Cálculo do índice do arco plantar de staheli e a prevalência de pés planos: estudo em 100 crianças entre 5 e 9 anos de idade

Hernandez, Arnaldo José; Kimura, Luiz Koichi; Laraya, Marcos Henrique Ferreira; Fávaro, Edimar

doi:10.1590/s1413-78522007000200001

Cited by 41 publications

(22 citation statements)

References 26 publications

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“…The plantigraphies accepted where the ones in which the foot was centered on the sheet of paper; the demarcation of the footprint was free of ink imperfections; and there was no damage to the morphology of the foot, such as imperfections in the demarcations of the toe and calcaneous region. This procedure was repeated in the contralateral limb 23 .…”

Section: Resultsmentioning

confidence: 99%

Influência do arco longitudinal medial na distribuição plantar e na flexibilidade posterior

et al. 2020

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RESUMO O objetivo deste estudo foi verificar se a formação do arco longitudinal do pé interfere na distribuição da pressão plantar e na flexibilidade dos músculos posteriores da coxa. O método de estudo foi transversal e as impressões plantares foram obtidas usando o plantígrafo e analisadas segundo o método Viladot. A distribuição plantar e a flexibilidade foram avaliadas pela baropodometria e pelo banco de Wells, respectivamente. Foi observado que crianças com pés cavos apresentam maior flexibilidade quando comparadas às que têm o pé normal (p=0,02); e também que pés cavos apresentam maior pressão, ou seja, maior sobrecarga em calcâneo quando comparados àqueles com o arco plantar normal (p=0,02 membro inferior direito e p=0,03 membro inferior esquerdo). A avaliação do arco longitudinal medial mostra que crianças com pés cavos apresentam maior flexibilidade dos músculos posteriores de membro inferior. Os pés cavos também estão associados com maior descarga de peso em região de calcâneo.

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Section: Resultsmentioning

confidence: 99%

Influência do arco longitudinal medial na distribuição plantar e na flexibilidade posterior

et al. 2020

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“…По всей видимости, это связано с ограниченной доступностью инструментальных методов исследования. Так, врачиортопеды амбулаторного звена в 5,4 раза чаще полагают, что частота плоскостопия в детской популяции составляет более 50 %, что выше средних значений частоты плоскостопия по данным литературы [11,12,22]. Больше половины врачей-ортопедов амбулаторного звена (58,9 %) при плоскостопии у детей рекомендуют носить ортопедическую обувь и 95,1 % -пользоваться индивидуальными стельками.…”

Section: материалы и методыunclassified

The attitude of doctors of various specialties to the problem of flatfoot

Kenis

Маркович²,

Dimitrieva

et al. 2020

HERALD of North-Western State Medical University named after I.

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Purpose: to assess the subjective perception of flatfoots prevalence in children, its age dynamics and the main approaches to the diagnosis and treatment by doctors of various pediatric specialties with different medical experience and working in medical facilities at various levels by anonymous questionnaire. Materials and methods. Questionnaire data from 80 orthopedists (50 outpatient doctors, 30 doctors from a specialized scientific research institute and orthopedic departments of city hospitals (research institutes / hospitals) and 30 neurologists (polyclinic). Results: our study demonstrated that outpatient orthopedists diagnose the flatfoot on average in half of the cases. The orthopedists diagnose flatfoot only by means of visual examination in 46.1% of cases (neurologists in 85.7% of cases). According to our data, 58.9 % of outpatient doctors recommend wearing special orthopedic shoes (46.1 % only if the foot alone is affected) and 95.1 % of specialists recommend wearing individual orthopedic insoles (53.6 % if there are complaints). While 88.2 % of the orthopedic surgeons from specialized research institutes and hospitals do not recommend wearing orthopedic shoes; 26.7 % of experts recommend wearing individual orthopedic insoles only in the presence of complaints. On the other hand, the neurologists recommend wearing orthopedic shoes 5.3 times more often than the orthopedists do. Conclusion: our study demonstrates that the specialty of the doctor (orthopedist, neurologist) and the type of health care facilities in which the specialist works have the greatest impact on his subjective perception of the prevalence and age dynamics of flatfoot in children, tactics of diagnostics and treatment. The outpatient orthopedists diagnose flatfoot 4.2 times more often than the orthopedic surgeons from the specialized research institute and hospitals. Also, the outpatient orthopedists prescribe wearing orthopedic shoes 4.9 times more often (insoles 3.6 times more often) in comparison with the orthopedic surgeons of the specialized research institute and orthopedic hospitals. Summarizing the above mentioned, we would like to note that due to the fact that the current assessment of the age limits of the arch height feet is ambiguous, there is a need to introduce a unified system for assessing the foots shape and posture with defining the concepts of average height and typically developing foot.

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“…Подход к определению границ статистической нормы (например, при нормальном распределении -кратность стандартных отклонений) у различных исследователей также отличается. Так, Hernandez et al (2007) при исследовании частоты встречаемости плоскостопия у детей 5-9-летнего возраста считали свод стопы уплощенным, если среднее значение по индексу Staheli превышало два стандартных отклонения [24]. Д.А.…”

Section: результатыunclassified

“…Выпуск 2. 2019 наиболее популярны метод определения частоты плоскостопия по закону нормального распределения (при этом для расчета средних значений учитывают от одного до двух стандартных отклонений) [18,24] и квартильный, или центильный, способ [25].…”

Section: Introductionunclassified

The variability of the flatfoot frequency depending on the diagnostic criteria and the method of statistical analysis

Kenis

Маркович²,

Dimitrieva

et al. 2019

Pediatr Traum Orthop Reconstr Surg

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Background. Flatfoot frequency in children varies from 0.6% to 77.9%. This wide-range data is associated with lack of uniform diagnostic criteria and method of statistical analysis. Aim. This study aimed to demonstrate the variability in flatfoot frequency in the same population using different indices of footprint and methods of statistical analysis. Material and methods. This study included 317 school-age children. Children with orthopedic and foot pathology were excluded. The main evaluation methods were clinical examination, computer plantography with footprint index calculation (Staheli index, Chippaux–Smirak index, Clarke’s angle, podometric index, arch height index), and statistical analysis (descriptive statistics methods with Kolmogorov–Smirnov and Shapiro–Wilk criteria, data definition according to the law of normal distribution with standard deviation and quartile assessment). Results. According to the law of normal distribution (with a double standard deviation), our study demonstrated that the flatfoot frequency using the plantar footprint indices varies from 1.6% to 4.8% in 7–17-year-old children and using the medial footprint indices, from 1.28% to 2.8% in the same age. Quartile assessment method showed a flatfoot frequency of 5.85%–28.33% with plantar foot indices and 5.7%–15.43% with medial footprint indices. Conclusion. The different plantographic indices and methods of statistical analysis demonstrated that the frequency of a flattened longitudinal arch of the feet in a population may differ significantly. Thus, the frequency of flatfoot determined on the basis of indices calculated on the medial footprint is 1.7–1.8 times lower than that determined on the plantar footprint. In addition, the frequency of flatfoot is 5.5–5.9 times lower than that determined by the quartile assessment.

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Cálculo do índice do arco plantar de staheli e a prevalência de pés planos: estudo em 100 crianças entre 5 e 9 anos de idade

Cited by 41 publications

References 26 publications

Influência do arco longitudinal medial na distribuição plantar e na flexibilidade posterior

Influência do arco longitudinal medial na distribuição plantar e na flexibilidade posterior

The attitude of doctors of various specialties to the problem of flatfoot

The variability of the flatfoot frequency depending on the diagnostic criteria and the method of statistical analysis

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