Department of Orthopaedics and Traumatology, Faculty of Medicine, Erzincan University, Erzincan, Turkey.
J Pediatr Orthop B. 2021 May 1;30(3):282-286. doi: 10.1097/BPB.0000000000000750.
This study aimed to comparatively evaluate the quality of life scores of patients with pediatric flexible flatfoot (PFF) according to the use of foot orthoses. We also aimed to compare quality of life scores of children and their parents. Nonobese children aged between 5 and 10 years old who were diagnosed as PFF according to physical and radiological examinations were included in this cross-sectional comparative study. All children and their parents completed the Turkish translation of Oxford ankle foot questionnaire (OxAFQ) which contains four domains (physical, school and play, emotional, and footwear). Patients were grouped according to the use of foot orthoses (group I: no foot orthoses group and group II: foot orthoses group). Comparison of OxAFQ scores demonstrated no significant differences between the two groups. However, the mean emotional scores of parents were significantly lower in group II (P = 0.007). In group I, the mean emotional score of children was significantly lower compared to their parents' scores (P = 0.001). In group II, the mean physical score of children was significantly lower compared to their parents' scores (P = 0.003). According to our results, we observed no significant difference in terms of quality of life scores between children using foot orthoses and not using foot orthoses. However, we observed significantly lower emotional scores in parents whose children were using foot orthoses. We recommend that physicians should be aware of low physical scores in children with PFF and should inform parents about this situation rather than considering foot orthoses to relieve parents' concern about foot deformity.
本研究旨在比较使用足部矫形器的小儿柔韧性平足症（PFF）患者的生活质量评分，并比较儿童及其父母的生活质量评分。本横断面比较研究纳入了根据体格检查和影像学检查诊断为 PFF 的 5 至 10 岁非肥胖儿童。所有儿童及其父母均完成了土耳其语版牛津踝关节-足问卷（OxAFQ）的填写，该问卷包含四个领域（身体、学校和玩耍、情绪和鞋类）。患者根据是否使用足部矫形器分为两组（I 组：无足部矫形器组和 II 组：足部矫形器组）。OxAFQ 评分的比较结果显示两组之间无显著差异。然而，II 组父母的情绪评分均值显著低于 I 组（P=0.007）。在 I 组中，与父母相比，儿童的情绪评分均值显著较低（P=0.001）。在 II 组中，与父母相比，儿童的身体评分均值显著较低（P=0.003）。根据我们的结果，我们发现使用和不使用足部矫形器的儿童在生活质量评分方面没有显著差异。然而，我们观察到使用足部矫形器的儿童的父母情绪评分显著较低。我们建议医生应注意 PFF 儿童的身体评分较低的情况，并应将此情况告知家长，而不是仅通过使用足部矫形器来减轻家长对足部畸形的担忧。
