Institute of Health Sciences, Collegium Medicum, The Jan Kochanowski University, 25-317, Kielce, Poland.
Rehabilitation Clinic, Provincial General Hospital, 25-310, Kielce, Poland.
Sci Rep. 2021 Feb 2;11(1):2749. doi: 10.1038/s41598-021-82475-y.
The study aimed to assess the association between the key predictive foot structure variables and its loading paradigm in 625 school-aged children. Clinical appraisal relied primarily on having the plantar parts of their feet comprehensively assessed with Podoscan 2D Foot CAD, and a dynamometer platform, the research tools of choice widely acknowledged for their overall accuracy and reliability, with a view to determining the distribution of respective foot loads, as well as addressing both balance and gait issues. The Clarke's angle, Wejsflog index, length and width of the feet, regardless of gender, proved the key predictive variables for the foot-loading paradigm. Notably the Clarke's angle, construed the most sensitive variable in assessing flat-footedness, offered an extra added value in overall investigative effort. The actual design of the study protocol effectively complements a standard clinical assessment procedure, whereas by comprehensively addressing those variables, it is also believed to aid clinicians in gaining an extra, hands-on, diagnostic potential, so that any teenagers exposed to the highest risk of developing foot deformities could effectively be identified through pertinent screening tests, and consequently offered a task-oriented, therapeutic management, specifically aimed at preventing potential postural complaints in later life.
本研究旨在评估 625 名学龄儿童关键足底结构变量及其负荷模式之间的关联。临床评估主要依赖于使用 Podoscan 2D 足 CAD 和测力平台全面评估足底，这两种研究工具因其整体准确性和可靠性而被广泛认可，旨在确定各足负荷的分布，并解决平衡和步态问题。无论性别如何，Clark 角、Wejsflog 指数、足长和足宽均被证明是足负荷模式的关键预测变量。值得注意的是，Clark 角被认为是评估扁平足最敏感的变量，它为整体研究提供了额外的附加值。研究方案的实际设计有效地补充了标准的临床评估程序，而通过全面解决这些变量，也被认为有助于临床医生获得额外的、实际的诊断潜力，以便通过相关的筛查测试有效地识别出处于足部畸形发展最高风险的青少年，并因此提供有针对性的、治疗性的管理，专门针对预防日后潜在的姿势问题。
