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Health-related quality of life in children with flexible flatfeet: a cross-sectional study

PURPOSE: The effect of paediatric flexible flatfeet (PFF) on health-related quality of life (HRQOL) has not been investigated. In this prospective cross-sectional study, the HRQOL of children with PFF was compared to those with typically developing feet (TDF) using two validated measures. We hypothe...

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Autores principales: Kothari, Alpesh, Stebbins, Julie, Zavatsky, Amy Beth, Theologis, Tim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4252274/
https://www.ncbi.nlm.nih.gov/pubmed/25376653
http://dx.doi.org/10.1007/s11832-014-0621-0
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author Kothari, Alpesh
Stebbins, Julie
Zavatsky, Amy Beth
Theologis, Tim
author_facet Kothari, Alpesh
Stebbins, Julie
Zavatsky, Amy Beth
Theologis, Tim
author_sort Kothari, Alpesh
collection PubMed
description PURPOSE: The effect of paediatric flexible flatfeet (PFF) on health-related quality of life (HRQOL) has not been investigated. In this prospective cross-sectional study, the HRQOL of children with PFF was compared to those with typically developing feet (TDF) using two validated measures. We hypothesised that reduced HRQOL would be observed in children with PFF. The reliability of parents’ perceptions of their child’s symptoms was also investigated. METHODS: 48 children with PFF and 47 with TDF between the ages of 8 and 15 completed The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) and Pediatric Quality of Life Inventory (PedsQL™ 4.0). Proxy questionnaires were also completed. Reliability of parent and child questionnaire scores was assessed using the intraclass correlation coefficient (ICC) and Student’s t test. Differences between HRQOL between PFF and TDF were assessed using the Student’s t test. RESULTS: ICCs overall demonstrated good reliability between parent and child questionnaire domain scores. There was a tendency for parents to overestimate the impairment of the child in the PFF group. PFF children demonstrated clinically significant decreased HRQOL than TDF children. This was most marked in the physical domain scores. CONCLUSION: Although parents may overestimate their child’s impairment, children with PFF still have significantly impaired HRQOL when compared to TDF children. The impairment can be as severe, or worse, than published HRQOL for acutely and chronically unwell children. As such, PFF cannot be regarded as just a benign normal variant. The management of PFF should involve consideration of the symptom profile and HRQOL. LEVEL OF EVIDENCE: II. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s11832-014-0621-0) contains supplementary material, which is available to authorized users.
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spelling pubmed-42522742014-12-05 Health-related quality of life in children with flexible flatfeet: a cross-sectional study Kothari, Alpesh Stebbins, Julie Zavatsky, Amy Beth Theologis, Tim J Child Orthop Original Clinical Article PURPOSE: The effect of paediatric flexible flatfeet (PFF) on health-related quality of life (HRQOL) has not been investigated. In this prospective cross-sectional study, the HRQOL of children with PFF was compared to those with typically developing feet (TDF) using two validated measures. We hypothesised that reduced HRQOL would be observed in children with PFF. The reliability of parents’ perceptions of their child’s symptoms was also investigated. METHODS: 48 children with PFF and 47 with TDF between the ages of 8 and 15 completed The Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) and Pediatric Quality of Life Inventory (PedsQL™ 4.0). Proxy questionnaires were also completed. Reliability of parent and child questionnaire scores was assessed using the intraclass correlation coefficient (ICC) and Student’s t test. Differences between HRQOL between PFF and TDF were assessed using the Student’s t test. RESULTS: ICCs overall demonstrated good reliability between parent and child questionnaire domain scores. There was a tendency for parents to overestimate the impairment of the child in the PFF group. PFF children demonstrated clinically significant decreased HRQOL than TDF children. This was most marked in the physical domain scores. CONCLUSION: Although parents may overestimate their child’s impairment, children with PFF still have significantly impaired HRQOL when compared to TDF children. The impairment can be as severe, or worse, than published HRQOL for acutely and chronically unwell children. As such, PFF cannot be regarded as just a benign normal variant. The management of PFF should involve consideration of the symptom profile and HRQOL. LEVEL OF EVIDENCE: II. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s11832-014-0621-0) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2014-11-08 2014-12 /pmc/articles/PMC4252274/ /pubmed/25376653 http://dx.doi.org/10.1007/s11832-014-0621-0 Text en © The Author(s) 2014 https://creativecommons.org/licenses/by/4.0/Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Clinical Article
Kothari, Alpesh
Stebbins, Julie
Zavatsky, Amy Beth
Theologis, Tim
Health-related quality of life in children with flexible flatfeet: a cross-sectional study
title Health-related quality of life in children with flexible flatfeet: a cross-sectional study
title_full Health-related quality of life in children with flexible flatfeet: a cross-sectional study
title_fullStr Health-related quality of life in children with flexible flatfeet: a cross-sectional study
title_full_unstemmed Health-related quality of life in children with flexible flatfeet: a cross-sectional study
title_short Health-related quality of life in children with flexible flatfeet: a cross-sectional study
title_sort health-related quality of life in children with flexible flatfeet: a cross-sectional study
topic Original Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4252274/
https://www.ncbi.nlm.nih.gov/pubmed/25376653
http://dx.doi.org/10.1007/s11832-014-0621-0
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