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

다국어 초록 (Multilingual 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 (Reference)

1 Travell JG, "Travell & Simons’ myofascial pain and dysfunction: the trigger point manual" Williams & Wilkins 460-461, 1992

2 Staheli LT, "The longitudinal arch: a survey of eight hundred and eighty-two feet in normal children and adults" 69 : 426-428, 1987

3 Evans AM, "The foot posture index, ankle lunge test, Beighton scale and the lower limb assessment score in healthy children: a reliability study" 5 : 1-, 2012

4 Nemeth B., "The diagnosis and management of common childhood orthopedic disorders" 41 : 2-28, 2011

5 Houghton KM., "Review for the generalist: evaluation of pediatric foot and ankle pain" 6 : 6-, 2008

6 Yan GS, "Relationship between symptoms and weight-bearing radiographic parameters of idiopathic flexible flatfoot in children" 126 : 2029-2033, 2013

7 Kim SB, "Radiologic measurement of flatfoot" 24 : 995-1001, 2000

8 Pfeiffer M, "Prevalence of flat foot in preschool-aged children" 118 : 634-639, 2006

9 Sullivan JA., "Pediatric flatfoot: evaluation and management" 7 : 44-53, 1999

10 Rome K, "Non-surgical interventions for paediatric pes planus" (7) : CD006311-, 2010

11 Lorimer D, "Neale’s disorders of the foot: diagnosis and management" Churchill Livingstone 306-307, 2002

12 Blake RL., "Inverted functional orthosis" 76 : 275-276, 1986

13 Krul M, "Foot problems in children presented to the family physician: a comparison between 1987 and 2001" 26 : 174-179, 2009

14 Mosca VS., "Flexible flatfoot in children and adolescents" 4 : 107-121, 2010

15 Garcia-Rodriguez A, "Flexible flat feet in children: a real problem?" 103 : e84-, 1999

16 Yagerman SE, "Evaluation and treatment of symptomatic pes planus" 23 : 60-67, 2011

17 Powell M, "Efficacy of custom foot orthotics in improving pain and functional status in children with juvenile idiopathic arthritis: a randomized trial" 32 : 943-950, 2005

18 Soo Kyung Bok, "Effects of Custom-Made Rigid Foot Orthosis on Pes Planus in Children Over 6 Years Old" 대한재활의학회 38 (38): 369-377, 2014

19 Feuerbach JW, "Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception" 22 : 223-229, 1994

20 Benedetti MG, "Diagnosis of flexible flatfoot in children: a systematic clinical approach" 34 : 94-, 2011

21 Harris EJ, "Diagnosis and treatment of pediatric flatfoot" 43 : 341-373, 2004

22 Lin CJ, "Correlating factors and clinical significance of flexible flatfoot in preschool children" 21 : 378-382, 2001

23 Wenger DR, "Corrective shoes and inserts as treatment for flexible flatfoot in infants and children" 71 : 800-810, 1989

24 Fabry G., "Clinical practice. Static, axial, and rotational deformities of the lower extremities in children" 169 : 529-534, 2010

25 Valmassy RL., "Clinical biomechanics of the lower extremities" Mosby 243-277, 1996

26 Leung AK, "Biomedical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot" 22 : 25-34, 1998

27 Whitford D, "A randomized controlled trial of two types of in-shoe orthoses in children with flexible excess pronation of the feet" 28 : 715-723, 2007

28 Evans AM, "A Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet" 47 : 69-89, 2011