矫形鞋垫干预柔韧性扁平足儿童青少年下肢功能的Scoping综述

Effect of orthopedic insoles on lower extremities function in children and adolescents with flexible flatfoot:a scopingreview

目的对穿戴矫形鞋垫干预柔韧性扁平足儿童青少年足弓形态、疼痛和下肢运动功能进行Scoping综述。方法检索自建库至2024年10月PubMed、Web of Science、Embase、中国知网、万方数据库、中国生物医学文献数据库、维普数据库中相关文献,提取相关数据进行Scoping综述。结果最终纳入10篇文献,包括7篇队列研究,3篇随机对照试验,来自中国、韩国、伊朗、罗马尼亚,涉及520例柔韧性扁平足儿童和青少年。矫形鞋垫能增加跟骨倾斜角,降低距骨第一跖骨角和足弓指数;改善足部和下肢运动功能,提高前后、内侧和整体稳定性,调整步行运动学和地面反作用力;缓解疼痛并降低疼痛发生率。结论穿戴矫形鞋垫能改善柔韧性扁平足儿童青少年的足弓形态,提高动态平衡,改善步行,并缓解疼痛。

Objective To review the effect of orthopedic insoles on arch morphology,pain and lower limb motor function in children and adolescents with flexible flatfoot.Methods Relevant literature was retrieved from PubMed,Web of Science,Embase,CNKI,CBM,Wanfang data and VIP databases,from inception to October,2024,and a scoping review was conducted.Results Ten researches were included,comprising seven cohort studies and three randomized controlled trials,originating from China,Korea,Iran and Romania,involving 520 children and adolescents with flexible flatfoot.Orthopedic insoles could increase the calcaneal pitch angle,reduce the Meary's angle and arch index;improve motor function of feet and lower limbs,stability of anterior and posterior,medial,and overall,adjust the kinematics andground reaction force in walking;relieve pain and reduce incidence of pain.Conclusion Wearing orthopedic insoles could improve the arch morphology,dynamic balance and gait function,and relievepain in children and adolescents with flexible flatfeet.