Objective To investigate the prevalence of flatfoot and its related factors in primary and secondary school students in Shenzhen,in order to provide scientific reference for foot &ankle healthcare.Methods From June to December in 2019,11 884 primary and secondary school students aged 6-14 in 10 primary and secondary schools in Shenzhen of Guangdong Province were screened for flatfoot disease,and the data of gender,age,body mass index (BMI),family history of flatfoot,distance from residence to school and activity time were collected.The specialist examination and footprints analysis were performed in primary and secondary school students,and those with positive screening and symptoms were will be further examined by X-ray of foot weight-bearing position in the hospital,then were divided into mild,moderate and severe flatfoot.Results Totally 1 397 (11.76%) primary and secondary school students were screened with positive results,of which 932 (66.71%) were diagnosed with mild flatfoot,289 (20.69%) with moderate flatfoot,176 (12.60%) with severe flatfoot.Students who were younger,obese,male and with family history for flatfoot had a higher risk for flatfoot(P＜0.05).Conclusion The prevalence rate of flatfoot in primary and secondary school students in Shenzhen is slightly higher than the international average level,so attention should be paid to foot and ankle healthcare of high risk children.
Key words
flatfoot /
epidemiology /
foot & ankle healthcare /
children
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References
[1] Sadeghi-Demneh E,Melvin JMA,Mickle K.Prevalence of pathological flatfoot in school-age children[J].Foot(Edinb),2018,37:38-44.
[2] Bellomo RG,Pezzi L,Paolucci T,et al.Primary school screening of flatfoot in 6-year-old children:a descriptive study to plan a rehabilitative approach[J].J Biol Regul Homeost Agents,2020,34(1):297-303.
[3] 赵炼,刘韶,徐军奎,等.儿童柔韧性平足症的手术治疗进展[J].医学综述,2018,24(10):2004-2008,2015.
[4] 王正义,余光荣,唐康来,等.足踝外科学(第二版)[M].2版.北京:人民卫生出版社,2014:278.
[5] 李海,张海瑞,张瀚元,等.扁平足检测方法研究及进展[J].中国卫生标准管理,2018,9(9):46-49.
[6] 弓太生,李玲,万蓬勃.扁平足的检测及矫正方法[J].中国皮革,2012,16(2):108-111.
[7] Sadeghi-Demneh E,Jafarian F,Melvin JMA,et al.Flatfoot in school-age children:prevalence and associated factors[J].Foot Ankle Specia,2015,8(3):186-193.
[8] Cody EA,Williamson ER,Burket JC,et al.Correlation of talar anatomy and subtalar joint alignment on weight bearing computed tomography with radiographic flatfoot parameters[J].Foot Ankle Int,2016,37(8):874-881.
[9] Omey ML,Micheli LJ.Foot and ankle problems in the young athlete[J].Foot Ankle Int,1999,31(Suppl 7):470-486.
[10] Chang JH,Wang SH,Kuo CL,et al.Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity,gender,and age[J].Eur J Pediatr,2010,169(4):447-452.
[11] Ezema CI,Abaraogu UO,Okafor GO.Flat foot and associated factors among primary school children:a crosssectional study[J].Hong Kong Physiother J,2014,32(1):13-20.
[12] Pfeiffer M,Kotz R,Ledl T,et al.Prevalence of flat foot in preschool-aged children[J].Pediatrics,2006,118(2):634-639.
[13] Johnson JE,Stautberg EF.Prevention and management of the failed flatfoot[J].Instr Course Lect,2019,68:233-246.
[14] Hernendez AJ,Kimura LK,Laraya MHF,et al.Calculation of staheli's plantar index and prevalence of flat feet:a study with100 children aged 5-9 years[J].Acta Orthop,2007,15(2):68-71.
[15] Roa UB,Joseph B.The influence of footwear on the prevalence of flat foot:a survey of 2300 children[J].J Bone Joint Surg Br,1992,74(4):25-27.
[16] Igbidi PS,Mpango L.Prevalence of pes planus among the students in Mbarara University of Science and Technology,Uganda[J].West Afr J Anat,1998,6:25-27.
[17] Kudo S,Sakamoto K,Shirakawa T.Comparison of foot kinematics and the morphology of intrinsic musculature of the foot using a foot-type classification based on function[J].J Phys Ther Sci,2020,32(3):238-242.
[18] Uden H,Scharfbillig R,Causby R.The typically developing paediatric foot:how flat should it be? A systematic review[J].J Foot Ankle Res,2017,10:37.
[19] Bresnahan PJ,Juanto MA.Pediatric flatfeet-a disease entity that demands greater attention and treatment[J].Front Pediatr,2020,8:19.
[20] Saito Y,Chikenji TS,Takata Y,et al.Can an insole for obese individuals maintain the arch of the foot against repeated hyper loading?[J].BMC Musculoskelet Disord,2019,20(1):442.
[21] Welte L,Kelly LA,Lichtwark GA,et al.Influence of the windlass mechanism on arch-spring mechanics during dynamic foot arch deformation[J].J R Soc Interface,2018,15(145):pii:20180270.
[22] Venkadesan M,Yawar A,Eng CM,et al.Stiffness of the human foot and evolution of the transverse arch[J].Nature,2020,579(7797):97-100.
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