Effect of orthotic insole on symptomatic flexible flatfoot in school-age children: Meta-analysis and 1-year follow-up study

Biomedical Technology Pub Date : 2024-08-29 DOI:10.1016/j.bmt.2024.08.001

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引用次数: 0

Abstract

Purpose

This study aimed to investigate the efficacy of orthopedic insoles, specifically three-dimensional (3D)-printed orthopedic insoles, for treatment of symptomatic flexible flatfoot in school-age children.

Methods

A systematic review of PubMed and China National Knowledge Infrastructure (CNKI) from database inception to March 2024 was conducted to determine additional studies. This single-center study included 38 participants, including 20 who chose ordinary orthopedic insoles and 18 who chose 3D printed orthopedic insoles, presented from January 2021 to December 2022. Pain symptom relief was compared between the two groups after 1 year of follow-up.

Results

A systematic review identified an additional six publications, involving 206 samples, and meta-analysis indicated that the force-bearing area, arch index, and heel valgus angle after treatment were 0.74 (95 % confidence interval [CI]: 0.65–1.01), 0.20 (95 % CI: 0.03–1.35), and 0.10 (95 % CI: 0.03–0.28) of those before treatment, respectively. The 1-year follow-up study revealed that because of its good comfort, 3D printed orthopedic insole can significantly improve the wearing time of both male (P < 0.001) and overweight participants (P < 0.001) and significantly reduce the pain score (P = 0.032).

Conclusions

Orthotic insoles are effective in helping the recovery of flexible flatfoot. Among them, the 3D-printed orthopedic insoles have a better effect on relieving pain symptoms and have a great development potential.

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矫形鞋垫对学龄儿童症状性灵活扁平足的影响：元分析和一年随访研究

目的本研究旨在探讨矫形鞋垫（特别是三维（3D）打印矫形鞋垫）治疗学龄儿童症状性柔性扁平足的疗效。方法对PubMed和中国国家知识基础设施（CNKI）从数据库开始到2024年3月的数据进行系统性回顾，以确定更多的研究。这项单中心研究纳入了 38 名参与者，其中 20 人选择了普通矫形鞋垫，18 人选择了 3D 打印矫形鞋垫，研究时间为 2021 年 1 月至 2022 年 12 月。结果系统性回顾发现了另外六篇出版物，涉及206个样本，荟萃分析表明治疗后的受力面积、足弓指数和足跟外翻角度分别为治疗前的0.74（95%置信区间[CI]：0.65-1.01）、0.20（95% CI：0.03-1.35）和0.10（95% CI：0.03-0.28）。1年的随访研究显示，3D打印矫形鞋垫因其良好的舒适性，可显著改善男性（P < 0.001）和超重参与者（P < 0.001）的穿着时间，并显著降低疼痛评分（P = 0.032）。结论矫形鞋垫能有效帮助灵活型扁平足的恢复，其中三维打印矫形鞋垫对缓解疼痛症状有较好的效果，具有很大的发展潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Biomedical Technology

CiteScore

4.10

自引率

0.00%

发文量