) Flexible Flatfoot Prevalence Correlating Factor Foot Pressure Physical Performance and Gait Analysis (Year III) NSC B

Transcription

1

2 ( ) Flexible FlatfootPrevalenceCorrelating FactorFoot Pressure Physical Performance and Gait Analysis (Year III) NSC B or severe FF noted among 377 preschool children after 3 years' follow-up. For statistic analysis of the correlating factors, age at study, physiological knock knee, 377 physical performance and radiological 131 findings, e.g. accessary navicular bone or 70 (68 2 talo-navicular subluxation were related to ) such change I. (47 17 ) X X ( ) Abstract This is the third-year report of our three-year proposal to investigate prevalence and the correlating factors of flexible flatfoot (FF) in preschool children of Taiwan. Altogether 377 preschool children, 201 boys and 176 girls ranging from 2 to 6 years of age, were investigated for 3years. Originally, there were 131 moderate or severe FF, while 70 of them improved to normal or mild group. Three of the normal or mild group developed moderate FF. Thus there were 64 moderate 1

3 1 Before N and Moderate Severe mild FF FF FF After N and mild FF Moderate FF Severe FF FFflexible flatfoot II (68 2 ) (2~3 3~4 4~5 5~6 ) X ( ( )X ) ( ) ( III ( 2) ( 1) 2

4 2 X 131 X Age (years) ( 4) 2-3 (n=72) 3-4 (n=97) 4-5 (n=105) 5-6 (n=103) the same X Moderate N and mild improved and severe FF(n=70) FF(n=61) deteriolized No PKK(n=104) PKK(n=27) * chi square p< (7 ) 3 1 (6 ) 3 ( 5) 4 19 (11 ) (5 ) (10 )1 Group (FGFP)* (3 ) 5 6 N and Moderate mild and sever 10 (10 P + FF(n=70) FF(n=61) ) Squatting <0.05 and standing Standing on <0.05 toe ( 3) Tole-walking <0.05 Heal-walking NS One-leg <0.05 walking One-leg <0.05 hopping Age (years) * Task performance scaleeg, excellent or good, FP, fair or poor (n=41) (n=39) (n=29) (n=22) + Significance of chi square the same improved deteriolized * chi square p< X X

5 without correction of calcaneovalgus. ( 6) Clin Orthop 1992; 278: Barry RJ, Scranton PE Jr. Flat feet in children. Clin Orthop 1983; 181: X 3. Beaty JH. Knee, lower leg, foot, and ankle disorders in children. Curr Opin Pediatr 1993; 5: Moderate N and mild 4. Beighton P, Solomon L, Soskolne CL. and severe FF(n=70) Articular mobility in an African FF(n=61) population. Ann Rheum Dis 1973; 32: No X-ray findings 5. Cappello T, Song KM. Determining Positive X-ray treatment of flatfeet in children. Curr findings Opin Pediatr 1998; 10: * chi square p< Cheng JC, Chan PS, Hui PW. Joint laxity in children. J Pediatr Orthop 1991; 11: IV. 7. Cohen-Sobel E, Giorgini R, Velez Z. Combined technique for surgical X correction of pediatric severe flexible flatfoot. Foot Ankle Surg 1995; 34: (70/13153%) 8. Crawford AH, Gabriel KR. Foot and 61 ankle problem. Orthop Clin North Am 1987; 18: D'Amico JC. Development flatfoot. 4 Clin Pediatr 1984; 1: Dyal CM, Feder J, Deland JT, et al. Pes planus in patients with posterior tibial X tendon insufficiency: asymptomatic X versus foot. Foot Ankle Int 1997; 18: Ho CS, Lin CJ, Chou YL, et al. Foot progression angle and ankle joint complex in preschool children. Clin Biomech 2000; 15: Jacobs AM, Oloff LM. Surgical management of forefoot supinatus in flexible flatfoot deformity. Foot Surg 1984 ; 23: Kadaba MP, Ramckrishnan HK, Wootten ME. Measurement of lower V. 1. Aharonson Z, Arcan M, Steniback TV. Foot-ground pressure pattern of flexible flatfoot in children, with and 4 extremity kinematics during level walking. J Orhop Res 1990; 8: Lin CJ, Lin SC, Huang W, et al. Physiological knock-knee in preschool children: prevalence correlating factors, gait analysis, and clinical significance. J Pediatr Orthop 1999; 19:

6 15. Losel S, Burgess-Milliron MJ, Micheli LJ, et al. A simplified technique for determining foot progression angle in children 4 to 16 years of age. J Pediatr Orthop 1996; 16: McCall RE, Lillich JS, Harris JR, et al. The Grice extraarticular subtalar arthrodesis: a clinical review. J Pediatr Orthop 1985; 5: Rose GK, Welton EA, Marshall T. The diagnosis of flat foot in the child. J Bone Joint Surg Br 1985; 67: Taylor TL. Idiopathic flexible flatfoot in the adolescent. Clin Podiatr Med Sug 1989; 6: Wenger DR, Leach J. Foot deformities in infants and children. Pediatr Clin North Am 1986; 33: Wenger DR, Mauldin D, Speck G, et al. Corrective shoes and inserts as treatment for flexible flatfoot in infants and children. J Bone Joint Surg Am 1989; 71: Wheelwright EF, Minns RA, Law HT, et al. Temporal and spatial parameters of gait in children. I: Normal control data. Dev Med Child Neurol 1993; 35: