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5 至 10 岁扁平足儿童 2 种保守治疗方法的比较:足部矫形器与足部矫形器联合祖赫特-胡贝尔手法治疗。

Comparison of 2 Conservative Treatment Approaches for the Flat Foot in Children Aged 5 to 10: Foot Orthoses Versus Foot Orthoses Supplemented With Zukunft-Huber Manual Therapy.

机构信息

Department of Rehabilitation, Children's Memorial Health Institute, Warszawa, Poland.

出版信息

Clin Pediatr (Phila). 2024 Mar;63(3):304-312. doi: 10.1177/00099228231172480. Epub 2023 May 11.

DOI:10.1177/00099228231172480
PMID:37166097
Abstract

The aim was to find if foot orthotics alone can improve flat feet in children and analyze how the addition of Zukunft-Huber manual therapy and corrective bandaging changes the outcome. Forty-nine children aged 5 to 10 with asymptomatic flexible flat feet were divided into 2 groups. The first was treated with foot orthoses alone, in the second wearing foot orthoses was supplemented with Zukunft-Huber manual therapy and corrective bandaging. Pedobarography during gait was performed before the therapy and after a year. In the first group decrease in arch index, width, force, and area of midfoot, increase in force MH2 and area hindfoot was found, in the second decrease in arch index, width, force, and area of midfoot, increase in force under metatarsal head second, third, fourth, and fifth, area metatarsal head fourth and area hindfoot. Both methods showed positive changes, but foot orthoses with additional intervention were more effective.

摘要

目的是研究单纯足部矫形是否能改善儿童扁平足,并分析Zukunft-Huber 手法治疗和矫正绷带的添加如何改变结果。将 49 名 5 至 10 岁无症状性弹性扁平足儿童分为两组。第一组仅使用足部矫形器治疗,第二组在使用足部矫形器的基础上辅以 Zukunft-Huber 手法治疗和矫正绷带。治疗前和治疗 1 年后进行步态足底压力测试。第一组在足弓指数、宽度、力度和中足面积减小的同时,MH2 力度和后足面积增加,第二组在足弓指数、宽度、力度和中足面积减小的同时,第二、三、四和五跖骨头下的力度以及第四跖骨头和后足面积增加。两种方法都显示出积极的变化,但附加干预的足部矫形器更有效。

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