A podoscopic and descriptive study of foot deformities in patients with Down syndrome

Mansour, Eli; Yaacoub, J.J.; Bakouny, Ziad; Assi, Ayman; Ghanem, Ismat

doi:10.1016/j.otsr.2016.10.001

Cited by 13 publications

(27 citation statements)

References 16 publications

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“…Children with DS have a high incidence of other orthopaedic problems including foot deformities, scoliosis and hip instability secondary to joint laxity. Historically, 70% of the DS population have evidence of pes planus, but Foley et al report a nearly universal incidence(91%) . Other foot problems include hallux valgus and syndactyly.…”

Section: Cardiac Involvementmentioning

confidence: 99%

Multiorgan involvement and management in children with Down syndrome

et al. 2020

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Section: Cardiac Involvementmentioning

confidence: 99%

Multiorgan involvement and management in children with Down syndrome

et al. 2020

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“…Normal foot morphology is essential for normal gait, and some foot disorders may be related to more proximal lower limb anomalies [ 5 ] that could interfere significantly with regular daily activities. In DS, the most prevalent foot variations are flat foot and pronated flat foot, calcaneal valgus, hallux valgus, and metatarsus primus varus [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Footprint measurement methods for the assessment and classification of foot types in subjects with Down syndrome: a systematic review

Gutiérrez-Vilahú

Guerra-Balic

2021

J Orthop Surg Res

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Background Musculoskeletal disorders, especially in the feet, are common in people with Down syndrome (DS). Evaluation of podiatric footprints is important to prevent and manage orthopedic symptoms. The reliability of a wide variety of footprint measurement methods has been evaluated in healthy people, but few studies have considered the specific morphotype features of the feet in subjects with DS. The aim of this systematic review was to identify the podometric measurement tools used to typologically classify the footprints in the population with DS. Methods The following electronic databases were searched for studies describing footprint measurement tools to assess and classify the foot types in patients with DS published from inception to December 2020: PubMed, Web of Science, CINAHL, and Scopus. Articles were initially searched by screening titles and abstracts. Potentially relevant studies were then further screened by reviewing full texts. Studies that met the inclusion criteria were included in the review. Results Of the 122 articles identified by the search strategy, 14 full texts were retained to assess for eligibility, of which 11 studies met the inclusion criteria and were included. All the studies used footprint measurement methods to classify the foot types in subjects with DS, but only two studies assessed the reliability of those methods for the population with DS. The footprint measurement tools identified were a podoscope, a pressure-sensitive mat, a PressureStatTM carbon paper, and a 3D scanner. The Arch Index was the most common footprint measurement analyzed (seven studies). Two studies used the “gold standard” indexes that include Hernández-Corvo Index, Chippaux-Smirak Index, Staheli Index, and Clarke Angle to measure footprints. Conclusions There is a need to determine the reliability and validity of the footprint measurement methods used for clinical classification of the foot types in subjects with DS. This can contribute to an early diagnosis of foot abnormalities that would help to reduce mobility impairments, improving the quality of life of patients with DS.

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“…A podoscopia é utilizada para estudar a área de contato dos pés com relação ao solo sob visão direta, 7 enquanto que a barodopodometria eletrônica visa mensurar e comparar as pressões distribuídas em diferentes áreas da região plantar do pé na posição estática ou durante a marcha. 8 Diversos autores têm se utilizado desses recursos para avaliar os problemas clínicos dos pés com o intuito de identificar anormalidades para proporcionar adequadamente mudanças na distribuição da pressão plantar.…”

Section: Introductionunclassified

“…Podoscopy is used to study the contact area of the feet in relation to the ground under direct vision, 7 while electronic baropodometry aims to measure and compare the pressures distributed in different areas of the plantar region of the foot in a static position or during gait. 8…”

Section: Introductionmentioning

confidence: 99%

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Concordância interobservadores dos métodos estáticos de avaliação dos tipos de pisada em praticantes de corrida

Macedo

Kanashiro

Mattos

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivo Avaliar a acurácia dos métodos de diagnóstico interobservadores do tipo de pisada em atletas corredores utilizando três métodos de avaliação: exame físico, podoscopia e baropodometria comparando com a medida radiográfica dos ângulos de Meary e pitch do calcâneo. Métodos Trata-se de estudo transversal de atletas que praticam corrida. Os critérios de inclusão foram: indivídulos com idade mínima de 18 anos e máxima de 65 anos de ambos os sexos; indivídulos hígidos, sem comorbidades que interfiram no desempenho da corrida; praticantes regulares que realizam corrida ao menos duas vezes na semana; índice de massa corpórea entre 18,5 e 29,99 Kg/m2; aceitação dos termos de consentimento livre e esclarecido (TCLE). Os critérios de não inclusão compreenderam: presença de lesões prévias ou ativas que comprometam a atividade esportiva; cirurgias prévias dos pés; obesidade. Foram selecionados 40 pacientes, sendo 29 (72,5%) do sexo masculino e 11 (27,5%) do sexo feminino cuja média das idades foi de 39 anos (mínimo de 19 anos e máximo de 61 anos). O índice de massa corpórea (IMC) dos 40 pacientes variou de 21,00 a 29,99 Kg/m2 (média de 25,48 Kg/m2 com desvio-padrão de 2,39 Kg/m2 e mediana de 25,50 Kg/m2). Excluímos os que apresentaram valor superior a 29,99 Kg/m2. A frequência de corrida variou de 2 a 5 vezes por semana (média de 3,13 vezes por semana com desvio-padrão de 0,79 vezes por semana e mediana de 3 vezes por semana). Foram realizados exame físico, podoscopia e baropodometria, e sua avaliação foi feita por quatro examinadores; além disso, os resultados foram comparados com a classificação radiográfica do tipo de pisada obtida através da mensuração dos ângulos de Meary e pitch do calcâneo. Resultados A concordância interobservadores destes parâmetros foi verificada pelo índice de concordância de Kappa ponderado, segundo o qual obtivemos uma concordância significante entre os participantes, levando-se em consideração o exame físico, podoscopia e baropodometria e de acordo com o índice Kappa. A concordância foi marginal quando comparados os resultados dos três métodos com a classificação angular radiográfica. Conclusão Obtivemos uma concordância excelente entre os observadores ao considerarmos o exame físico, a podoscopia e a baropodometria para o diagnóstico do tipo pisada em corredores. Porém, quando comparados os resultados obtidos com as medidas radiográficas, a concordância para o diagnóstico do tipo da pisada foi baixa.

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A podoscopic and descriptive study of foot deformities in patients with Down syndrome

Abstract: IV-retrospective study.

Cited by 13 publications

References 16 publications

Multiorgan involvement and management in children with Down syndrome

Multiorgan involvement and management in children with Down syndrome

Footprint measurement methods for the assessment and classification of foot types in subjects with Down syndrome: a systematic review

Concordância interobservadores dos métodos estáticos de avaliação dos tipos de pisada em praticantes de corrida

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