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Rehabilitation Practice and Science

Translated Title

動作發展遲緩兒童合併扁平足相關因子之研究

Abstract

Condition of flat feet is a common among preschool children. Clinical studies show that children with developmental delays have problems similar to flat feet, perhaps of a more and complicated nature compared to the normal children. As literature on flat feet in children with developmental delays was hardly available, the main topic of this study was to explore factors associated with flat feet in preschool children with developmental delays, and the effect of flat feet on lower-extremity functions.The 50 participants in this study were selected from 88 children aged 4-6 years with motor delay. They were divided into two groups according to severity of delays: the group (n=25) and mid-to-moderate group (n=25). Males and females were for 28 (56%) and 22 (44%) of the participants, respectively. Evaluation measures included the Arch Index in a footprint analysis that determines the severity of flat feet, the Beighton score that quantifies joint laxity, and three lower-extremity functions (standing on one foot, hopscotch, and walking tip-toe along a straight line) by means of the Movement Assessment Battery for Children. The methods of statistical analysis included Pearson correlation and independent samples t-test.The results showed: 1. there was a moderate correlation between joint laxity and lower-extremity muscle strength with flat feet in children with developmental delays; 2. children with motor development delays in the ”severe flat feet group” had significantly worse lower-limb functions than those in the mild-to-moderate group; 3. the best predictors for the severity of flat feet were the ability to one-leg stand and plantar flexor strength.Therefore, these results suggest that children with motor development delays might enhance their ability to one-leg stand and strengthen their dorsiflexor muscles, in order to improve collapsed arches and the functional consequences in the clinical setting.

Language

Traditional Chinese

First Page

205

Last Page

213

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