Department of Orthopedics and Traumatology, Bahçeşehir University Medical Park Goztepe Hospital, İstanbul, Türkiye.
Department of Orthopedics and Traumatology, Medical Park Goztepe Hospital, İstanbul, Türkiye.
Int Orthop. 2024 Aug;48(8):2083-2090. doi: 10.1007/s00264-024-06205-5. Epub 2024 May 8.
Symptomatic flexible pes planus (SFPP) can cause pain and discomfort when walking or engaging in sportive activities in children and adolescents. SFPP can be treated conservatively with foot orthoses, such as the University of California Berkeley Laboratory (UCBL) foot orthosis, which can improve foot function and reduce pain. Kinesio Tape (KT) has also been used as an adjunct to foot orthoses in the treatment of pes planus. This study aims to compare the effectiveness of the UCBL foot orthosis with and without KT in the treatment of SFPP among amateur juvenile and adolescent athletes.
Fifty patients with SFPP were included in the study. In 27 patients UCBL foot orthosis with KT (group 1) was used whereas in 23 UCBL (group 2) was preferred only. The patients were evaluated with AOFAS and radiological measurements.
The mean follow-up period was 28.6 ± 4.3(26) months. At the final follow-up AOFAS of group 1 was significantly higher than group 2. In group 2, 12 patients (%52,17) had pressure sores that caused superficial dermabrasion. Lateral TFMAs and talocalcaneal angle in group 1 was significantly better than group 2.
This study attempted to determine if using KT with the UCBL foot orthosis was beneficial to the treatment of SFPP compared to simply wearing the orthosis. Our results suggest that KT is effective in reducing pronation and improving the AOFAS score. The use of UCBL with KT seems to be preferable in children and adolescents with SFPP since it is associated with a lower rate of complication, a higher degree of patient compliance and faster improvement in the radiological and clinical findings, compared to the use of the UCBL orthosis alone.
有症状的柔韧性足扁平（SFPP）在儿童和青少年进行步行或运动活动时可能会引起疼痛和不适。SFPP 可以通过足部矫形器（如加利福尼亚大学伯克利实验室（UCBL）足部矫形器）进行保守治疗，这可以改善足部功能并减轻疼痛。运动贴布（KT）也已被用作扁平足治疗中足部矫形器的辅助手段。本研究旨在比较 UCBL 足部矫形器与带或不带 KT 在治疗业余青少年运动员 SFPP 方面的效果。
本研究纳入了 50 名 SFPP 患者。27 名患者使用 UCBL 足部矫形器加 KT（组 1），23 名患者仅使用 UCBL（组 2）。通过 AOFAS 和影像学测量对患者进行评估。
平均随访时间为 28.6 ± 4.3（26）个月。在最终随访时，组 1 的 AOFAS 明显高于组 2。在组 2 中，有 12 名患者（52.17%）出现压疮，导致浅表表皮擦伤。组 1 的外侧 TFMA 和距跟角明显优于组 2。
本研究试图确定在 UCBL 足部矫形器中使用 KT 是否比仅佩戴矫形器更有利于治疗 SFPP。我们的结果表明，KT 可有效减少旋前并提高 AOFAS 评分。与单独使用 UCBL 矫形器相比，在 SFPP 儿童和青少年中使用 UCBL 加 KT 似乎更可取，因为它与并发症发生率较低、患者依从性较高以及影像学和临床发现的改善更快有关。
