The effectiveness of non-surgical intervention (Foot Orthoses) for paediatric flexible pes planus: A systematic review: Update

Autor: Hayley Uden, Saravana Kumar, Sindhrani Dars, Helen A. Banwell
Přispěvatelé: Dars, Sindhrani, Uden, Hayley, Banwell, Helen A, Kumar, Saravana
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Physiology
Psychological intervention
lcsh:Medicine
Orthotics
Knee Joints
Pediatrics
Database and Informatics Methods
0302 clinical medicine
Medicine and Health Sciences
ankles
Database Searching
Child
lcsh:Science
Musculoskeletal System
030222 orthopedics
Multidisciplinary
Research Assessment
Systematic review
Treatment Outcome
Child
Preschool
gait analysis
Legs
Anatomy
Gait Analysis
Research Article
Biotechnology
medicine.medical_specialty
pediatrics
Adolescent
Systematic Reviews
MEDLINE
systematic reviews
Foot Orthoses
Single-subject design
Research and Analysis Methods
Pes planus
database searching
03 medical and health sciences
Intervention (counseling)
knee joints
medicine
feet (anatomy)
Humans
business.industry
Biological Locomotion
Limbs (Anatomy)
lcsh:R
Infant
Newborn
Ankles
Infant
Biology and Life Sciences
030229 sport sciences
Gait
Flatfoot
Joints (Anatomy)
orthotics
Physical therapy
Medical Devices and Equipment
lcsh:Q
Feet (Anatomy)
business
Zdroj: PLoS ONE, Vol 13, Iss 2, p e0193060 (2018)
PLoS ONE
ISSN: 1932-6203
Popis: Background Flexible pes planus (flat feet) in children is a common presenting condition in clinical practice due to concerns amongst parents and caregivers. While Foot Orthoses (FOs) are a popular intervention, their effectiveness remains unclear. Thus, the aim of this systematic review was to update the current evidence base for the effectiveness of FOs for paediatric flexible pes planus. Methods A systematic search of electronic databases (Cochrane, Medline, AMED, EMBASE, CINHAL, SportDiscus, Scopus and PEDro) was conducted from January 2011 to July 2017. Studies of children (0–18 years) diagnosed with flexible pes planus and intervention to be any type of Foot Orthoses (FOs) were included. This review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. McMaster critical review form for quantitative studies, was used to assess the methodological quality of the included studies. Given the heterogeneity of the included studies, a descriptive synthesis of the included studies was undertaken. Results Out of 606 articles identified, 11 studies (three RCTs; two case-controls; five case-series and one single case study) met the inclusion criteria. A diverse range of pre-fabricated and customised FOs were utilised and effectiveness measured through a plethora of outcomes. Summarised findings from the heterogeneous evidence base indicated that FOs may have a positive impact across a range of outcomes including pain, foot posture, gait, function and structural and kinetic measures. Despite these consistent positive outcomes reported in several studies, the current evidence base lacks clarity and uniformity in terms of diagnostic criteria, interventions delivered and outcomes measured for paediatric flexible pes planus. Conclusion There continues to remain uncertainty on the effectiveness of FOs for paediatric flexible pes planus. Despite a number of methodological limitations, FOs show potential as a treatment method for children with flexible pes planus. PROSPERO registration number CRD42017057310.
Databáze: OpenAIRE
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