Morrison Stewart C, McClymont Juliet, Price Carina, Nester Chris
School of Health Sciences, University of Brighton, 49 Darley Road, Eastbourne Campus, Brighton, BN20 7UR UK.
Centre for Health Research, University of Salford, Salford, UK.
J Foot Ankle Res. 2017 Nov 21;10:50. doi: 10.1186/s13047-017-0233-2. eCollection 2017.
A recent systematic review of measures of foot development used the medial longitudinal arch profile as its primary indicator of development. A comparative analysis of existing studies was undertaken. This work confirmed changes with arch profile were age-dependent, although the age at which foot development ceased remains unknown. This work also highlighted the abundance of clinical measures used in existing research and outlined the challenges with drawing consensus from available data. There is a clear need to move this debate forward and, to do so, it is essential that scientific and clinical communities unite. It is time to abandon ill-defined measures of foot position, look beyond the medial longitudinal arch as a sole parameter of foot development and re-focus our perspective(s) on the paediatric foot in order to make advances with clinical practice and research.
最近一项关于足部发育测量方法的系统评价将内侧纵弓形态作为发育的主要指标。对现有研究进行了比较分析。这项工作证实，足弓形态的变化与年龄有关，尽管足部发育停止的年龄仍不清楚。这项工作还强调了现有研究中使用的临床测量方法的多样性，并概述了从现有数据中达成共识所面临的挑战。显然有必要推动这场辩论向前发展，要做到这一点，科学界和临床界必须团结起来。现在是时候摒弃对足部位置定义不明确的测量方法，不再将内侧纵弓视为足部发育的唯一参数，重新聚焦我们对小儿足部的看法，以便在临床实践和研究方面取得进展。
