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The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study
Flatfoot is a common reason for parents to seek help from health care professionals, and limited evidence is available regarding the effects of insoles on preschool-aged children. This study mainly investigated the effect of insoles on symptomatic flatfoot in preschool-aged children and followed up...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738981/ https://www.ncbi.nlm.nih.gov/pubmed/31490409 http://dx.doi.org/10.1097/MD.0000000000017074 |
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author | Chen, Kun-Chung Chen, Yueh-Chi Yeh, Chih-Jung Hsieh, Ching-Lin Wang, Chun-Hou |
author_facet | Chen, Kun-Chung Chen, Yueh-Chi Yeh, Chih-Jung Hsieh, Ching-Lin Wang, Chun-Hou |
author_sort | Chen, Kun-Chung |
collection | PubMed |
description | Flatfoot is a common reason for parents to seek help from health care professionals, and limited evidence is available regarding the effects of insoles on preschool-aged children. This study mainly investigated the effect of insoles on symptomatic flatfoot in preschool-aged children and followed up the changes in footprints after 1 year. This study was a prospective, observational cohort study. Children aged 3 to 5 years old who exhibit the signs of flatfoot feet were recruited from the kindergartens in the central Taiwan between March 2010 and December 2013. The Chippaux-Smirak index (CSI) was used to determine whether the footprints of children were associated with flatfoot. The children were divided into an insole group and a no-insole group according to diagnoses by doctors. This study used the modified shoe insole as the intervention, and the CSI measured and followed up the changes in footprints after 1 year. A total of 466 preschool-aged children aged 3 to 5 years old with flatfoot completed the 1-year follow-up study. Of these, 123 children (men 77; women 46) were in the insole group and 343 children (men 187; women 156) were in the no-insole group. After the insoles were worn for 1 year, the CSI values of the children with symptomatic flatfoot decreased by 9.7%, and the 5-year-old children had the biggest change (effect size = 1.25). In the insole group, 34.1% of the footprints were determined as normal at 1-year follow-up, and CSI values decreased by 17.5%. High prevalence of joint laxity was found in both groups (insole group: 34.5%; no-insole group: 35.1%). Of the children in the insole group, the proportion of joint laxity was significantly higher in the flatfoot group (43.1%) than in the normal group (17.7%). This study showed that wearing insoles indeed can reduce the signs of flatfoot in preschool-aged children, and the effect is better in 5-year-old children. It is suggested that insoles can be provided as a conservative treatment for preschool-aged children with symptomatic flatfoot. |
format | Online Article Text |
id | pubmed-6738981 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-67389812019-10-02 The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study Chen, Kun-Chung Chen, Yueh-Chi Yeh, Chih-Jung Hsieh, Ching-Lin Wang, Chun-Hou Medicine (Baltimore) 6200 Flatfoot is a common reason for parents to seek help from health care professionals, and limited evidence is available regarding the effects of insoles on preschool-aged children. This study mainly investigated the effect of insoles on symptomatic flatfoot in preschool-aged children and followed up the changes in footprints after 1 year. This study was a prospective, observational cohort study. Children aged 3 to 5 years old who exhibit the signs of flatfoot feet were recruited from the kindergartens in the central Taiwan between March 2010 and December 2013. The Chippaux-Smirak index (CSI) was used to determine whether the footprints of children were associated with flatfoot. The children were divided into an insole group and a no-insole group according to diagnoses by doctors. This study used the modified shoe insole as the intervention, and the CSI measured and followed up the changes in footprints after 1 year. A total of 466 preschool-aged children aged 3 to 5 years old with flatfoot completed the 1-year follow-up study. Of these, 123 children (men 77; women 46) were in the insole group and 343 children (men 187; women 156) were in the no-insole group. After the insoles were worn for 1 year, the CSI values of the children with symptomatic flatfoot decreased by 9.7%, and the 5-year-old children had the biggest change (effect size = 1.25). In the insole group, 34.1% of the footprints were determined as normal at 1-year follow-up, and CSI values decreased by 17.5%. High prevalence of joint laxity was found in both groups (insole group: 34.5%; no-insole group: 35.1%). Of the children in the insole group, the proportion of joint laxity was significantly higher in the flatfoot group (43.1%) than in the normal group (17.7%). This study showed that wearing insoles indeed can reduce the signs of flatfoot in preschool-aged children, and the effect is better in 5-year-old children. It is suggested that insoles can be provided as a conservative treatment for preschool-aged children with symptomatic flatfoot. Wolters Kluwer Health 2019-09-06 /pmc/articles/PMC6738981/ /pubmed/31490409 http://dx.doi.org/10.1097/MD.0000000000017074 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 6200 Chen, Kun-Chung Chen, Yueh-Chi Yeh, Chih-Jung Hsieh, Ching-Lin Wang, Chun-Hou The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study |
title | The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study |
title_full | The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study |
title_fullStr | The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study |
title_full_unstemmed | The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study |
title_short | The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study |
title_sort | effect of insoles on symptomatic flatfoot in preschool-aged children: a prospective 1-year follow-up study |
topic | 6200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738981/ https://www.ncbi.nlm.nih.gov/pubmed/31490409 http://dx.doi.org/10.1097/MD.0000000000017074 |
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