Aboutorabi Atefeh, Saeedi Hassan, Kamali Mohammad, Farahmand Behshid, Eshraghi Arezoo, Dolagh Roghaye S
Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Department of Orthotics and Prosthetics, Faculty of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Prosthet Orthot Int. 2014 Jun;38(3):218-23. doi: 10.1177/0309364613496111. Epub 2013 Aug 28.
Flat foot in children is a common deformity in which the medial longitudinal arch is reduced or eliminated.
The objective of this article was to compare flat foot and healthy children on the displacement of the center of pressure and walking parameters in children with two common orthoses (functional foot orthosis and medical shoe).
Comparative study.
This study included 30 children with flat foot and 20 healthy children as a control group. The step length and width, walking velocity, symmetry, and center of pressure (CoP) displacements were recorded and compared for three conditions: functional foot orthosis and regular shoe, a medical shoe and barefoot.
The results from the CoP displacements showed that the regular shoe with functional foot orthosis caused a significant decrease in the level of displacement of the CoP in flat foot children. The findings indicated a significant improvement in symmetry of steps and walking speed with the functional foot orthosis in comparison to the medical shoe in flat foot children.
The CoP displacement was decreased and the percentage of gait symmetry and walking speed were increased by the use of regular shoes with a functional foot orthosis in comparison to the medical shoes.
An orthopaedic shoe can be expensive, and in particular heavy with most children reluctant to wear it. This study focussed on the CoP displacement and selected gait parameters with an orthopaedic shoe and functional foot orthosis, and showed that a combined prescription of a functional foot orthosis and with regular shoes may be a useful alternative for children with moderate flat foot.
儿童扁平足是一种常见的足部畸形，表现为内侧纵弓降低或消失。
本文旨在比较扁平足儿童与健康儿童在使用两种常见矫形器（功能性足矫形器和医用鞋）时的压力中心位移和行走参数。
对比研究。
本研究纳入30名扁平足儿童和20名健康儿童作为对照组。记录并比较了三种情况下的步长、步宽、行走速度、对称性以及压力中心（CoP）位移：功能性足矫形器搭配普通鞋、医用鞋以及赤足。
压力中心位移结果显示，普通鞋搭配功能性足矫形器可显著降低扁平足儿童的压力中心位移水平。研究结果表明，与医用鞋相比，功能性足矫形器可显著改善扁平足儿童的步对称性和行走速度。
与医用鞋相比，普通鞋搭配功能性足矫形器可降低压力中心位移，提高步态对称性百分比和行走速度。
矫形鞋价格昂贵，而且特别沉重，大多数儿童都不愿意穿。本研究聚焦于压力中心位移以及矫形鞋和功能性足矫形器的选定步态参数，结果表明，功能性足矫形器与普通鞋联合使用可能是中度扁平足儿童的一种有效替代方案。
