Foot Orthoses for Treating Paediatric Flat Feet

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aut.filerelease.date2023-01-14
aut.relation.issue1en_NZ
aut.relation.journalCochrane Database of Systematic Reviewsen_NZ
aut.relation.volume2022en_NZ
aut.researcherCarroll, Matthew
dc.contributor.authorEvans, AMen_NZ
dc.contributor.authorRome, Ken_NZ
dc.contributor.authorCarroll, Men_NZ
dc.contributor.authorHawke, Fen_NZ
dc.date.accessioned2022-02-09T03:03:47Z
dc.date.available2022-02-09T03:03:47Z
dc.description.abstractBackground Paediatric flat feet are a common presentation in primary care;reported prevalence approximates 15%. A minority of flat feet can hurt and limit gait. There is no optimal strategy, nor consensus, for using foot orthoses (FOs) to treat paediatric flat feet. Objectives To assess the benefits and harms of foot orthoses for treating paediatric flat feet. Search methods We searched CENTRAL, MEDLINE, and Embase to 01 September 2021, and two clinical trials registers on 07 August 2020. Selection criteria We identified all randomised controlled trials (RCTs) of FOs as an intervention for paediatric flat feet. The outcomes included in this review were pain, function, quality of life, treatment success, and adverse events. Intended comparisons were: any FOs versus sham, any FOs versus shoes, customised FOs (CFOs) versus prefabricated FOs (PFOs). Data collection and analysis We followed standard methods recommended by Cochrane. Main results We included 16 trials with 1058 children, aged 11 months to 19 years, with flexible flat feet. Distinct flat foot presentations included asymptomatic, juvenile idiopathic arthritis (JIA), symptomatic and developmental co-ordination disorder (DCD). The trial interventions were FOs, footwear, foot and rehabilitative exercises, and neuromuscular electrical stimulation (NMES). Due to heterogeneity, we did not pool the data. Most trials had potential for selection, performance, detection, and selective reporting bias. No trial blinded participants. We present the results separately for asymptomatic (healthy children) and symptomatic (children with JIA) flat feet. The certainty of evidence was very low to low, downgraded for bias, imprecision, and indirectness. Three comparisons were evaluated across trials: CFO versus shoes; PFO versus shoes; CFO versus PFO. Asymptomatic flat feet
dc.identifier.citationCochrane Database of Systematic Reviews 2007, Issue 1. Art. No.: CD006311. DOI: 10.1002/14651858.CD006311.
dc.identifier.doi10.1002/14651858.cd006311.pub3en_NZ
dc.identifier.issn1465-1858en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14894
dc.languageenen_NZ
dc.publisherWileyen_NZ
dc.relation.urihttps://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006311/full
dc.rights© 2022 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Green open access: free access to the full article 12 months after publication and the standard publication licence.
dc.rights.accessrightsOpenAccessen_NZ
dc.titleFoot Orthoses for Treating Paediatric Flat Feeten_NZ
dc.typeJournal Article
pubs.elements-id447460
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Podiatry Department
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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