Arizona College of Podiatric Medicine-Midwestern University Glendale, AZ, USA.
Submitted During Residency.
Foot (Edinb). 2024 Jun;59:102099. doi: 10.1016/j.foot.2024.102099. Epub 2024 May 13.
Persons with intellectual disabilities frequently have podiatric conditions. Findings from the 2018 United States Summer games (USA) venues are compared to those from athletes screened at the 2019 Special Olympics World Summer Games in Abu Dhabi, United Arab Emirates (UAE).
Data from Fit Feet screenings from 2445 United Arab Emirates (UAE) participants were compared to 1244 US participants.
A sampling of results that reflect significant differences in findings between the USA cohort and Abu Dhabi cohort include ankle joint range of motion, excessive abduction, hallux abducto valgus and pes planus. The overall shoe to foot mismatch was found to be 52.2%. A professional referral was recommended 27.7% of the time in the USA data and 28.5% in the Abu Dhabi data. An urgent referral was requested 5.1% of the time for the USA data and 3.7% of the time in the Abu Dhabi data.
Special Olympics athletes experience a greater prevalence of identifiable podiatric conditions as compared to the general population. Several of the conditions investigated in this study differed significantly between the international Special Olympics cohort and the USA cohort. Assessment of the feet of Special Olympics athletes can help to better appreciate the podiatric conditions in a population of individuals with intellectual disabilities. The variance identified between populations of Special Olympics athletes may be a reflection on the lack of standardization of conditions that are assessed for as well as the disparate characteristics of the clinical volunteers. Future Fit Feet events may wish to consider significant improvements in objectivity and standardization as it pertains to the conditions that are evaluated for in the Fit Feet exam.
智障人士常患有足部疾病。本研究比较了 2018 年美国夏季运动会（USA）场馆的调查结果与 2019 年在阿拉伯联合酋长国阿布扎比举行的特殊奥林匹克世界夏季运动会（Abu Dhabi）上筛查的运动员的结果。
将来自 2445 名阿联酋（UAE）参与者的 Fit Feet 筛查数据与 1244 名美国参与者的数据进行比较。
反映 USA 队列和阿布扎比队列之间发现结果存在显著差异的部分结果包括踝关节活动范围、过度外展、大脚趾外展-内收和扁平足。发现整体鞋子与脚的不匹配率为 52.2%。在美国数据中，有 27.7%的情况下建议进行专业转诊，在阿布扎比数据中为 28.5%。在美国数据中，有 5.1%的情况下需要紧急转诊，在阿布扎比数据中为 3.7%。
与普通人群相比，特殊奥林匹克运动员经历的可识别足部疾病更为普遍。本研究调查的几种情况在国际特殊奥林匹克运动员队列和美国队列之间存在显著差异。对特殊奥林匹克运动员足部的评估有助于更好地了解智障人群中的足部疾病。在特殊奥林匹克运动员人群中发现的差异可能反映了对评估条件缺乏标准化以及临床志愿者特征的差异。未来的 Fit Feet 活动可能希望考虑在与 Fit Feet 检查评估的条件相关的客观性和标准化方面进行重大改进。
