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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 1998 March;34(1):33-8

Copyright © 1998 EDIZIONI MINERVA MEDICA

language: English

Electronic podometry in the prevention of flatfeet in children

Ardito S., Raciti G., Tirrò S.

Department of Orthopaedics and Traumatology, University of Catania, Italy


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BACKGROUND: In the ­present ­study, a ­group of pre-­school-age and ­school-age chil­dren ­were ­screened for the presence of ­flat­feet. Elec­tronic com­pu­ter­ised podom­etry (ECP) was ­then ­used to ­assess the ­degree of flat­ness. ECP pro­vides a ­means to ­study ­plantar atti­tude ­during ­quiet ­standing and ­gait, and ­even to ­reveal flat­ness in the pres­ence of ­valgism of the rear­foot. Find­ings may ­then be ­used to ­plan and pre­scribe ther­a­peutic exer­cise and ­orthotics.
­METHODS: ­Firstly, we ­studied the ana­tom­ical and phys­ical char­ac­ter­is­tics of ­each ­child’s deam­bu­la­tion, ­using a ­variety of clin­ical ­tests. At ­this ­stage, our aim was to iden­tify any abnor­mal­ities. The ECP, ­which ­allowed us to deter­mine ­plantar pres­sure, was ­also ­used. The var­ious ­phases of a ­step ­were ­divided ­into 40 suc­ces­sive ­images, ­revealing ­whether any ­part of the ­foot was ­used too ­much or too ­little ­during ­gait. A ­total of 50 chil­dren ­were ­studied.
­RESULTS: The ­results ­were then ­used to ­plan and pre­scribe reha­bil­i­ta­tion treat­ment ­aimed at strength­ening the ­children’s hypo­tonic mus­cles.
CONCLUSIONS: ECP ­gave ­rapid and reli­able ­results and we can there­fore rec­om­mend its use in the pre­ven­tion and treat­ment of flat­feet in chil­dren.

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