Indian Journal of Orthopaedics ( IF 1.1 ) Pub Date : 2022-08-11 , DOI: 10.1007/s43465-022-00698-1 Jin Li 1 , Zimo Yang 2 , Saroj Rai 3 , Xiangrui Li 2 , Guoyong Jiang 2 , Xiaofei Pan 4 , Xin Tang 1
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Background
Flatfoot is common among children. Symptomatic flexible flatfoot is one of the various types which needs treatment. Wearing insoles is considered one of the conservative therapies, but its effects are still uncertain. This study aims to provide evidence for the efficacy of insoles treatment among school-aged children with symptomatic flexible flatfoot.
Methods
Patient who were Children who were diagnosed with symptomatic flexible flatfoot and received insoles treatment in authors’ institute were retrospectively included. Their ages, body mass index, pain positions, pain frequency, valgus angle, arch index and visual analogue scale (VAS) score were collected before and after insole treatment.
Results
A total of 32 children were included in this study. The results showed that wearing insoles for 2 years caused a significant improvement in pain frequency, valgus angle, arch index and VAS score.
Conclusions
This study indicated that pediatric symptomatic flexible flatfoot could be relieved by wearing insoles for 2 years. Insole treatment might be a workable option for pediatric symptomatic flexible flatfoot in children older than 6 years old.
中文翻译：
鞋垫治疗对有症状的柔性扁平足学龄儿童的影响：一项 2 年随访研究
背景
扁平足在儿童中很常见。有症状的柔性扁平足是需要治疗的各种类型之一。穿鞋垫被认为是保守疗法之一，但其效果仍不确定。本研究旨在为有症状的柔性平足学龄儿童的鞋垫治疗效果提供证据。
方法
回顾性纳入被诊断为有症状的柔性扁平足并在作者所在机构接受鞋垫治疗的儿童患者。收集鞋垫治疗前后的年龄、体重指数、疼痛部位、疼痛频率、外翻角、足弓指数和视觉模拟评分（VAS）评分。
结果
本研究共有 32 名儿童。结果显示，穿着鞋垫2年，疼痛频率、外翻角、足弓指数和VAS评分都有显着改善。
结论
本研究表明小儿柔性扁平足症状可通过穿鞋垫2年得到缓解。对于 6 岁以上有症状的儿童柔性扁平足，鞋垫治疗可能是一种可行的选择。
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