scholarly journals DYNAMICS OF CHANGES IN SELECTED PARAMETERS OF FOOT ARCHING IN CHILDREN BETWEEN 5 AND 9 YEARS OLD

2021 ◽  
Author(s):  
Marta Kinga Łabęcka ◽  
Krystyna Górniak ◽  
Małgorzata Lichota
Keyword(s):  
High Rate ◽  
School Age ◽  
Slight Improvement ◽  
Everyday Functioning ◽  
Locomotor Apparatus ◽  
Longitudinal Arch ◽  
Transverse Arch ◽  
Flat Feet ◽  
Length Width ◽  
Foot Development

The foot is an important element of the locomotor apparatus and performs a number of functions in our body. Abnormalities in its shape can affect everyday functioning. Therefore, it is worth paying attention to the proper development of the feet in children. The aim of the study was to assess the dynamics of changes in selected parameters of foot development in younger children of school age. The study involved 70 children. The observations were conducted twice in the same children, aged 5 and 9 years. Their feet were examined using a podoscope. Clarke's method was used to assess the longitudinal arch of the feet, and the Wejsflog length-width index for assessing the transverse arch. In addition, parameters such as the length and width of the foot, the position of the big toe, the little toe and the back of the heel were analysed. Longer and wider feet were characteristic of boys. As the children became older, the longitudinal arch of the feet fell, while only girls showed a slight improvement in the lateral arch of the foot. There was a high rate of flat feet. The children examined, who were aged 5 and 9 years, had a correctly positioned toe and heel, while there was varus of the little toe. The length-width dimensions of the feet changed significantly over time. Girls and boys differed significantly in the values of the Clarke's angle defining the longitudinal arch of the feet, while no significant differences in the lateral arch of the feet were noted. With age, there was no change in the position of the toe, toe and heel.

scholarly journals Assessment of the Foot’s Longitudinal Arch by Different Indicators and Their Correlation with the Foot Loading Paradigm in School-Aged Children: A Cross Sectional Study

2021 ◽  
Vol 18 (10) ◽  
pp. 5196
Author(s):  
Beata Szczepanowska-Wołowiec ◽  
Paulina Sztandera ◽  
Ireneusz Kotela ◽  
Marek Zak
Keyword(s):  
Morphological Structure ◽  
Cross Sectional Study ◽  
Strongly Correlated ◽  
Cross Sectional ◽  
School Aged Children ◽  
Longitudinal Arch ◽  
Flat Feet ◽  
Foot Loading ◽  
Static Conditions ◽  
Increased Pressure

Background: There are numerous studies assessing the morphological structure of the foot, but there is a notable scarcity of those focused on juxtaposing various longitudinal arch indices with foot loading paradigm. The present study aimed to determine the overall reliability, diagnostic accuracy of respective variables, and their correlation with the foot loading paradigm. Methods: The study group consisted of 336 children, aged 10–15 years (girls 49.1% and boys 50.9%). The morphological structure of the plantar part of the foot in static conditions was assessed with the aid of a 2D podoscan. Individual foot loading paradigm in static conditions was assessed making use of the FreeMed platform. Results: Staheli (SI), Chippaux–Smirak (CSI), and Sztriter–Godunow (KY) indices were strongly correlated with each other (ρ > 0.84, p < 0.001). Own research corroborated an increased pressure of hollow feet, as assessed by the SI, CSI, and KY indices, on the forefoot and the hindfoot, foot zones B, E, F; these correlations being statistically significant. The results yielded by the present study also indicate an increased pressure on the metatarsal, and foot zones C, D of the flat feet. Conclusions: Flatfootedness is not believed to be a common deformity among children and adolescents. The SI, CSI, and KY indices were found to be strongly correlated, as well as proved reliable in assessing the foot’s longitudinal arch.

scholarly journals The impact of functional excess of footwear on the foot shape of 7-year-old girls and boys

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11277
Author(s):  
Ewa Puszczalowska-Lizis ◽  
Aleksandra Lukasiewicz ◽  
Sabina Lizis ◽  
Jaroslaw Omorczyk
Keyword(s):  
Regression Analysis ◽  
Hallux Valgus ◽  
Metatarsophalangeal Joint ◽  
Rank Test ◽  
Chi Square ◽  
First Metatarsophalangeal Joint ◽  
Longitudinal Arch ◽  
Transverse Arch ◽  
The Right ◽  
The Impact

Background Properly fitted shoes can support the development of growing feet and prevent problems and pathologies, not only in childhood, but also in adulthood. This points to the need to conduct research on the impact of shoe fitting on the structure of the foot in order to raise awareness and importance of this problem, to enable proper decisions regarding the purchase and use of shoes. The aim of this study was to analyze indoor footwear fit and its impact on foot structure in 7-year-old schoolchildren. Methods The CQ-ST podoscope and the Clevermess device were used for measurements. The analysis was carried out using the Mann Whitney U test, Wilcoxon signed-rank test, Chi-square test, regression analysis. Results About 40% of girls and boys had shoes that were incorrectly fitted in length, while as many as 74% of girls and 66% of boys wore shoes that were incorrectly fitted in width. Regression analysis demonstrated a statistically significant influence of the footwear length on longitudinal arch of the right and left foot and the transverse arch of the right foot. In boys, the length of the shoes shows associations with the right and left hallux valgus angle. Conclusion A significant percentage of the studied 7-year-olds, regardless of gender, wears inappropriately fitted shoes. In both sexes, the length of the footwear influenced the longitudinal arch of the right and left foot and the transverse arch of the right foot. Due to the deformity of the first metatarsophalangeal joint, the boys with hallux valgus require footwear which is wider and therefore their shoes need to be bigger in size.

scholarly journals The Long-Term Structural Effect of Orthoses for Pediatric Flexible Flat Foot: A Systematic Review

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0014
Author(s):  
Jun Young Choi ◽  
Min Jin Kim ◽  
Jin Soo Suh
Keyword(s):  
Case Series ◽  
Structural Effect ◽  
Cochrane Library ◽  
Medial Longitudinal Arch ◽  
Long Term Effects ◽  
Flat Foot ◽  
Longitudinal Arch ◽  
Flat Feet ◽  
The Cochrane Library

Category: Midfoot/Forefoot Introduction/Purpose: Several conservative treatment methods, from intrinsic muscle exercises to orthoses, including insoles or specially designed shoes, have been introduced for pediatric flexible flat foot (PFFF). However, the structural effects of orthoses use remain unclear because the normal physiological maturation of the medial longitudinal arch cannot be ruled out. Methods: A comprehensive literature search using five databases, namely MEDLINE, the Cochrane Library, Scopus, the Web of Science, and EMBASE, was performed for pertinent articles published before March 30, 2018. Studies with quantitative data on the effects of the long-term use of orthoses for PFFF were included. The search strategy was adapted as appropriate for all other databases searched considering the differences in indexing terms and search syntax for each database. Results: All studies, including randomized controlled trials or prospective cohort studies, could not prove the estimated effects of orthoses on the medial longitudinal arch. However, they revealed that flexible flat feet in young children slowly improved with growth, regardless of the type of footwear used. However, three of four studies, which were case series, revealed that positive long-term effects could be achieved using orthoses. Conclusion: There is no strong evidence that the long-term use of orthoses improved the structural problem of PFFF.

EMDR With Children and Adolescents After Single-Incident Trauma An Intervention Study

2009 ◽  
Vol 3 (1) ◽  
pp. 2-9 ◽  
Author(s):  
Thomas Hensel
Keyword(s):  
Preschool Children ◽  
Children And Adolescents ◽  
Eye Movement ◽  
Private Practice ◽  
Intervention Study ◽  
School Age Children ◽  
School Age ◽  
Slight Improvement

This study used a naturalistic design to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) with children and adolescents who were exposed to single-incident trauma. Participants were 36 children and adolescents ranging in age from 1 year 9 months to 18 years 1 month who were referred consecutively to the author’s private practice. Assessments were conducted at intake, post-waitlist/pretreatment, and at follow up. EMDR treatment resulted in significant improvement (Cohen’s d = 1.87). Follow-ups after 6 months revealed stable, further slight improvement. It was shown that children younger than 4 years of age can be treated using EMDR and that the group of preschool children had the same benefit from the treatment as the school-age children.

scholarly journals Risk Factors Associated with Gastrointestinal Helminthic Infections among School Aged Children in Kurmi Local Government Area, Taraba State, Nigeria

2021 ◽  
pp. 50-59
Author(s):  
Vera Yafeh Akwa ◽  
Waetsi Nya Yusufu ◽  
Victor Ugochukwu Obisike ◽  
Amina Ojochide Hassan
Keyword(s):  
Risk Factors ◽  
Parasitic Infection ◽  
Hand Washing ◽  
High Rate ◽  
School Age Children ◽  
Base Line ◽  
School Age ◽  
Factors Associated ◽  
Helminthic Infections ◽  
Significant Difference

One of the parasitic infection faced by school age children in developing countries is intestinal parasitic infection. This study was designed to determine risk factors associated with gastrointestinal helminthic infections among school age children. A total of 600 stool samples were randomly examined by direct smear method under microscope and formol-ether concentration technique. A structured questionnaire was used to collect data on socio-noneconomic status of the children’s parents and other variables. Of this, (n=252; 42%) were found to be infected with gastrointestinal helminths infections given a breakdown of male (n=148; 24.7%) and female (n=104; 17.3%). However, there was no significant difference in prevalence among the socio-economic status. Parent whose occupation was farmer (n=169; 28%) also recorded high rate of infection, the lowest prevalence was seen among civil servants (n=19; 3%). Parents with little or no knowledge of intestinal helminths were found to be statistically significant (n=199; 33.1%, p<0.02; α =0.02) The  highest  rate of infection was recorded among children who had dirty finger nails (n=232; 38.6%), followed by those who walked barefooted(28.2%),then open defecation (n=147; 24.6%),  hand washing after defecation (n=195; 30,7%,), habit of eating raw/roasted meat (n=136; 22.3%), hand washing before meal (n=102; 17.02%) and keeping of dirty clothes and bed linens (n=180; 30%) . Such a relatively high prevalence rate of helminthic infection in the study area could be used as a base line for the concern bodies to launch de-worming intervention campaigns.

scholarly journals Application Value of CTA in the Computer-Aided Diagnosis of Subarachnoid Hemorrhage of Different Origins

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Wei Li ◽  
Lin Qi ◽  
Yulong Guo ◽  
Zhen Zhang ◽  
Guanglong He ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Computer Aided Diagnosis ◽  
High Rate ◽  
Wide Range ◽  
Computer Aided ◽  
Area Under Roc Curve ◽  
Length Width ◽  
The Difference ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
Aided Diagnosis

Subarachnoid hemorrhage (SAH) is difficult to detect because of its circulation through subarachnoid space, which leads to a high rate of missed diagnosis. Based on the above background, the purpose of this study is to study the application value of brain CT angiography (CTA) in computer-aided diagnosis of subarachnoid hemorrhage with a wide range of brain digital subtraction angiography as a gold standard. This paper collected images and related medical records of 111 patients with spontaneous subarachnoid hemorrhage receiving brain CTA and DSA examinations from February 2015 to November 2019 in the neurology department of our hospital. In contrast to the number, position, length, width, and neck width of the causative aneurysm detected by DSA, we evaluated the diagnostic results of CTA and evaluated whether there was statistical difference between the two detectives of intracranial aneurysms. The results showed that the area under ROC curve of subtraction CTA and conventional CTA was 1.000 and 0.818, respectively, which indicated that the former had better display effect on internal carotid aneurysm (AUC > 0.9), while the latter had medium value (0.7 < AUC ≤ 0.9), and the difference was statistically significant (z = 2.390, p = 0.017 ).

Corrective Shoes for Children: A Survey of Current Practice

PEDIATRICS ◽  
1980 ◽  
Vol 65 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Lynn T. Staheli ◽  
Laura Giffin
Keyword(s):  
Lower Limb ◽  
Current Practice ◽  
Leg Length ◽  
Prescribing Practices ◽  
Flat Feet ◽  
Foot Problems ◽  
Metatarsus Adductus ◽  
Foot Development

A survey of shoe-prescribing practices for children was taken among pediatricians, orthopaedists, pediatric orthopaedists, and podiatrists. Opinions differed significantly regarding the usefulness of shoe modifications for common pediatric lower limb and foot problems. Parents' attitudes toward children's shoes were also surveyed. Pediatricians and pediatric orthopaedists tended to prescribe corrective shoes less often than did orthopaedists and podiatrists. High topped shoes are not necessary to promote normal foot development, in the opinion of 85% of those surveyed; however, high topped shoes were often recommended for infants because they slip off less easily. Preferences for Thomas heels, scaphoid pads, reverse lasts, straight lasts, wedges, torque heels, and shoe lifts for problems including flexible flat feet, metatarsus adductus, intoeing, bow legs, knock knees, and leg length inequalities were delineated among the four groups treating children's feet. The authors conclude that whereas studies show that shoe modifications are of questionable value in the problems discussed, corrective shoes are often prescribed when regular shoes would be more appropriate and economical.

scholarly journals Relationship of Body Mass Index and Footprint Morphology to the Actual Height of the Medial Longitudinal Arch of the Foot

2021 ◽  
Vol 18 (18) ◽  
pp. 9815
Author(s):  
Carolina Rosende-Bautista ◽  
Pedro V. Munuera-Martínez ◽  
Teresa Seoane-Pillado ◽  
María Reina-Bueno ◽  
Francisco Alonso-Tajes ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Individual Characteristics ◽  
Medial Longitudinal Arch ◽  
Men And Women ◽  
Foot Posture Index ◽  
Posture Index ◽  
Longitudinal Arch ◽  
Flat Feet ◽  
Foot Posture

The medial longitudinal arch height of the foot is linked to individual characteristics such as sex and body mass index, and these characteristics have been shown to be associated with conditions such as flat feet. In this cross-sectional descriptive study, we examined the medial longitudinal arch morphology in an adult population to determine if there are differences related to sex and body mass index, and values were obtained for the foot posture index. Normalized anthropometric measurements and arch indices were calculated from footprints. Groups, defined by sex and body mass index, were compared, and the correlations between body mass index and the variables were determined. In the population studied (266 women and 177 men), significant differences between men and women for the foot posture index and normalized arch measurements were found. Analysis of the variables related to body mass index indicated there were significant differences in arch indices. Significant differences and positive correlations were also found between the arch index and body mass index for the left and right feet among the men and women studied. The results obtained allow us to reflect on and analyze whether the medial longitudinal arch morphology classification methods used in the clinical and research setting are adequate or whether the influence of factors such as body mass index can generate confusion.

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