COMPARISON OF FOOT TAPING VERSUS CUSTOM-MADE MEDIAL ARCH SUPPORT ON PRONATED FLATFOOT IN SCHOOL GOING CHILDREN

Authors

  • K. Vadivelan Associate Professor, SRM College of Physiotherapy, SRM University, Kattankulathur-603203, Chennai, India.
  • Ms. Gowthami kiyanduru M.P.T., SRM College of Physiotherapy, SRM University, Kattankulathur-603203, Chennai, India.

DOI:

https://doi.org/10.15621/ijphy/2015/v2i3/67021

Keywords:

Flatfoot, navicular, flat foot, medical arch, pesplanus

Abstract

Background: Flatfoot may exist as an isolated pathology or as part of a larger clinical entity. These
entities include generalized ligamentous laxity, neurologic and muscular abnormalities, genetic
conditions, collagen disorders and structural disorder. Flat foot is found to be associated with pronated
foot. The objective of the study is to compare the effectiveness of foot taping versus custom-made
medial arch support on pronated flatfoot in school going children.

Methods: 60 students out of 130, aged 10 to 12 years were selected on the basis of inclusion criteria and
divided into three groups from two different higher secondary schools at Srikalahasti, in Chittoor
district, Andhra Pradesh. Group-A received custom-made medial arch support and foot strengthening
exercises, Group-B received kinesio taping and foot strengthening exercises , Group-C received foot
strengthening exercises for 4 weeks. The values of navicular drop test were taken after 4 weeks of
study. The pre and post-test values were compared and results were tabulated.

Results: All three groups showed significant improvement in navicular drop separately. No significant
difference was found in the post-test values of group-A, group-B, group-C (p>0.05). However, the
reduction of navicular drop was slightly more in group-B subjects treated with kinesio tape and foot
strengthening exercises when compared with other two interventions.
Conclusion: The study concluded that foot taping, custom-made medial arch support and foot
strengthening exercises were found to be effective on pronated flatfoot in school going children aged
10 to 12 years.

References

1. Haendlmayer K.T., Harris N.J. Flatfoot deformity: an overview. Orthopedics and trauma, 2009; 23(6):395-403. 2. Heffi ,F. Foot pain. Orthopade.1999 ;28(2):173- 179. 3. Concolino, D., A. Pasquzzi, G. Capalbo, S. Sinopoli and P. Strisciuglio: Early detection of Int J Physiother 2015; 2(3) Page | 500 podiatric anomalies in children with Downsyndrome. Acta Paediatric. 2006; 95(1): 17-20. 4. Tachdjian, M.O. and J.A. Herring, Tachdjian’s Pediatric Orthopaedics.3rded; 2002. 5. EI O, Akcali O, Kosay C, Kaner B, Arslan Y, Sagol E, et al. Flexible flatfoot and related factors in primary school children: a report of screening study. Rheumatol Int. 2006; 26(11):1050 -3. 6. Lin CJ, Lai KA, Kuan TS, Chou YL. Correlating factors and clinical significance of flexible flatfoot in preschool children. J Pediatr Orthop. 2001;21(3):378–82. 7. Forriol F, Pascual J. Footprint analysis between three and seventeen years of age. Foot Ankle. 1990 ;11(2): 101-104. 8. Wenger DR, Mauldin D, Speck G, Morgan D, Lieber RL. Corrective shoes and inserts as treatment for flexible flatfoot in infants and children. J Bone Joint Surg Am. 1989 ; 71(6):800-810. 9. Schilling FW. The medial longitudinal arch of the foot in young children (in german). Z Ortho pIhre Grenzgeb.1985;123(3):296-299. 10. Bharati Asgaonkar, Pradnyakadam. Effectiveness of valgus insole on pain,gait parameters and physiological cost index of walking in flat feet in 5-15 years. IJPOT 2012;6(2):85-89. 11. Pfeiffer M, Kotz R, Ledl T, Hauser G, Sluga M. Prevalence of flatfoot in preschool –aged children. Pediatrics. 2006;118(2):634-639. 12. Staheli LT, Chew DE, Corbett M. The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am. 1987;69(3):426–8. 13. Lin CJ, Lai KA, Kuan TS, Chou YL. Correlating factors and clinical significance of flexible flatfoot in preschool children. J Pediatr Orthop. 2001; 21(3):378–82. 14. Matthew J. Pettengill , and Richard M. Jay, Inserts offer a new angle on pediatric flat foot treatment ; Biomechanics Archives: January 2006. 15. Wenger DR, Diego S, Mauldin D, Speck G, Morgan D, Lieber. Corrective shoes and inserts as treatment for flexible flatfoot in infants and children. J Bone Joint Surg.1989;71(6):800-810. 16. Rose GK, Welton EA, Marshall T. The diagnosis of flatfoot in the child. J Bone Joint Surg. 1985; 67(1) :71-78. 17. Shapiro j, Rhee CS. Podiatry screening project for children in the district of Columbia. Public Health Reports. 1970; 85(9):803-808. 18. Fulkerson J. The etiology of patellofemoral pain in young, active patients: a prospective study. Clinical Orthopedics’and Related Research, 1983;179:129–133. 19. Kirby KA. Methods for determination of positional variations in the subtalar joint axis. J Am Podiatr Med Assoc.1978 ;77(5):228-234. 20. Kirby KA. Subtalar joint axis location and rotational equilibrium theory of foot function. J Am Podiatr Med Assoc. 2001; 91(9):465-488 . 21. Kirby KA. Rotational Equilibrium across the subtalar joint axis. JAPMA.1989;79(1):1-14. 22. Kirby KA, Green DR: Evaluation and non operative management of pes Valgus , In De Valentine S.(ed.), foot and ankle disorders in children . Churchill-livingstone , New York, 1992:295-327. 23. Nester CJ, Hutchins S, Bowker P. Effect of foot orthoses on rear foot complex kinematics during walking gait. Foot ankle Intl. 2001; 22(2):133-139 . 24. Nester CJ, Van Der Linden ML, BowkerP. Effect of foot orthoses on the kinematics and kinectics of normal walking gait .Gait posture. 2003;17(2):180-187 . 25. Garcia –rodriguez ,A.G., F.M. Jimenez , M.C. varo , E.G.Gracia , J.G. Aracena and J.F.Crehuet. Flexible flat feet in children ; a real problem?. pediatrics, 1999;103(6):84-6. 26. Winders, P.The goal and opportunity of physical therapy for children with Down Syndrome. Down Syndrome Quarterly. 2001;6(2):1-5. 27. Hintermann, B. and B.Nigg, :Pronation , in runners. Sports medicine.1998;26(3):169-77. 28. Prince, F., D.A. winter, G.sjonnensen,C.Powell and R.K. Wheeldon. Mechanical efficiency during gait on adults with transtibial amputation; a poilt study comparing the SACH , seattle and golden ankle protheticfeet. J. Rehabili Rese Develop. 1998;35(2) : 177-85. 29. Wilkerson, G.B., J.E. kovaleski ,M.Meyer and C. Stawiz. Effects of the subtalar sling ankle taping technique on combinedtalocruralsubtalar joint motions. Foot Ankle Interl.2005; 26(3):239-46. 30. Whitaker , J.M., K. Augustus and S. Ishii. Effect of the low-Dye strap on pronation-sensitive mechanical attributes of the foot. Am. Podiatric Med. Associ. 2003; 93(2):118-23. 31. Holmes , C.F., D. Wilcox and J.P. Fletcher. Effect of a modified , low-dye medial longitudinal arch taping procedure on the subtalar joint neutral position before and after light exercises .J. orthopaedic sports physther. 2002; 32(5):194-201. 32. Edward P.Mulligan, Patrick G.Cook. Effect of plantar intrinsic muscle training on medial Int J Physiother 2015; 2(3) Page | 501 longitudinal arch morphology and dynamic function. Manual therapy. 2013; 18(5) 425-430. 33. Scott K. Lynn, Ricardo A.Padilla, and KavinK.W.Tsang. Differences in static- and dynamic – balance task performance after 4 weeks of intrinsic –foot-muscle training: the short-foot exercise versus the towel-curl exercise. Journal of sport rehabilitation.2012; 21(4):327-333. 34. A.K.L. Leung, A.F.T. Mak and J.H. Evans. Biomechanical gait evaluation of the immediate effect of orthotic treatment for flexible flat foot. Prosthet Orthot Int. 1998; 22(1):25-34. 35. Evans AM: paediatrics. the pocket podiatry guide. 1 st edition;2010. 36. Rose KJ, Burns J, North KN. Relationship between foot strength and motor function in pre-school –age children. Neuromuscular disorder. 2009;19(2):104-107. 37. Riccio I, Gimigliano F, Porpora G, Lolascon G. Rehabilitative treatment in flexible flatfoot: a perspective cohort study. Musculoskelet Surg. 2009;93(3):101-107. 38. Mickle KJ, steele JR, Munro BJ. The feet of overweight and obese young children : are they flat or fat? Obesity. 2006;14(11):1949-1953. 39. WegenerC, Hunt AE, et al. Effect of children’s shoes on gait: a systematic review and metaanalysis. J Foot ankle Res. 2011;18:4:3 40. Murray KJ. Hypermobility disorders in children and adolescents. Best Pract Res ClinRheumatol.2006;20(2):329-351. 41. Mauch M, Grau S, Krauss I, Maiwald C, Horstmann T. Foot morphology of normal, underweight and overweight children. Int J Obes. 2008;32(7):1068-1075. 42. Simmonds JV, Keer RJ. Hypermobility and the hypermobility syndrome. Man therapy. 2007;12(4):298-309. 43. Selby–Silverstein L, Hillstrom HJ, Palisano RJ. The effect of foot orthoses on standing foot posture and gait of young children with Down syndrome. Neuro-Rehabilitation .2001;16(3):183-93. 44. Bharati Asgaonkar, Pradnyakadam. Effectiveness of valgus insole on pain , gait parameters and physiological cost index of walking in flat feet in 5-15 years.IJPOT.2012;6(2):85-89. 45. Nolan, D. and N.Kennedy. Effects of low-dye taping on plantar pressure pre and post exercise : an exploratory study . BMC MusculoskeletDisord. 2009;10:1-9. 46. Wilkerson, G.B., J.E. kovaleski ,M.Meyer and C. Stawiz. Effects of the subtalar sling ankle taping technique on combinedtalocrural-subtalar joint motions. Foot Ankle Interl.2005;26(3)239-46. 47. Whitaker , J.M., K. Augustus and S. Ishii. Effect of the low-Dye strap on pronation-sensitive mechanical attributes of the foot. Am. Podiatric Med. Associ. 2003;93(2):118-23. 48. Edward P.Mulligan, Patrick G.Cook. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. Manual therapy. 2013; 18(5): 425-430. 49. Scott K. Lynn, Ricardo A.Padilla, and KavinK.W.Tsang. Differences in static- and dynamic – balance task performance after 4 weeks of intrinsic –foot-muscle training: the short-foot exercise versus the towel-curl exercise. Journal of sport rehabilitation.2012; 21(4):327-333. 50. Winders, P. The goal and opportunity of physical therapy for children with Down Syndrome. Down Syndrome Quarterly.2001; 6(2):1-5. 51. Duffy, C.M., H.K Graham and A, P, Cosgrove. The influence of ankle-foot orthoses on gait and energy expenditure in spinabifida.J. PediatrOrthop. 2000; 20 (3):169-77.

Published

07-06-2015
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How to Cite

Vadivelan, K. ., & kiyanduru, M. G. . (2015). COMPARISON OF FOOT TAPING VERSUS CUSTOM-MADE MEDIAL ARCH SUPPORT ON PRONATED FLATFOOT IN SCHOOL GOING CHILDREN. International Journal of Physiotherapy, 2(3), 491–501. https://doi.org/10.15621/ijphy/2015/v2i3/67021

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