BACKGROUND Childhood obesity has emerged in the last decades as an important public health problem worldwide.Although relationships between obesity and flatfoot have been shown,no studies have investigated the influen...BACKGROUND Childhood obesity has emerged in the last decades as an important public health problem worldwide.Although relationships between obesity and flatfoot have been shown,no studies have investigated the influence of obesity on arthroereisis outcomes.AIM To evaluate correlations between childhood overweight/obesity and clinical and radiographic outcomes after subtalar arthroereisis with self-locking implants.METHODS This retrospective study included one hundred and sixty-nine pediatric patients(10-14 years old)who underwent subtalar arthroereisis(PEEK PitStop®device)for severe flexible flatfoot.Exclusion criteria were additional procedures,revision of previous corrective surgeries,rigid flatfoot with severe deformity,and neurologi-cal or post-traumatic flatfoot.Preoperative/postoperative European Foot and Ankle Society(EFAS)and visual analogue scale(VAS)scores were determined;radiographic assessment was conducted on weight-bearing foot X-rays:Kite angle,first metatarsal-talus angle,Meary angle,calcaneal pitch angle and lateral talo-calcaneal angle were analyzed.RESULTS EFAS and VAS scores improved post-operatively in the whole population.Only seven cases with complications were reported.Radiographic assessment revealed an improvement in all angles.Statistical analysis demonstrated that the impact of obesity was significant on arthroereisis outcomes:Relationships were reported between BMI and postoperative EFAS/VAS scores,postoperative calcaneal pitch angle,Kite angle,Meary angle and talo-first meta-tarsal angle.CONCLUSION Although arthroereisis represents a very effective and valid treatment for flatfoot both in normal weight and obese children,obesity significantly influences clinical and radiographic outcomes of arthroereisis,and obese children tend to perceive more pain and discomfort.展开更多
儿童的足部健康一直是备受关注的话题。为筛查成都市儿童扁平足发病率,并探究和验证相关的影响因素。利用问卷对成都市某小学进行调查,并使用Podo Med M6压力平板对参与问卷调查的儿童进行扁平足筛查,利用SPSS25.0和EXCEL进行分析。结...儿童的足部健康一直是备受关注的话题。为筛查成都市儿童扁平足发病率,并探究和验证相关的影响因素。利用问卷对成都市某小学进行调查,并使用Podo Med M6压力平板对参与问卷调查的儿童进行扁平足筛查,利用SPSS25.0和EXCEL进行分析。结果表明:性别、年龄、MBI、家族史、下肢受伤史、鞋子类型和鞋子软硬程度均是影响扁平足发生的潜在因素。本研究为探索扁平足影响因素和足弓停止发育时间的研究提供了参考,也为干预儿童扁平足的发育提供了指导。展开更多
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...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。展开更多
The most difficult aspect regarding treatment of the pediatric flatfoot is understanding who needs surgery,when it is necessary, and what procedure to be done.A thorough history, clinical examination, and imaging shou...The most difficult aspect regarding treatment of the pediatric flatfoot is understanding who needs surgery,when it is necessary, and what procedure to be done.A thorough history, clinical examination, and imaging should be performed to guide the surgeon through an often complex treatment path. Surgical technique can be divided in three categories: Soft tissue, bony,and arthroereisis. This paper will describe the jointpreserving techniques and their application to treat the pediatric flatfoot deformity.展开更多
Pes planus or flatfeet is a postural deformity which leads the entire sole of the foot to completely or near-completely touch the ground.Pes planus deformity occurs due to collapse of foot arches which can be congenit...Pes planus or flatfeet is a postural deformity which leads the entire sole of the foot to completely or near-completely touch the ground.Pes planus deformity occurs due to collapse of foot arches which can be congenital or pathological.The objective of this study was to determine the prevalence of flatfoot condition among undergraduates at the Faculty of Allied Health Sciences(FAHS),General Sir John Kotelawala Defence University(KDU)and its correlation with age,gender and BMI.A cross sectional study was conducted among 533 participants(Male=131,Female=402).Interviewer-administered questionnaire was used to collect the demographic data.BMI was calculated by obtaining height and weight measurements.Arch index method was used to determine the foot type taken using the Modified Harris Mat.The data analysis was done using SPSS software version 23.P value of less than 0.05 was considered as statistically significant.The study was done among people aged 19 to 26.The prevalence of flatfoot among this age group was 34.7%(n=185).Most of them are bilateral flat feet(73.5%),only 26.5%are unilateral flat feet.The proportion of patients with flat footedness was significantly higher in women(75%)than in men(25%).BMI in the overweight and obese categories(BMI>23)was statistically significant(p<0.05),which is 164(52.4%).Study shows a statistically significant association between flatfoot and increasing BMI beyond normal(p<0.05).There is no significant association between flatfoot with age and gender.Prevalence of flatfoot among allied health undergraduates was seemingly high requiring screening for early detection and appropriate referral for corrective measures.展开更多
目的了解矫形鞋垫的分类,3D打印矫形鞋垫常用技术、常用材料及其在扁平足中的应用。方法检索PubMed、Web of Science、中国知网和万方数据库2012年至2022年发表的相关文献,总结相关内容。结果最终纳入文献10篇,来自5个国家,涉及290例参...目的了解矫形鞋垫的分类,3D打印矫形鞋垫常用技术、常用材料及其在扁平足中的应用。方法检索PubMed、Web of Science、中国知网和万方数据库2012年至2022年发表的相关文献,总结相关内容。结果最终纳入文献10篇,来自5个国家,涉及290例参与者,发表时间主要集中于2019年至2022年。矫形鞋垫可分为预制型、半定制型和定制型,其中定制型可分为传统定制型和3D打印定制型。3D打印制作矫形鞋垫时常选择的打印技术为选择性激光烧结、熔融沉积成型(FDM)和PolyJet打印,材料包括乙烯醋酸乙烯酯(EVA)、聚乳酸、热塑性聚氨酯、聚酰胺、聚丙烯。3D打印矫形鞋垫应用于扁平足,改善足底压力,缓解足部疼痛,联合使用鞋垫张贴能有效控制后足外翻。结论3D打印定制鞋垫的制作效率和精确度优于传统定制鞋垫;常选择的打印技术和材料主要为FDM和EVA。3D打印矫形鞋垫可对扁平足足底压力、舒适度和足部运动功能产生积极影响。展开更多
目的系统综述短足训练对成年扁平足患者的干预效果。方法检索2010年1月至2022年12月发表在PubMed、Web of Science、Cochrane、Embase、Scopus、中国知网、万方数据库、中国生物医学文献数据库中短足训练干预治疗扁平足的相关文献,采用...目的系统综述短足训练对成年扁平足患者的干预效果。方法检索2010年1月至2022年12月发表在PubMed、Web of Science、Cochrane、Embase、Scopus、中国知网、万方数据库、中国生物医学文献数据库中短足训练干预治疗扁平足的相关文献,采用物理治疗证据数据库(PEDro)量表进行方法学质量评价,提取相关数据进行系统综述。结果最终纳入10篇随机对照试验,涉及335例。PEDro量表平均分7.1分。短足训练可降低扁平足患者足舟骨下降高度,提高足姿指数评分,改善平衡能力,增加拇外展肌横截面积,对足底压力无影响。结论短足训练对成年扁平足患者的足形态、平衡能力和拇外展肌有良好效果,但对足底压力的效果不显著。展开更多
文摘BACKGROUND Childhood obesity has emerged in the last decades as an important public health problem worldwide.Although relationships between obesity and flatfoot have been shown,no studies have investigated the influence of obesity on arthroereisis outcomes.AIM To evaluate correlations between childhood overweight/obesity and clinical and radiographic outcomes after subtalar arthroereisis with self-locking implants.METHODS This retrospective study included one hundred and sixty-nine pediatric patients(10-14 years old)who underwent subtalar arthroereisis(PEEK PitStop®device)for severe flexible flatfoot.Exclusion criteria were additional procedures,revision of previous corrective surgeries,rigid flatfoot with severe deformity,and neurologi-cal or post-traumatic flatfoot.Preoperative/postoperative European Foot and Ankle Society(EFAS)and visual analogue scale(VAS)scores were determined;radiographic assessment was conducted on weight-bearing foot X-rays:Kite angle,first metatarsal-talus angle,Meary angle,calcaneal pitch angle and lateral talo-calcaneal angle were analyzed.RESULTS EFAS and VAS scores improved post-operatively in the whole population.Only seven cases with complications were reported.Radiographic assessment revealed an improvement in all angles.Statistical analysis demonstrated that the impact of obesity was significant on arthroereisis outcomes:Relationships were reported between BMI and postoperative EFAS/VAS scores,postoperative calcaneal pitch angle,Kite angle,Meary angle and talo-first meta-tarsal angle.CONCLUSION Although arthroereisis represents a very effective and valid treatment for flatfoot both in normal weight and obese children,obesity significantly influences clinical and radiographic outcomes of arthroereisis,and obese children tend to perceive more pain and discomfort.
文摘儿童的足部健康一直是备受关注的话题。为筛查成都市儿童扁平足发病率,并探究和验证相关的影响因素。利用问卷对成都市某小学进行调查,并使用Podo Med M6压力平板对参与问卷调查的儿童进行扁平足筛查,利用SPSS25.0和EXCEL进行分析。结果表明:性别、年龄、MBI、家族史、下肢受伤史、鞋子类型和鞋子软硬程度均是影响扁平足发生的潜在因素。本研究为探索扁平足影响因素和足弓停止发育时间的研究提供了参考,也为干预儿童扁平足的发育提供了指导。
文摘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。
文摘目的探讨扁平足病人中特发性脊柱侧凸(idiopathic scoliosis,IS)的发病情况及影像学特征,分析扁平足病人合并IS的危险因素。方法回顾性分析2021年10月至2023年3月于武汉儿童医院就诊的608例扁平足病人的一般情况和影像学资料,统计扁平足病人中IS的发病率,采用秩和检验比较IS病人与非IS病人、IS中Cobb角>20°病人与Cobb角≤20°病人的一般情况及足影像学参数。采用单因素分析IS病人与非IS病人、IS中Cobb角>20°病人与Cobb角≤20°病人左足外翻角(hallux valgus angle,HVA)、右足HVA、左足(侧位)距骨第1跖骨角(Meary’s angle,MA)、右足MA、HVA差值、MA差值等指标,将P<0.20的指标纳入多因素Logistic回归分析,评估扁平足病人发生IS的危险因素,扁平足合并IS病人Cobb角>20°的危险因素。结果608例扁平足病人中,发生IS的有67例(67/608,11.01%)。扁平足合并IS病人与非IS病人比较,存在双侧外翻角不对称和双侧足弓不对称,差异均有统计学意义(P<0.05)。大于10岁病人(OR=2.866,95%CI:1.683~4.881,P<0.001),女性病人(OR=1.892,95%CI:1.121~3.193,P=0.017),双侧足弓不对称的扁平足病人(OR=1.194,95%CI:1.023~1.393,P=0.025),有更高的IS患病风险。IS病人Cobb角>20°病人左足足弓水平低于Cobb角≤20°病人(P=0.019)。结论IS在扁平足病人中的发病率可能较正常人群发病率高。扁平足合并IS病人存在双侧足形态不对称,包括双侧外翻角不对称及双侧足弓不对称,且双侧足弓不对称是扁平足合并IS的危险因素。
文摘The most difficult aspect regarding treatment of the pediatric flatfoot is understanding who needs surgery,when it is necessary, and what procedure to be done.A thorough history, clinical examination, and imaging should be performed to guide the surgeon through an often complex treatment path. Surgical technique can be divided in three categories: Soft tissue, bony,and arthroereisis. This paper will describe the jointpreserving techniques and their application to treat the pediatric flatfoot deformity.
文摘Pes planus or flatfeet is a postural deformity which leads the entire sole of the foot to completely or near-completely touch the ground.Pes planus deformity occurs due to collapse of foot arches which can be congenital or pathological.The objective of this study was to determine the prevalence of flatfoot condition among undergraduates at the Faculty of Allied Health Sciences(FAHS),General Sir John Kotelawala Defence University(KDU)and its correlation with age,gender and BMI.A cross sectional study was conducted among 533 participants(Male=131,Female=402).Interviewer-administered questionnaire was used to collect the demographic data.BMI was calculated by obtaining height and weight measurements.Arch index method was used to determine the foot type taken using the Modified Harris Mat.The data analysis was done using SPSS software version 23.P value of less than 0.05 was considered as statistically significant.The study was done among people aged 19 to 26.The prevalence of flatfoot among this age group was 34.7%(n=185).Most of them are bilateral flat feet(73.5%),only 26.5%are unilateral flat feet.The proportion of patients with flat footedness was significantly higher in women(75%)than in men(25%).BMI in the overweight and obese categories(BMI>23)was statistically significant(p<0.05),which is 164(52.4%).Study shows a statistically significant association between flatfoot and increasing BMI beyond normal(p<0.05).There is no significant association between flatfoot with age and gender.Prevalence of flatfoot among allied health undergraduates was seemingly high requiring screening for early detection and appropriate referral for corrective measures.
文摘目的了解矫形鞋垫的分类,3D打印矫形鞋垫常用技术、常用材料及其在扁平足中的应用。方法检索PubMed、Web of Science、中国知网和万方数据库2012年至2022年发表的相关文献,总结相关内容。结果最终纳入文献10篇,来自5个国家,涉及290例参与者,发表时间主要集中于2019年至2022年。矫形鞋垫可分为预制型、半定制型和定制型,其中定制型可分为传统定制型和3D打印定制型。3D打印制作矫形鞋垫时常选择的打印技术为选择性激光烧结、熔融沉积成型(FDM)和PolyJet打印,材料包括乙烯醋酸乙烯酯(EVA)、聚乳酸、热塑性聚氨酯、聚酰胺、聚丙烯。3D打印矫形鞋垫应用于扁平足,改善足底压力,缓解足部疼痛,联合使用鞋垫张贴能有效控制后足外翻。结论3D打印定制鞋垫的制作效率和精确度优于传统定制鞋垫;常选择的打印技术和材料主要为FDM和EVA。3D打印矫形鞋垫可对扁平足足底压力、舒适度和足部运动功能产生积极影响。
文摘目的系统综述短足训练对成年扁平足患者的干预效果。方法检索2010年1月至2022年12月发表在PubMed、Web of Science、Cochrane、Embase、Scopus、中国知网、万方数据库、中国生物医学文献数据库中短足训练干预治疗扁平足的相关文献,采用物理治疗证据数据库(PEDro)量表进行方法学质量评价,提取相关数据进行系统综述。结果最终纳入10篇随机对照试验,涉及335例。PEDro量表平均分7.1分。短足训练可降低扁平足患者足舟骨下降高度,提高足姿指数评分,改善平衡能力,增加拇外展肌横截面积,对足底压力无影响。结论短足训练对成年扁平足患者的足形态、平衡能力和拇外展肌有良好效果,但对足底压力的效果不显著。
