کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4056006 1603850 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Are flexible flat feet associated with proximal joint problems in children?
ترجمه فارسی عنوان
آیا پوسیدگی کف انعطاف پذیر در ارتباط با مشکلات مفصلی پروگزیمال در کودکان است؟
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی


• The relationship between flat feet and proximal joint problems was investigated.
• Children with flat feet are more likely to have knee or hip/back symptoms.
• Flat feet are associated with a reduction in vertical ground reaction force.
• There were some kinematic and kinetic parameters associated with low arch height.
• The mechanism by which flat feet cause proximal joint symptoms is not clear.

The role of flexible flat feet (FF) in the development of musculoskeletal symptoms at joints proximal to the ankle is unclear. We undertook an observational study to investigate the relationship between foot posture and the proximal joints in children. It was hypothesised that reduced arch height would be associated with proximal joint symptoms and altered gait kinematics and kinetics particularly in the transverse plane at the hip and knee. Ninety-five children between the ages of 8–15 were recruited into this ethically approved study. Foot posture was classified using the arch height index (AHI). The frequency of knee and hip/back pain was documented, and each child underwent three dimensional gait analysis. Reduced arch height was associated with increased odds of knee symptoms (p < 0.01) and hip/back symptoms (p = 0.01). A flat foot posture was also significantly associated with a reduction in the second peak of the vertical ground reaction force (p = 0.03), which concomitantly affected late stance hip and knee moments. A reduced AHI was also associated with increased pelvic retraction and increased knee valgus in midstance. No kinematic and kinetic parameter associated with a flat foot posture related to increased proximal joint symptoms in the FF group. Children with a flatter foot posture are more likely to have pain or discomfort at the knee, hip and back; however, the mechanisms by which this occurs remain unclear. Treating FF without explicit understanding of how it relates to symptoms is difficult, and further work in this area is required.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gait & Posture - Volume 45, March 2016, Pages 204–210
نویسندگان
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