•  
  •  
 

Rehabilitation Practice and Science

Translated Title

遲緩兒童扁平足篩檢探討

Abstract

Flatfoot disease is caused by disappearance or collapse of the medial longitudinal arch of the foot. Most of patients with flatfoot disease have what is known as ”flexible flatfoot”. Flatfoot in developmentally delayed children, however, is due to muscle weakness of lower limbs, which leads to disproportionate muscle growth or joint contracture. A study conducted by Chii-Jeng Lin in 2001 indicated that flat-footedness may influence gait, single-foot standing, and jumping ability. The author considered that flat-footedness was not only a problem in skeletal structure but that it may also be a consequence of dynamic foot function. Children with developmental delays have significant difficulties in movement expression. If these children also have flatfoot disease, their movement expression might be further negatively impacted.Methods: In this study we collected the footprints of 77 developmentally delayed children in a specialeducation school to screen for flatfoot disease to ascertain the rate of flat-footedness in this population. A statistical analysis of the correlation between joint laxity and flat-footedness was then performed by Beighton score. Results: The rate of flatfoot disease in the age groups evaluated by arch index were as follows: ages 1 to＜2 years, 100% (all are severe); ages 2 to＜3 years, 100% (mild to moderate 10%, severe 90%); ages 3 to＜4 years, 98% (mild to moderate 7%, severe 91%); ages 4 to＜5 years, 98% (mild to moderate 31%, severe 67%); ages 5 to＜6 years, 90% (mild to moderate 7%, severe 83%); and ages 6 years and older, 85% (mild to moderate 30%, severe 55%). If the data were evaluated by Chippaux-Smirak index, the rate in each age group were as follows: ages 1 to＜2 years, 100% (all are severe); ages 2 to＜3 years, 100% (all are severe); ages 3 to＜4 years, 98% (all are severe); ages 4 to＜5 years, 89% (moderate 10%, severe 79%); ages 5 to＜6 years, 87% (moderate 7%, severe 80%); and ages 6 years and older, 80% (moderate 5%, severe 75%). If the Clarke's angle was used for data evaluation, the rate in each age group were as follows: ages 1 to＜2 years, 100% (all are severe); ages 2 to＜3 years, 90% (all are severe); ages 3 to＜4 years, 100% (all are severe); ages 4 to＜5 years, 93% (moderate 8%, severe 85%); ages 5 to＜6 years, 83% (all are severe); and ages 6 years and older, 85% (moderate 5%, severe 80%). There were no significant differences between the Beighton score and the rate of flat-footedness in this population of children. Conclusions: The results of this study compared with the results of Chii-Jeng Lin showed that there was a higher rate of flatfoot in developmentally delayed children than in normal children in the same age groups. The results of statistical analysis showed that there were no connection between joint laxity and the rate of flat-footedness. Flatfoot interrention must be actively considered in developmentally delayed children because of the higher rate of flat-footedness, as this disease influences these children's movement expression to some extent.

Language

Traditional Chinese

First Page

31

Last Page

37

Download

Share

COinS