Non-surgical interventions for paediatric pes planus

Rome, Keith; Rl, Ashford; Evans, Angela

doi:10.1002/14651858.cd006311

Cited by 42 publications

(75 citation statements)

References 15 publications

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“…Post-hoc sensitivity analysis showed that with the inclusion of SRs with at least three included RCTs, 4 SRs would be added to the analyses [57–60]. The analyses showed that the cumulative median recall increased when adding these SRs, however the IQR remained unchanged (Table 5).…”

Section: Resultsmentioning

confidence: 99%

Optimizing literature search in systematic reviews – are MEDLINE, EMBASE and CENTRAL enough for identifying effect studies within the area of musculoskeletal disorders?

Aagaard

Lund

Juhl

2016

BMC Med Res Methodol

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BackgroundWhen conducting systematic reviews, it is essential to perform a comprehensive literature search to identify all published studies relevant to the specific research question. The Cochrane Collaborations Methodological Expectations of Cochrane Intervention Reviews (MECIR) guidelines state that searching MEDLINE, EMBASE and CENTRAL should be considered mandatory. The aim of this study was to evaluate the MECIR recommendations to use MEDLINE, EMBASE and CENTRAL combined, and examine the yield of using these to find randomized controlled trials (RCTs) within the area of musculoskeletal disorders.MethodsData sources were systematic reviews published by the Cochrane Musculoskeletal Review Group, including at least five RCTs, reporting a search history, searching MEDLINE, EMBASE, CENTRAL, and adding reference- and hand-searching. Additional databases were deemed eligible if they indexed RCTs, were in English and used in more than three of the systematic reviews. Relative recall was calculated as the number of studies identified by the literature search divided by the number of eligible studies i.e. included studies in the individual systematic reviews. Finally, cumulative median recall was calculated for MEDLINE, EMBASE and CENTRAL combined followed by the databases yielding additional studies.ResultsDeemed eligible was twenty-three systematic reviews and the databases included other than MEDLINE, EMBASE and CENTRAL was AMED, CINAHL, HealthSTAR, MANTIS, OT-Seeker, PEDro, PsychINFO, SCOPUS, SportDISCUS and Web of Science. Cumulative median recall for combined searching in MEDLINE, EMBASE and CENTRAL was 88.9% and increased to 90.9% when adding 10 additional databases.ConclusionSearching MEDLINE, EMBASE and CENTRAL was not sufficient for identifying all effect studies on musculoskeletal disorders, but additional ten databases did only increase the median recall by 2%. It is possible that searching databases is not sufficient to identify all relevant references, and that reviewers must rely upon additional sources in their literature search. However further research is needed.

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Section: Resultsmentioning

confidence: 99%

Optimizing literature search in systematic reviews – are MEDLINE, EMBASE and CENTRAL enough for identifying effect studies within the area of musculoskeletal disorders?

Aagaard

Lund

Juhl

2016

BMC Med Res Methodol

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“…The foot is the most common region prompting medical attention for musculoskeletal problems in children, 24 with 90% of concerns related to flat feet. 25 The prevalence of flat feet inversely correlates with age-about 45% in children aged 3-6 years, 26 decreasing to 2-16% in older children.…”

Section: Flexible Pes Planus (Flat Feet)mentioning

confidence: 99%

“…A Cochrane review of non-surgical treatment for paediatric flat feet showed a general lack of good quality trials but suggested that bespoke orthoses may improve pain and function in children with juvenile idiopathic arthritis and flat feet; however, in otherwise normal, asymptomatic children, there is no evidence for the efficacy of foot orthoses or any other non-surgical intervention. 24 In children with symptoms, expert opinion favours the use of a well moulded insole, which does not correct the flat foot but alleviates pain and prevents shoe deformation. 24 30 …”

Section: Flexible Pes Planus (Flat Feet)mentioning

confidence: 99%

Normal lower limb variants in children

Yeo

James

Ramachandran

2015

BMJ

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“…A Cochrane systematic review published by us recently highlighted the importance of the use of reliable and validated outcome measures [1]. However, the current evidence around the use of reliable outcome measures in paediatric populations is sparse.…”

Section: Introductionmentioning

confidence: 99%

The foot posture index, ankle lunge test, Beighton scale and the lower limb assessment score in healthy children: a reliability study

Evans

Rome

Peet

2012

Journal of Foot and Ankle Research

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119

102

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BackgroundOutcome measures are important when evaluating treatments and physiological progress in paediatric populations. Reliable, relevant measures of foot posture are important for such assessments to be accurate over time. The aim of the study was to assess the intra- and inter-rater reliability of common outcome measures for paediatric foot conditions.MethodsA repeated measures, same-subject design assessed the intra- and inter-rater reliability of measures of foot posture, joint hypermobility and ankle range: the Foot Posture Index (FPI-6), the ankle lunge test, the Beighton scale and the lower limb assessment scale (LLAS), used by two examiners in 30 healthy children (aged 7 to 15 years). The Oxford Ankle Foot Questionnaire (OxAFQ-C) was completed by participants and a parent, to assess the extent of foot and ankle problems.ResultsThe OxAFQ-C demonstrated a mean (SD) score of 6 (6) in adults and 7(5) for children, showing good agreement between parents and children, and which indicates mid-range (transient) disability. Intra-rater reliability was good for the FPI-6 (ICC = 0.93 - 0.94), ankle lunge test (ICC = 0.85-0.95), Beighton scale (ICC = 0.96-0.98) and LLAS (ICC = 0.90-0.98). Inter-rater reliability was largely good for each of the: FPI-6 (ICC = 0.79), ankle lunge test (ICC = 0.83), Beighton scale (ICC = 0.73) and LLAS (ICC = 0.78).ConclusionThe four measures investigated demonstrated adequate intra-rater and inter-rater reliability in this paediatric sample, which further justifies their use in clinical practice.

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Non-surgical interventions for paediatric pes planus

Abstract: The objectives are as follows: The aim of this review is to evaluate the evidence from randomised controlled trials for the non-surgical intervention of paediatric pes planus.

Cited by 42 publications

References 15 publications

Optimizing literature search in systematic reviews – are MEDLINE, EMBASE and CENTRAL enough for identifying effect studies within the area of musculoskeletal disorders?

Optimizing literature search in systematic reviews – are MEDLINE, EMBASE and CENTRAL enough for identifying effect studies within the area of musculoskeletal disorders?

Normal lower limb variants in children

The foot posture index, ankle lunge test, Beighton scale and the lower limb assessment score in healthy children: a reliability study

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