Occurrence of Insufficience of Fixation of Blades and Flat Foot in the Context of Screening for Postural Disorders in Younger School Age
Authors:
T. Nováková 1; M. Černá 1; J. Vávra 2
Authors place of work:
Katedra fyzioterapie, Fakulta tělesné výchovy a sportu, Univerzita Karlova, Praha
1; Katedra pravděpodobnosti a matematické statistiky, Matematicko-fyzikální fakulta, Univerzita Karlova, Praha
2
Published in the journal:
Rehabil. fyz. Lék., 27, 2020, No. 4, pp. 191-200.
Category:
Original Papers
Summary
Introduction: Due to the severity of the consequences, the diagnosis of postural disorders at a younger school age is the focus of parents, pediatricians, physiotherapists and teachers or coaches of sports teams. Significant signs of insufficiency of the so-called posture, in addition to risky asymmetric manifestations, are insufficient scapulo thoracical fixation, described as scapula alata. and flat foot.
Methods: The aim was to find statistical correlations between the finding of a) scapula alata and age, sex and the occurrence of hypermobility, shortened muscles (mm. trapezii pars descendens and mm. pectorales minores) and impaired trunk stabilization functions b) flat foot and age, sex and the occurrence of hypermobility, lumbar spine hyperlordosis, shortened hamstrings and overweight.
Results: 298 children aged 6-12 years were examined. Significant relationships between the occurrence of scapula alata (in 67 % of children) were described, with which the finding of hypermobility and shortening of mm. trapezii pars descendens has the greatest statistical relationship. The likelihood of finding scapula alata at a younger school age increases gender (girls have a 40 % lower risk of finding scapula alata), the incidence of hypermobility (the risk of finding scapula alata is 2.4 higher in hypermobile children) and shortened muscles (the likelihood of finding scapula alata is in children with shortened trapezius pars descendens increases 2.27x). The occurrence of a flat foot has the greatest and at the same time significant association with gender, the finding of hypermobility, shortened hamstrings, lumbar spine hyperlordosis and overweight. The probability of finding a flat foot was increased in boys (boys have a 56 % higher risk of finding a flat foot, overweight - in overweight children there was even a 10.1 times higher risk of flat foot) and hypermobility (children with hypermobility are 2.3 times more likely occurrence of a flat foot).
Conclusion: Although the occurrences of some observed parameters are only a manifestation of the child’s growth dynamics, it is necessary to be aware of possible risks and consequences for further movement of the child, if these manifestations of insufficiency are not diagnosed and at least controlled to prevent their fixation in further movement behavior of the child or adolescent.
Keywords:
flexible planovalgosity – scapula alata – children – hypermobility – trunk stability – shortened muscles
Zdroje
1. BANWELL, H. A. et al.: Paediatric flexible flat foot: how are we measuring it and are we getting it right? A systematic review. Journal of Foot and Ankle Research, 11, 2018, 1, s. 21.
2. BEIGHTON, P. H., GRAHAME, R., BIRD, H.: Hypermobility of joints. Springer Science & Business Media, 2011.
3. BENEDETTI, M. G. et al.: Diagnosis of flexible flatfoot in children: a systematic clinical approach. Orthopedics, 34, 2011, 2, s. 94-94. Retrieved [2020-06-17] from https://www.healio.com/orthopedics/foot-ankle/journals/ortho/2011-2-34-2/{10a8adde-4f80-447e-8f61-b972ef836c7b}/diagnosis-of-flexible-flatfoot-in-children-a-systematic-clinical-approach.
4. CUDRÉ-MAUROUX, N. et al.: Relationship between impaired functional stability and back pain in children. Swiss Medical Weekly, 136, 2006, s. 45-46.
5. ČERNÁ, M.: Screening pohybového systému a stupeň pohybové aktivity u dětí mladšího školního věku. Praha, 2020. Diplomová práce. Univerzita Karlova, Fakulta tělesné výchovy a sportu, Fyzioterapie. Vedoucí práce Nováková Tereza.
6. HALABCHI, F. et al.: Pediatric flexible flatfoot; clinical aspects and algorithmic approach. Iranian Journal of Pediatrics, 23, 2013, 3, s. 247. Retrieved [2020-06-17] from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684468/pdf/IJPD-23-247.pdf.
7. HORÁČEK, O.: Diferenciální diagnostika „scapula alata“. Rehabil. fyz. Lék., 21, 2014, 2, s. 74-79.
8. JANDA, V.: Svalové funkční testy. Prah, Grada, 2004.
9. KOLÁŘ, P.: Rehabilitace v klinické praxi. Praha, Galén, c2009.
10. LIEBENSON, C. et al.: Rehabilitation of the spine: practitioner‘s manual. Baltimore: Williams & Wilkins, 1996.
11. KOPECKÝ, M.: Posture assessment in children of the school age group (7-15 years of age) in the Olomouc region. Acta Universitatis Palackianae Olomucensis Gymnica, 34, 2004, 2, s. 19-30.
12. KRATĚNOVÁ, J. et al.: Prevalence and risk factors of poor posture in school children in the Czech Republic. Journal of School Health, 77, 2007, 3, 1, s. 131-137.
13. MOSCA, V. S.: Flexible flatfoot in children and adolescents. Journal of Children‘s Orthopaedics, 4, 2010, 2, s. 107-121. Retrieved [2020-06-17] from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2839866/pdf/11832_2010_Article_239.pdf.
14. NOVÁKOVÁ, T. et al.: Screening pohybového systému školních dětí (7 až 12 let) v Praze. Rehabil. fyz. Lék., 24, 2017, 4, s. 234-242.
15. PENHA, P. et al.: Qualitative postural analysis among boys and girls of seven to ten years of age. Brazilian Journal of Physical Therapy, 12, 2008, 5, s. 386-391.
16. SATRAPOVÁ, L., NOVÁKOVÁ, T.: Hypermobilita ve sportu. Rehabil. fyz. Lék., 19, 2012, 4, s. 199-202.
17. SKOWRON, N. et al.: Foot arch condition in comparison with the muscular balance of lower limbs in children at school age of 6–14 years. Journal of Medical Science, 84, 2015, 2, s. 85-89.
18. SULLIVAN, A. J.: Pediatric flatfoot: evaluation and management. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 7, 1999, 1, s. 44-53.
19. SZÚ. Výsledky studie „Zdraví dětí 2016“: Tělesná hmotnost a vadné držení těla. Státní zdravotní ústav [online]. 2016, 1 - 5 [cit. 2020-06-18]. Dostupné z: http://www.szu.cz/uploads/documents/chzp/odborne_zpravy/OZ_16/OZ_BMI_VDT.pdf.
20. VÉLE, F.: Kineziologie: přehled klinické kineziologie a patokineziologie pro diagnostiku a terapii poruch pohybové soustavy. Triton, 2006.
21. WENGER, D. R. et al.: Corrective shoes and inserts as treatment for flexible flatfoot in infants and children. JBJS, 71, 1989, 6, s. 800-810.
22. YAN, S. et al.: The effects of foot type on the foot morphology and plantar pressure distributions of obese children. Leather and Footwear Journal, 17, 2017, 4, s. 227-234.
Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
2020 Číslo 4
- Hope Awakens with Early Diagnosis of Parkinson's Disease Based on Skin Odor
- Deep stimulation of the globus pallidus improved clinical symptoms in a patient with refractory parkinsonism and genetic mutation
Najčítanejšie v tomto čísle
- Injuries of Achilles Tendon
- Gluteal Tendinopathy and How to Possibly Influence It
- Present-day Infertility Treatment and the Role of Physiotherapy
- Occurrence of Insufficience of Fixation of Blades and Flat Foot in the Context of Screening for Postural Disorders in Younger School Age