Rehabilitative treatment in flexible flatfoot: a perspective cohort study.

NewsBot · Sep 26, 2009

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Rehabilitative treatment in flexible flatfoot: a perspective cohort study.
Riccio I, Gimigliano F, Gimigliano R, Porpora G, Iolascon G.
Musculoskelet Surg. 2009 Sep 24

Paediatric valgus flexible flatfoot is a common childhood paramorphism. Its treatment options consist of rehabilitation, corrective footwear and, if necessary, surgical intervention. The aim of our study was to compare a group of children who followed a rehabilitative programme versus a historical group of children who had been treated with insoles and orthopaedic footwear. Over a 2 year period (1995-1997), 300 children (mean age was 3.4-184 male, 116 female) with bilateral flexible flatfoot (600 feet) were recruited and underwent a rehabilitative programme for a mean period of 2.75 years. The feet were classified according to Viladot's method: 386 feet presented a type III degree deformity and 214 feet presented a type II degree deformity. The rehabilitative programme consisted of simple therapeutic exercises, which could be easily learnt by both patients and their caregivers. These children were compared to a historical group of children (674 feet) who had been treated in our department for infantile flexible flatfoot with the use of orthosis. In these groups, 396 feet presented a type III degree deformity and 278 feet presented a type II degree deformity. In the group of children who underwent the rehabilitative protocol, during follow-up at the age of eight, 352 of the 386 type III degree feet could be classified as normal and 210 of the 214 type II degree cases became normal. In the historical cohort of children treated with orthosis, at the age of eight, 214 of the 396 type III degree feet could be classified as normal; and 248 of the 278 type II degree cases became normal. Our results show that comparing the percentage of success (changing from type III or II degree to type I or N) in the two groups (children treated with rehabilitation and children treated with orthosis), the rehabilitative approach seems to be more effective. Probably it has a marginal influence on the natural history of paediatric valgus flexible flatfoot even though it plays a role in maintaining good flexibility of the flatfoot thus limiting functional impairment.
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jmarshal51 · Oct 28, 2011

Im trying to find the full text for this. Any one know where I can find it? For free preferably.

G Flanagan · Oct 28, 2011

Here you go

Bug · Nov 6, 2011

And the joy, no control group. Nothing to take into account group and natural foot change.

NewsBot · Sep 23, 2015

Effects of Foot Muscles Training on Plantar Pressure Distribution during Gait, Foot Muscle Strength, and Foot Function in Persons with Flexible Flatfoot.
Panichawit C, Bovonsunthonchai S, Vachalathiti R, Limpasutirachata K.
J Med Assoc Thai. 2015 Jun;98 Suppl 5:S12-7.

OBJECTIVE:
To investigate the effects of a foot-muscle trainingprogram on plantarpressure distribution, foot muscle strength, and foot function in persons with flexible flatfoot.
MATERIAL AND METHOD:
Participants received foot-muscle training 3 times weekly, over 8 weeks. Training consisted of gastrosolues muscle stretching and strengthening the muscles around the ankle and the intrinsic muscles. The contact area andpeak pressure under the hallux, first metatarsal, and medial midfoot were assessed by the Force Distribution Measurement Plaform while walking. Strength ofthe tibialis posterior and peroneus longus muscles were assessed by handheld dynamometer. Foot function regarding difficulty in activities of daily living was assessed. All measures were assessed at pre-training, intermediate-training, and post-training. Friedman ANOVA was used for testing mean differences among the variables.
RESULTS:
Five participants with flexible flatfoot were recruited in the study. Results demonstrated significant increases in tibialis posterior (p = 0.018) and peroneus longus muscles strength (p = 0.007), and significant decrease infootfunction score (p = 0.021). In addition, no significant difference in contact area and peak pressure was observed among testing periods.
CONCLUSION:
Foot-muscle strength and foot function in persons with flexible flatfoot can be improved significantly after receiving foot-muscle training.
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NewsBot · Nov 26, 2016

The Effects of Foot Intrinsic Muscle and Tibialis Posterior Strengthening Exercise on Plantar Pressure and Dynamic Balance in Adults Flexible Pes Planus
Da-bee Lee , Jong-duk Choi
Source

Background: In previous studies regarding flexible pes planus, Foot orthosis, special shoes have been used as interventions for correcting malalignment and intrinsic muscles strengthening exercise have been regarded as interventions for foot function and supporting medial longitudinal arch during walking.
However, some recent studies reported that strengthening extrinsic muscles as well as intrinsic muscles is more effective and active intervention for flexible pes planus. In particular, the tibialis posterior muscle of foot extrinsic muscles plays essential roles in maintaining the medial longitudinal arch during dynamic weight bearing and balance. In addition this muscle acts longer than other supination muscles during the stance phase in the gait cycle.
Objects: This study aimed to investigate the effect of foot intrinsic muscle and tibialis posterior muscle strengthening exercise for plantar pressure and dynamic balance in adults with flexible pes planus.
Methods: 16 young flexible pes planus adults (7 males, 9 females) were recruited and were randomized into two groups. The experimental group performed foot intrinsic muscle and tibialis posterior muscle strengthening training, the control group performed only foot intrinsic muscle strengthening training. All groups received strengthening training for 30 minutes five times a week for six weeks.
Results: The experimental group had significantly lower plantar pressure of medial heel area than the control group in stand (p<.05). The experimental group had significantly higher dynamic balance ability than control group (p<.05).
Conclusion: The results of this study provide evidence to suggest that foot intrinsic muscle and tibialis posterior muscle of extrinsic muscle strengthening exercises may improve plantar pressure distribution and dynamic balance ability in adults with flexible pes planus.
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Rehabilitative treatment in flexible flatfoot: a perspective cohort study.

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Rehabilitative treatment in flexible flatfoot: a perspective cohort study.

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jmarshal51 Member

G Flanagan Active Member

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