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Effectiveness of therapeutic footwear for children: A systematic review
Journal of Foot and Ankle Research ( IF 2.9 ) Pub Date : 2020-05-13 , DOI: 10.1186/s13047-020-00390-3
Matthew Hill 1 , Aoife Healy 1 , Nachiappan Chockalingam 1
Affiliation  

Background It is estimated that 2% of the global childhood population is living with some form of mobility impairment. Although footwear interventions are proposed to aid ambulation, there appears to be a paucity in the understanding of the effects of therapeutic footwear. This review aims to explore the effectiveness of footwear as an intervention for mobility impairment in children. Methods A systematic search of MEDLINE, CINAHL, PubMed, SPORTdiscus and Scopus databases were performed. Studies which focused on children with some form of mobility impairment, age of 9 months to 18 years, therapeutic footwear that allowed walking, and outcome measures that had explored biomechanical or skeletal geometry or psychosocial aspects were included in this review. Modified Downs and Black quality assessment index of randomised and non-randomised studies were used to assess the methodologies of included papers. Results Out of 5003 articles sourced, 13 met the inclusion criteria for this review. These were grouped into two titled “corrective and “functional” based on the types of footwear used for intervention. Studies within the corrective footwear group included participants aged 11 months to 5 years with moderate congenital talipes equino varus or mobile pes planus. While using skeletal geometry as an outcome, there was a limited fair quality (level II) evidence that corrective footwear has no significant effect on the development of pes planus but may assist in the reduction of deformity in congenital talipes equino varus. The functional footwear group included participants aged 3 to 17 years, predominantly with mobile pes planus or cerebral palsy. Based on biomechanical measures as an outcome, there was a limited fair quality (level III) evidence that functional footwear alters biomechanical parameters in mobile pes planus (spatiotemporal) and cerebral palsy (spatiotemporal, kinematic). Although psychosocial outcomes were considered within two studies, the analysis was limited. Conclusion Only a limited number of studies have explored the effects of therapeutic footwear and only in a narrow range of mobility impairments. Further high-quality research is required to improve the evidence base for the effectiveness of therapeutic footwear. This should include a wide range of mobility impairments and should focus both on physical and psychosocial outcomes.

中文翻译:

儿童治疗鞋的有效性:系统评价

背景 据估计,全球 2% 的儿童人口患有某种形式的行动障碍。尽管建议穿鞋干预以帮助行走,但似乎对治疗鞋的影响缺乏了解。本综述旨在探讨鞋类作为儿童行动障碍干预措施的有效性。方法 对 MEDLINE、CINAHL、PubMed、SPORTdiscus 和 Scopus 数据库进行系统搜索。本综述纳入了针对具有某种形式的行动障碍、年龄在 9 个月至 18 岁之间、允许步行的治疗鞋以及探索生物力学或骨骼几何学或社会心理方面的结果测量的研究。随机和非随机研究的改良 Downs 和 Black 质量评估指数用于评估纳入论文的方法。结果 在来源的 5003 篇文章中,13 篇符合本综述的纳入标准。根据用于干预的鞋类类型,将这些分为“矫正性”和“功能性”两类。矫正鞋组内的研究包括年龄在 11 个月至 5 岁之间、患有中度先天性马蹄足内翻或活动性扁平足的参与者。虽然使用骨骼几何作为结果,但有限的公平质量(II 级)证据表明矫正鞋对扁平足的发展没有显着影响,但可能有助于减少先天性马蹄足内翻畸形。功能性鞋类组包括 3 至 17 岁的参与者,主要是移动性扁平足或脑瘫。基于作为结果的生物力学测量,有有限的公平质量(III 级)证据表明功能性鞋类改变了移动性扁平足(时空)和脑瘫(时空、运动)的生物力学参数。尽管在两项研究中考虑了社会心理结果,但分析是有限的。结论 只有有限数量的研究探索了治疗性鞋类的效果,并且仅在小范围的活动障碍中进行了探索。需要进一步的高质量研究来改善治疗鞋类有效性的证据基础。这应包括广泛的行动障碍,并应关注身体和社会心理结果。基于作为结果的生物力学测量,有有限的公平质量(III 级)证据表明功能性鞋类改变了移动性扁平足(时空)和脑瘫(时空、运动)的生物力学参数。尽管在两项研究中考虑了社会心理结果,但分析是有限的。结论 只有有限数量的研究探索了治疗性鞋类的效果,并且仅在小范围的活动障碍中进行了探索。需要进一步的高质量研究来改善治疗鞋类有效性的证据基础。这应包括广泛的行动障碍,并应关注身体和社会心理结果。基于作为结果的生物力学测量,有有限的公平质量(III 级)证据表明功能性鞋类改变了移动性扁平足(时空)和脑瘫(时空、运动)的生物力学参数。尽管在两项研究中考虑了社会心理结果,但分析是有限的。结论 只有有限数量的研究探索了治疗性鞋类的效果,并且仅在小范围的活动障碍中进行了探索。需要进一步的高质量研究来改善治疗鞋类有效性的证据基础。这应包括广泛的行动障碍,并应关注身体和社会心理结果。有限的公平质量(III 级)证据表明功能性鞋类改变了移动性扁平足(时空)和脑瘫(时空、运动)的生物力学参数。尽管在两项研究中考虑了社会心理结果,但分析是有限的。结论 只有有限数量的研究探索了治疗性鞋类的效果,并且仅在小范围的活动障碍中进行了探索。需要进一步的高质量研究来改善治疗鞋类有效性的证据基础。这应包括广泛的行动障碍,并应关注身体和社会心理结果。有限的公平质量(III 级)证据表明功能性鞋类改变了移动性扁平足(时空)和脑瘫(时空、运动)的生物力学参数。尽管在两项研究中考虑了社会心理结果,但分析是有限的。结论 只有有限数量的研究探索了治疗性鞋类的效果,并且仅在小范围的活动障碍中进行了探索。需要进一步的高质量研究来改善治疗鞋类有效性的证据基础。这应包括广泛的行动障碍,并应关注身体和社会心理结果。结论 只有有限数量的研究探索了治疗性鞋类的效果,并且仅在小范围的活动障碍中进行了探索。需要进一步的高质量研究来改善治疗鞋类有效性的证据基础。这应包括广泛的行动障碍,并应关注身体和社会心理结果。结论 只有有限数量的研究探索了治疗性鞋类的效果,并且仅在小范围的活动障碍中进行了探索。需要进一步的高质量研究来改善治疗鞋类有效性的证据基础。这应包括广泛的行动障碍,并应关注身体和社会心理结果。
更新日期:2020-05-13
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