Einlagenversorgung beim kindlichen Knick-Senk-Fuß – Sinn oder Unsinn?

Q4 Medicine

Fuss und Sprunggelenk Pub Date : 2023-09-01 DOI:10.1016/j.fuspru.2023.06.001

Christian-Dominik Peterlein , Janine Peterlein

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Abstract

Background

The use of shoe insoles and their therapeutic benefit in children with flexible flat foot is subject of controversial discussion in the international literature. Because of increasing cost pressure in health care systems and requirements of evidence-based medicine, a critical analysis of the clinicalfunctional effect of orthopaedic insoles in children with pes planovalgus is necessary.

Methods

A structured literature search was carried out in Pubmed using the keywords or links “pediatric pes planus”, “flexible flat foot” AND/OR “insoles” AND/OR “orthosis”. Biomechanical and material-technical requirements for insoles for flat feet, their ideal treatment period and the clinical results are to be highlighted.

Results

Overall, the informative value of the available studies on insoles for children with flexible flat foot is low. In view of these studies, scientific evidence can hardly be generated due to the small number of patients, imprecisely defined target parameters and frequent lack of validated scores or PROMS.

Conclusions

Prospective studies on the therapeutic benefit of shoe insoles in children with flexible flat foot over a long period of observation with clearly defined target parameters are imperative. Further analyzes are also required with regard to the optimal materials and construction of such shoe insoles.

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有何不可?

在国际文献中，鞋垫的使用及其对软性扁平足儿童的治疗效果是有争议的讨论主题。由于卫生保健系统的成本压力和循证医学的要求不断增加，有必要对平外翻儿童矫形鞋垫的临床功能效果进行批判性分析。方法在Pubmed中以“小儿扁平足”、“柔性平足”和/或“鞋垫”和/或“矫形器”为关键词或链接进行结构化文献检索。强调平足鞋垫的生物力学和材料技术要求、理想治疗期和临床结果。结果总的来说，现有研究对软性平足儿童鞋垫的信息价值较低。鉴于这些研究，由于患者数量少，目标参数定义不精确，并且经常缺乏经过验证的评分或PROMS，因此难以产生科学证据。结论对软性平足儿童鞋垫的治疗效果进行长期观察和明确目标参数的前瞻性研究是必要的。还需要进一步分析这种鞋垫的最佳材料和结构。

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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