Sachithanandam V, Joseph B
Department of Orthopaedics, Kasturba Medical College, Manipal, India.
J Bone Joint Surg Br. 1995 Mar;77(2):254-7.
We analysed the static footprints of 1846 skeletally mature individuals to establish the influence of the age at which shoe-wearing began on the prevalence of flat foot. The incidence was 3.24% among those who started to wear shoes before the age of six years, 3.27% in those who began between the ages of 6 and 15 and 1.75% in those who first wore shoes at the age of 16 (p < 0.001). Flat foot was highest in those who, as children, wore footwear for over eight hours each day. Obese individuals and those with ligament laxity had a higher prevalence of flat foot (p < 0.01 and p < 0.0001, respectively). Even after adjusting for these two variables, significantly higher rates of prevalence were noted among those who began to wear shoes before the age of six years. Our findings suggest an association between the wearing of shoes in early childhood and flat foot.
我们分析了1846名骨骼成熟个体的静态足迹，以确定开始穿鞋的年龄对扁平足患病率的影响。6岁之前开始穿鞋的人群中，扁平足发病率为3.24%；6至15岁开始穿鞋的人群中，发病率为3.27%；16岁开始穿鞋的人群中，发病率为1.75%（p<0.001）。儿童时期每天穿鞋超过8小时的人群中，扁平足发生率最高。肥胖个体和韧带松弛者的扁平足患病率更高（分别为p<0.01和p<0.0001）。即使对这两个变量进行校正后，6岁之前开始穿鞋的人群中，扁平足患病率仍显著更高。我们的研究结果表明，幼儿期穿鞋与扁平足之间存在关联。
