El Ozlem, Akcali Omer, Kosay Can, Kaner Burcu, Arslan Yasemin, Sagol Ertan, Soylev Serdar, Iyidogan Dursun, Cinar Nuray, Peker Ozlen
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, School of Medicine, Dokuz Eylul University, Balcova, Izmir 35340, Turkey,
Rheumatol Int. 2006 Sep;26(11):1050-3. doi: 10.1007/s00296-006-0128-1. Epub 2006 May 3.
The aim of this study was to analyze the longitudinal arch morphology and related factors in primary school children. Five hundred and seventy-nine primary school children were enrolled in the study. Generalized joint laxity, foot progression angle, frontal hindfoot alignment, and longitudinal arch height in dynamic position were evaluated. The footprints were recorded by Harris and Beath footprint mat and arch index of Staheli was calculated. The mean age was 9.23 +/- 1.66 years. Four hundred and fifty-six children (82.8%) were evaluated as normal and mild flexible flatfoot, and 95 children (17.2%) were evaluated as moderate and severe flexible flatfoot. The mean arch indices of the feet was 0.74 +/- 0.25. The percentage of flexible flatfoot in hypermobile and non-hypermobile children was found 27.6 and 13.4%, respectively. There was a statistically significant difference in dynamic arch evaluation between hypermobile and non-hypermobile children. There was a significant negative correlation between arch index and age, and a significant negative correlation between hypermobility score and age. Our study confirms that the flexible flatfoot and the hypermobility are developmental profiles.
本研究旨在分析小学生的足纵弓形态及相关因素。579名小学生参与了本研究。评估了全身关节松弛度、足前进角、后足额状面排列以及动态位时的足纵弓高度。通过Harris和Beath足迹垫记录足迹，并计算Staheli足弓指数。平均年龄为9.23±1.66岁。456名儿童（82.8%）被评估为正常和轻度柔韧性扁平足，95名儿童（17.2%）被评估为中度和重度柔韧性扁平足。足部平均足弓指数为0.74±0.25。活动过度和非活动过度儿童中柔韧性扁平足的比例分别为27.6%和13.4%。活动过度和非活动过度儿童在动态足弓评估方面存在统计学显著差异。足弓指数与年龄之间存在显著负相关，活动过度评分与年龄之间也存在显著负相关。我们的研究证实，柔韧性扁平足和活动过度是发育特征。
