The long-term structural effect of orthoses for pediatric flexible flat foot: A systematic review

Choi, Jun Young; Hong, Woi Hyun; Suh, Jin Soo; Han, Jae Hwi; Lee, Dong Joo; Lee, Yong Jae

doi:10.1016/j.fas.2019.01.007

Cited by 27 publications

(16 citation statements)

References 27 publications

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“…Outros estudos sustentam a ideia que o excesso de peso gera um efeito negativo na estrutura do pé, causando uma pressão maior na região plantar e rebaixando o ALM [22,24].…”

Section: Discussionunclassified

Relação entre equilíbrio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM

Bier¹,

Mendonça²,

Furtado³

et al. 2019

Fisioter Bras

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Introdução: O equilíbrio é essencial para o desempenho das atividades cotidianas e funcionalidade. É dependente da interação entre sistemas visual, vestibular e periférico, dos comandos do sistema nervoso central e respostas neuromusculares. Objetivo: Verificar a relação do estado nutricional e padrão de arco longitudinal medial (ALM) de pés com o equilíbrio de crianças entre 4 e 5 anos de idade. Métodos: Foram avaliadas 16 crianças, realizando avaliações antropométricas e análise do estado nutricional; depois, avaliação do ALM, com utilização de pedígrafo e classificação pelo índice de Cavanagh e Rodgers; por fim, avaliação do equilíbrio pela Escala de Equilíbrio Pediátrica (EEP). Resultados: O escore médio dos participantes na EEP foi de 53,56, variando entre 50 e 56. Com relação ao estado nutricional, 6,25% apresentaram obesidade, 18,75% risco de sobrepeso e o restante apresentou eutrofia. Para a análise do ALM constatou-se que 62,5% dos participantes apresentaram pé plano, 25% pé normal e 12,5% pé cavo. Conclusão: O estudo aponta que o sexo masculino, seguido da presença de pé plano, apresentou maior relação com o déficit de equilíbrio para a população de 4 a 5 anos. Já as crianças com sobrepeso e obesidade obtiveram escores típicos na EEP, retratando a necessidade de mais estudos.Palavras-chave: equilíbrio postural, pé chato, pré-escolar.

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“…Outros estudos sustentam a ideia que o excesso de peso gera um efeito negativo na estrutura do pé, causando uma pressão maior na região plantar e rebaixando o ALM [22,24].…”

Section: Discussionunclassified

Relação entre equilíbrio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM

Bier¹,

Mendonça²,

Furtado³

et al. 2019

Fisioter Bras

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“…Adults with symptomatic flexible flatfeet are frequently treated with foot orthoses [ 8 – 11 ]. However, in multiple systematic reviews the literature on the effect of foot orthoses for symptomatic flatfeet is controversial, likely due to the high heterogeneity between studies [ 8 , 12 , 13 ]. Despite the concerns regarding the efficacy of foot orthoses for flexible flat feet, it is understood that people with flat feet can have a functional deficit.…”

Section: Introductionmentioning

confidence: 99%

Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes

Oerlemans

Peeters

Munnik-Hagewoud

et al. 2023

BMC Musculoskelet Disord

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Background This systematic review and meta-analysis examined the effectiveness of orthoses for flexible flatfeet in terms of patient-reported outcomes in children and adults. Methods EMBASE, Medline (OvidSP), Web-of-Science, Scopus, CINAHL, Cochrane Central Register of Controlled Clinical Trials, i.e., Cochrane Central and Pubmed were searched to identify relevant studies since their inception up to February 2021. We included randomized controlled trials (RCT) and prospective studies in which patient reported outcomes at baseline and follow-up in an orthoses group were compared with a no orthoses or sham sole group. Methodological quality of the studies was assessed using the Revised Cochrane risk-of-bias tool for randomized trials (RoB 2) and the Risk Of Bias In Non-Randomized Studies of Interventions (ROBINS-I). A meta-analysis was performed where there were multiple studies with the same outcome measures, which was the case for the Visual Analogue Scale (VAS) for pain in adults. Results In total nine studies were included: four RCT in children (N = 353) and four RCT and one prospective study in adults (N = 268) were included. There was considerable heterogeneity between studies. A meta-analysis demonstrated that pain reduction between baseline and follow-up was significantly larger in the orthoses (N = 167) than in the control groups in adults (N = 157; − 4.76, 95% CI [− 9.46, − 0.06], p0.05). Conclusion Due to heterogeneity in study designs, we cannot conclude that foot orthoses are useful for flexible flatfoot in children and adults. However, based on the meta-analysis orthoses might be useful in decreasing pain in adults. The authors did not receive support from any organization for the submitted work.

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“…According to some authors, foot orthoses prescription should be reconsidered for flatfooted patients [ 20 , 21 , 22 ]. Others mentioned that they may not be recommended due to the lack of evidence of structural improvements for pediatric flexible flatfoot; insoles seem to have a beneficial role for patients under 13, but additional studies may be required in order to confirm their therapeutic effect, and orthopedic footwear did not correct the deficient arch development [ 23 , 24 , 25 ]. Surgical procedures for flatfoot are continuously updated and some are still used nowadays, such as lateral column calcaneal lengthening described by Evans and modified by Mosca, Grice’s extraarticular arthrodesis and pseudoarthrodesis, better known as arthroereisis [ 26 , 27 , 28 , 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

The Role of Arthroereisis in Improving Sports Performance, Foot Aesthetics and Quality of Life in Children and Adolescents with Flexible Flatfoot

2022

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Flexible flatfoot represents one of the most common deformities of the lower limb, affecting children and adolescents. Aesthetic aspect, abnormal gait, pain and fatigue are by far the most important symptoms which determine parents to bring their children to the orthopedist. We set out to conduct a prospective study, case-controlled, including patients with symptomatic flexible flatfeet operated on by arthroereisis surgery and comparing them to a normal feet group of children age- and sex-matched (control group). Minimum follow-up time was 2 years. In total, 33 patients with bilateral arthroereisis were included and 36 patients formed the control group (12.12 +/− 1.85 years vs. 11.81 ± 2.40 years, p = 0.54). Quality of life improved postoperatively (p = 0.18) and was not different from the control group. Median running time improved postoperatively by 2.25 s (p < 0.0001) and got closer to the median running time from the control group (22.30 s compared to 20.94 s, p = 0.01). All radiological angles improved (p < 0.0001), but quality of life improvement was correlated with talonavicular coverage angle and Meary angle measurements. Flatfoot in children and adolescents may be a condition in which the quality of life and sports performance are decreased, compared to healthy children. Arthroereisis is a minimally invasive surgical procedure with a short recovery time and a short period before resumption of sport activities, which can be useful in certain types of flexible flatfoot due to its effectiveness on symptom reduction.

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The long-term structural effect of orthoses for pediatric flexible flat foot: A systematic review

Cited by 27 publications

References 27 publications

Relação entre equilíbrio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM

Relação entre equilíbrio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM

Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes

The Role of Arthroereisis in Improving Sports Performance, Foot Aesthetics and Quality of Life in Children and Adolescents with Flexible Flatfoot

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The long-term structural effect of orthoses for pediatric flexible flat foot: A systematic review

Cited by 27 publications

References 27 publications

Relação entre equilí­brio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM

Relação entre equilí­brio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM

Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes

The Role of Arthroereisis in Improving Sports Performance, Foot Aesthetics and Quality of Life in Children and Adolescents with Flexible Flatfoot

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Product

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Relação entre equilíbrio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM

Relação entre equilíbrio, estado nutricional e pé plano em crianças de 4 a 5 anos matriculadas em instituição de ensino na cidade de Manaus/AM