足部矫形器对患有下肢生长痛儿童的影响。
Effect of foot orthoses on children with lower extremity growing pains.
作者信息
Lee Hong-Jae, Lim Kil-Byung, Yoo JeeHyun, Yoon Sung-Won, Jeong Tae-Ho
机构信息
Department of Physical Medicine and Rehabilitation, Inje University Ilsan Paik Hospital, Goyang, Korea.
Institute of Sports Rehabilitation, Inje University Ilsan Paik Hospital, Goyang, Korea.
出版信息
Ann Rehabil Med. 2015 Apr;39(2):285-93. doi: 10.5535/arm.2015.39.2.285. Epub 2015 Apr 24.
OBJECTIVE
To evaluate the effect of custom molded foot orthoses on children with growing pains of the lower extremities.
METHODS
Children with growing pains were recruited during a clinic visit. None had any bony deformities, inflammatory joint disease or depression. Resting calcaneal stance position (RCSP) and calcaneal pitch angle were measured, and individual custom molded rigid foot orthoses were prescribed using the inverted orthotic technique to control for foot overpronation using the RCSP angle. Pain sites, degree and frequency of pain, and balance ability were evaluated using Balance Master computerized posturography prior to foot orthosis fitting, and 1 and 3 months later.
RESULTS
Twenty children completed the study. Seventeen (75%) had overpronated feet. Significant improvements were noted after 1 and 3 months in pain degree and frequency, and after 3 months in balancing ability.
CONCLUSION
The use of custom molded foot orthoses is a good method for treating children with multiple musculoskeletal pains in the leg.
目的
评估定制塑形足矫形器对下肢生长痛儿童的疗效。
方法
在门诊就诊时招募患有生长痛的儿童。所有儿童均无任何骨骼畸形、炎性关节疾病或抑郁症。测量静息跟骨站立位（RCSP）和跟骨倾斜角，并采用反向矫形技术开具个性化定制的刚性足矫形器，以利用RCSP角度控制足过度内旋。在佩戴足矫形器前、佩戴1个月和3个月后，使用平衡大师计算机化姿势描记法评估疼痛部位、疼痛程度和频率以及平衡能力。
结果
20名儿童完成了研究。其中17名（75%）存在足过度内旋。在1个月和3个月后疼痛程度和频率有显著改善，在3个月后平衡能力有显著改善。
结论
使用定制塑形足矫形器是治疗儿童腿部多种肌肉骨骼疼痛的好方法。
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