Early detection of podiatric anomalies in children with Down syndrome

Abstract

Aims: To verify the importance of podiatric evaluation in patients with Down syndrome for the early diagnosis and treatment of minor orthopaedic problems. Methods: Case‐control study of 50 children affected by Down syndrome (aged 4–10 y) without major orthopaedic malformations compared to 100 healthy children. A complete podiatric examination was performed on all patients and controls. Results: Children with Down syndrome showed several orthopaedic anomalies including bony deformity of the forefoot (90%), flat foot (60%), isolated calcaneal valgus (24%), knee valgus (22%) and pronated flat foot (16%). These abnormalities were responsible for postural alterations as confirmed by baropodometric examination. Conclusion: The data demonstrated a greater incidence of minor orthopaedic alterations and suggest the necessity of regular podiatric examinations in the follow‐up of this syndrome.

Injuries, falls and accidents among adults with intellectual disabilities. Prospective cohort study

“…Incident fall injury was predicted by having epilepsy, incident fall injury excluding epilepsy‐related injury was predicted by urinary incontinence; Down syndrome reduced risk. There may be physiological reasons for adults with Down syndrome being less likely to fall: adults with Down syndrome are more likely to be obese, hence have a different centre of gravity than those of normal weight (Bell & Bhate 1991); have different walking patterns when compared with other people (slower walking with shorter, wider strides, spending more time in both stance and double support) (Smith & Ulrich 2008); and characteristic foot shape (flat feet) and deformity (Concolino et al . 2006).…”

Relationship between flat foot condition and gait pattern alterations in children with Down syndrome

“…Among the feet problems, one of the most common abnormalities is flat foot which is present in 60% of the individuals with DS (Concolino et al . ; Pau et al . ).…”

Distribuição da pressão plantar em idosos após intervenção proprioceptiva

“…A baropodometria provê indicações de como está a função dos pés e tornozelos na postura ortostática ou durante as atividades funcionais, além de prover informações sobre possíveis riscos de várias doenças ou situações tais como: diabetes, atrites, doenças neurológicas, padrões de marcha, ortostatismo e a pressão plantar que é a quantidade de pressão que o corpo exerce na superfície plantar e que fornece dados quantificáveis para a escolha de indicações terapêuticas, bem como, medidas resultantes dos diferentes tipos de intervenção, mostrando assim, ser um exame de consistência que pode trazer benefícios clínicos às mais diversas situações [14][15][16][17] . Desta forma, é um instrumento que permite através de registro adequado, condições de fornecer relevância clínica dos seus resultados.…”