Puszczalowska-Lizis Ewa, Lukasiewicz Aleksandra, Lizis Sabina, Omorczyk Jaroslaw
Medical College, Institute of Health Sciences, University of Rzeszow, Rzeszow, Poland.
Non-Public Physiotherapy Practice, Strzyzow, Poland.
PeerJ. 2021 Apr 20;9:e11277. doi: 10.7717/peerj.11277. eCollection 2021.
Properly fitted shoes can support the development of growing feet and prevent problems and pathologies, not only in childhood, but also in adulthood. This points to the need to conduct research on the impact of shoe fitting on the structure of the foot in order to raise awareness and importance of this problem, to enable proper decisions regarding the purchase and use of shoes. The aim of this study was to analyze indoor footwear fit and its impact on foot structure in 7-year-old schoolchildren.
The CQ-ST podoscope and the Clevermess device were used for measurements. The analysis was carried out using the Mann Whitney U test, Wilcoxon signed-rank test, Chi-square test, regression analysis.
About 40% of girls and boys had shoes that were incorrectly fitted in length, while as many as 74% of girls and 66% of boys wore shoes that were incorrectly fitted in width. Regression analysis demonstrated a statistically significant influence of the footwear length on longitudinal arch of the right and left foot and the transverse arch of the right foot. In boys, the length of the shoes shows associations with the right and left hallux valgus angle.
A significant percentage of the studied 7-year-olds, regardless of gender, wears inappropriately fitted shoes. In both sexes, the length of the footwear influenced the longitudinal arch of the right and left foot and the transverse arch of the right foot. Due to the deformity of the first metatarsophalangeal joint, the boys with hallux valgus require footwear which is wider and therefore their shoes need to be bigger in size.
合脚的鞋子不仅有助于儿童时期，也有利于成年后足部的生长发育，并预防相关问题和病变。这表明有必要开展关于鞋子合脚程度对足部结构影响的研究，以提高人们对该问题的认识和重视程度，从而在购买和使用鞋子时做出正确决策。本研究旨在分析7岁学童室内鞋的合脚情况及其对足部结构的影响。
使用CQ - ST足诊仪和Clevermess设备进行测量。采用曼 - 惠特尼U检验、威尔科克森符号秩检验、卡方检验和回归分析进行数据分析。
约40%的女孩和男孩所穿鞋子长度不合脚，而高达74%的女孩和66%的男孩所穿鞋子宽度不合脚。回归分析表明，鞋长对左右脚的纵弓和右脚的横弓有统计学上的显著影响。在男孩中，鞋子长度与左右拇外翻角度有关。
在接受研究的7岁儿童中，无论性别，很大一部分人穿着不合脚的鞋子。在男女两性中，鞋长都会影响左右脚的纵弓和右脚的横弓。由于第一跖趾关节畸形，患有拇外翻的男孩需要更宽的鞋子，因此他们的鞋子尺寸需要更大。
