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Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study

BACKGROUND: Flatfoot is commonly seen in the community and is a common cause of concern for parents because it could become symptomatic and lead to decreased quality of life. One of the most used management approaches is foot orthoses, although no clear evidence supports their use. We aimed to study...

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Autores principales: Yasin, Mohamad S, Al-Labadi, Ghayda’a M, Alshrouf, Mohammad Ali, AlRaie, Bayan A, Ibrahim, Raneem A, AlRaie, Lana A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237185/
https://www.ncbi.nlm.nih.gov/pubmed/37275331
http://dx.doi.org/10.2147/IJGM.S400720
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author Yasin, Mohamad S
Al-Labadi, Ghayda’a M
Alshrouf, Mohammad Ali
AlRaie, Bayan A
Ibrahim, Raneem A
AlRaie, Lana A
author_facet Yasin, Mohamad S
Al-Labadi, Ghayda’a M
Alshrouf, Mohammad Ali
AlRaie, Bayan A
Ibrahim, Raneem A
AlRaie, Lana A
author_sort Yasin, Mohamad S
collection PubMed
description BACKGROUND: Flatfoot is commonly seen in the community and is a common cause of concern for parents because it could become symptomatic and lead to decreased quality of life. One of the most used management approaches is foot orthoses, although no clear evidence supports their use. We aimed to study flatfoot symptoms’ prevalence, effect on activities of daily living, and the use and effectiveness of orthoses. METHODOLOGY: This was a cross‐sectional study that included five countries from the Middle East and North Africa region (Jordan, Palestine, Syria, Egypt, and Iraq). Data were collected using an online questionnaire directed toward parents of children aged 0 to 16 from September to December 2020. The demographic factors were expressed as frequencies (percentages) using standard descriptive statistical parameters, and Pearson’s chi-square test was used to examine the relationship between study factors. RESULTS: 1256 participants were recruited using this online survey. The majority (29.6%) of children were diagnosed in the age group of 0 to 2. The abnormal appearance of the foot was the most common (78.7%) complaint. Overall, 54.2% of patients were prescribed orthoses, of which 36.8% noticed improvement in flatness and 37.6% reported relief of symptoms. CONCLUSION: This study demonstrated that most participants have no or minimal symptoms and that there is a mismatch between participants’ expectations and the actual effectiveness of orthoses. Taking into consideration that there is no clear evidence to support the corrective effect of orthoses, we recommend that physicians prescribing them adhere more to their proper indications and spend more time and effort counseling and addressing patients’ and parents’ concerns about this developmental stage.
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spelling pubmed-102371852023-06-03 Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study Yasin, Mohamad S Al-Labadi, Ghayda’a M Alshrouf, Mohammad Ali AlRaie, Bayan A Ibrahim, Raneem A AlRaie, Lana A Int J Gen Med Original Research BACKGROUND: Flatfoot is commonly seen in the community and is a common cause of concern for parents because it could become symptomatic and lead to decreased quality of life. One of the most used management approaches is foot orthoses, although no clear evidence supports their use. We aimed to study flatfoot symptoms’ prevalence, effect on activities of daily living, and the use and effectiveness of orthoses. METHODOLOGY: This was a cross‐sectional study that included five countries from the Middle East and North Africa region (Jordan, Palestine, Syria, Egypt, and Iraq). Data were collected using an online questionnaire directed toward parents of children aged 0 to 16 from September to December 2020. The demographic factors were expressed as frequencies (percentages) using standard descriptive statistical parameters, and Pearson’s chi-square test was used to examine the relationship between study factors. RESULTS: 1256 participants were recruited using this online survey. The majority (29.6%) of children were diagnosed in the age group of 0 to 2. The abnormal appearance of the foot was the most common (78.7%) complaint. Overall, 54.2% of patients were prescribed orthoses, of which 36.8% noticed improvement in flatness and 37.6% reported relief of symptoms. CONCLUSION: This study demonstrated that most participants have no or minimal symptoms and that there is a mismatch between participants’ expectations and the actual effectiveness of orthoses. Taking into consideration that there is no clear evidence to support the corrective effect of orthoses, we recommend that physicians prescribing them adhere more to their proper indications and spend more time and effort counseling and addressing patients’ and parents’ concerns about this developmental stage. Dove 2023-05-29 /pmc/articles/PMC10237185/ /pubmed/37275331 http://dx.doi.org/10.2147/IJGM.S400720 Text en © 2023 Yasin et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Yasin, Mohamad S
Al-Labadi, Ghayda’a M
Alshrouf, Mohammad Ali
AlRaie, Bayan A
Ibrahim, Raneem A
AlRaie, Lana A
Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study
title Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study
title_full Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study
title_fullStr Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study
title_full_unstemmed Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study
title_short Pediatric and Adolescent Flatfoot: A Questionnaire Based Middle East and North Africa Study
title_sort pediatric and adolescent flatfoot: a questionnaire based middle east and north africa study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237185/
https://www.ncbi.nlm.nih.gov/pubmed/37275331
http://dx.doi.org/10.2147/IJGM.S400720
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