Monitoring and evaluation of flat-feet in children of pre-school age and younger school age

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Cyril Grus

 

Matúš Kozel, Gabriela Škrečková, Eva Lukáčová, Cyril Grus – Monitoring and evaluation of flat-feet in children of pre-school age and younger school age. Fizjoterapia Polska 2023; 23(4); 144-148

DOI: https://doi.org/10.56984/8ZG20AF33

Abstract
Background. The issue of flat-feet in children of pre-school and younger school age has been a frequently discussed issue in recent times. This issue has been addressed in particular with regard to the deteriorating physical fitness and general health of children. The lack of sensory stimuli from the foot causes incorrect development of the arch of the foot, which later becomes apparent in other parts of the support-movement system.
Objective. The aim of the study was to monitor the current condition of flat-feet in children.
Method. In our study we observed the occurrence of flat-feet in children of pre-school (n:37; age ø: 5,22) and younger school age (n:52; age ø: 7,45). The study enrolled children of pre-school and younger school age between five and nine years of age. We used the examination device Podoscope to examine the condition of the arch of the foot. We used the subjective method Chipaux – Šmířák (CSI) to evaluate the fingerprints. For each child, both feet were always compared. The results were evaluated with descriptive statistics.
Results. We found that 70.79% of all children have a normally shaped longitudinal arch on both feet. In the preschool year, the percentage of normal arch on both feet indicates 64.86% of all children. In primary school children, the figure is 73.08%. Among preschool and school age children, there was also a high foot, which was found on both feet in 8 out of 89 children. Flat-foot was found on both feet in 6.74% of the participants. 8.11% of kindergarten children had a flat-foot on both feet. In 5.77% of primary school pupils, a bipedal flat-foot was found.
Conclusion. The arch of the foot shapes with age. However, it cannot be said that it always shapes into a physiologically correct shape in every circumstance. In kindergarten children, flat-foot predominates because children attending this facility have not yet had time to fully form the arch. It is necessary to consider which year the children attend. In younger school age pupils, i.e. first to fourth grades, all three types of arch of the foot are present.
Keywords
flat-foot, pre-school age, younger school age
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The influence of static splayfoot on body posture within knee joints and spine in children

Katarzyna Bogacz, Bartosz Pańczyszak, Daria Duch, Jacek Łuniewski, Marcin Krajczy, Jan Szczegielniak

K. Bogacz, B. Pańczyszak, D. Duch, J. Łuniewski, M. Krajczy, J. Szczegielniak- The influence of static splayfoot on body posture within knee joints and spine in children. Fizjoterapia Polska 2019; 19(1); 52-58

DOI: https://doi.org/10.56984/8ZG0178mY

Abstract
Aim of work. The aim of this work was to assess body postures of primary school pupils and to assess the influence of static splayfoot on bad posture within lower limbs and spine.
Material and Methods. Research sample included 306 grade four pupils attending primary schools in Kluczbork municipal district. The research test were conducted at the turn of 2017 and 2018. The results gathered in the test were subjected to statistical analysis to determine correlations between particular body posture deformities. Correlation analysis was used to determine correlations between the assessed variables.
Results. The analysis of posture fault occurrence in the research population showed variables of statistical significance for spine curvatures, flat foot and cross knees. Additionally, knee joints flexion contracture was reported in one child.
Conclusions.
1. Bad body posture within lower limbs and spine are common among grade four pupils.
2. There is a strong correlation between splayfoot and deformities within knees and spine.

Key words:
Splayfoot, body posture, children, health

 

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