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 |
Externí odkaz: | |
Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |