG, "Diagnosis of flexible flatfoot in children: a systematic clinical approach", Orthopedics, 34, pp.94~ (2011)
  19. Soo Kyung Bok, "Effects of Custom-Made Rigid Foot Orthosis on Pes Planus in Children Over 6 Years Old", Annals of Rehabilitation Medicine, 38(3), pp.369~377 (2014), 대한재활의학회
  20. Valmassy RL., "Clinical biomechanics of the lower extremities", pp.243~277 (1996), Mosby
  21. Blake RL., "Inverted functional orthosis", J Am Podiatr Med Assoc, 76, pp.275~276 (1986)
  22. Rome K, "Non-surgical interventions for paediatric pes planus", Cochrane Database Syst Rev, (7), pp.CD006311~ (2010)
  23. Evans AM, "A Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet", Eur J Phys Rehabil Med, 47, pp.69~89 (2011)
  24. Wenger DR, "Corrective shoes and inserts as treatment for flexible flatfoot in infants and children", J Bone Joint Surg Am, 71, pp.800~810 (1989)
  25. Lorimer D, "Neale’s disorders of the foot: diagnosis and management", pp.306~307 (2002), Churchill Livingstone
  26. Travell JG, "Travell & Simons’ myofascial pain and dysfunction: the trigger point manual", pp.460~461 (1992), Williams & Wilkins
  27. Leung AK, "Biomedical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot", Prosthet Orthot Int, 22, pp.25~34 (1998)
  28. Feuerbach JW, "Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception", Am J Sports Med, 22, pp.223~229 (1994)

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