Benard Marc A
Baja Project for Crippled Children/Operation Footprint, Westlake Village, CA, USA; American Board of Podiatric Medicine, Hermosa Beach, CA, USA; Western University of Podiatric Medicine, Pomona, CA, USA.
Clin Podiatr Med Surg. 2020 Jan;37(1):125-150. doi: 10.1016/j.cpm.2019.08.001.
The article discusses the nuances required to effectively perform the biomechanical examination in children and assess the findings. The author covers several factors in children that make the examination different in certain respects than in that of adults, including growth, osseous maturation, gait development, and interpretation of symptoms as conveyed by the child. Further delineation is made for prewalkers, foot-flat to foot-flat walkers, and heel-to-toe walkers. Segmental review of the lower extremity is covered by age bracket, with clinical pearls inserted where relevant to assist the clinician. A brief discussion of shoe wear and orthoses is made as well.
本文讨论了在儿童中有效进行生物力学检查并评估检查结果所需的细微差别。作者阐述了儿童中的几个因素，这些因素使得该检查在某些方面与成人检查有所不同，包括生长、骨骼成熟、步态发育以及儿童所传达症状的解读。文中还对学步前儿童、从扁平足到扁平足行走的儿童以及足跟到足尖行走的儿童进行了进一步的描述。按年龄组对下肢进行了分段评估，并在相关处插入了临床要点以协助临床医生。此外，还简要讨论了鞋类磨损和矫形器。
