Are floating toes associated with lifestyle in children? A cross-sectional study

IF 2.5 3区医学 Q1 ORTHOPEDICS

Journal of Foot and Ankle Research Pub Date : 2023-12-13 DOI:10.1186/s13047-023-00685-1

Hideaki Nagamoto, Takumi Okunuki, Shimpei Takahashi, Kazuki Wakamiya, Zijian Liu, Toshihiro Maemichi, Hirofumi Katsutani, Yoshiyasu Yamada, Hiroyuki Takahashi, Hirofumi Tanaka, Toshimi Aizawa, Tsukasa Kumai

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Abstract

Floating toes are a condition and deformity in which some of the toes are afloat. Many functional impairments in floating toes have been previously studied lately and several factors related to floating toes have also been reported. However, no reports have considered the relationship between lifestyle and floating toes among children. The purpose of this study was to reveal the prevalence of floating toes among school children and reveal its relationship with lifestyle. In total, 138 young male baseball players were recruited. Lifestyle was evaluated by using a questionnaire and chosen whether the main lifestyle was Japanese or Western, if the bedding was futons or beds, and if the toilet was Japanese style (a squat toilet) or Western style. Floating toes were defined as toes that were not in contact with the mat. Ankle dorsiflexion in the knee-flexed and knee-extended positions was measured in a weight-bearing position. The relationship between the floating toes and lifestyles, and the comparison of ankle dorsiflexion range of motion between the lifestyles were statistically analyzed. Players living in a Western style showed a significantly higher prevalence of floating toes on both feet compared with the players living in a Japanese style (throwing side; 39% vs. 19%, p = 0.04, and non-throwing side; 43% vs. 19%, p = 0.01). Players living in a Western style with beds showed a significantly smaller range of motion on both sides of ankle dorsiflexion in the knee-flexed position compared with those who were not (throwing side; 37.2 ± 5.7° vs. 39.0 ± 6.6°, p = 0.04, and non-throwing side; 36.8 ± 5.8° vs. 38.6 ± 6.1°, p = 0.04). Children mainly living in a Western lifestyle showed a significantly higher prevalence of floating toes on both feet compared to those mainly living in a Japanese lifestyle. The prevalence of floating toes may be related to lifestyles among children. The study was approved by the institutional review board of the Waseda University Graduate School of Sport Sciences (IRB number 2021–185).

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浮趾与儿童的生活方式有关吗？横断面研究

浮趾是一种部分脚趾浮在水面上的病症和畸形。近来已对浮趾的许多功能障碍进行了研究，并报道了与浮趾有关的一些因素。然而，还没有任何报告考虑过生活方式与儿童浮趾之间的关系。本研究的目的是揭示浮趾在学龄儿童中的发病率，并揭示其与生活方式的关系。研究共招募了 138 名年轻的男性棒球运动员。通过调查问卷对生活方式进行评估，选择主要生活方式是日式还是西式，床上用品是被褥还是床，厕所是日式（蹲厕）还是西式。脚趾浮动是指脚趾没有与垫子接触。在负重状态下，测量膝关节屈曲和膝关节伸展位置的踝关节外展情况。对浮动脚趾与生活方式之间的关系以及不同生活方式之间踝关节背屈活动范围的比较进行了统计分析。与日式生活方式的球员相比，西式生活方式的球员双脚浮趾的发生率明显更高（投掷侧；39% 对 19%，P = 0.04；非投掷侧；43% 对 19%，P = 0.01）。与不使用床的儿童相比，使用西式床的儿童在屈膝姿势下两侧踝关节外展的活动范围明显较小（投掷侧；37.2 ± 5.7° vs. 39.0 ± 6.6°，p = 0.04；非投掷侧；36.8 ± 5.8° vs. 38.6 ± 6.1°，p = 0.04）。与以日本生活方式为主的儿童相比，以西方生活方式为主的儿童双脚浮趾的发生率明显更高。浮趾的发生率可能与儿童的生活方式有关。该研究获得了早稻田大学体育科学研究生院机构审查委员会的批准（IRB 编号 2021-185）。

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来源期刊

Journal of Foot and Ankle Research ORTHOPEDICS-

CiteScore

4.50

自引率

10.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.

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