The dynamic stabilizing innersole system (DSIS): The management of hyperpronation in children

Jay, Richard; Schoenhaus, Harold D.; Seymour, Chris; Gamble, Susan

doi:10.1016/s1067-2516(09)80035-5

Cited by 28 publications

(16 citation statements)

References 2 publications

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“…However, some evidence indicated an improvement of physical function and energy cost during walking. In a previous study, substantial improvement was realized after applying customized foot orthoses to correct the RCSPA, with immediate improvement of the RCSPA [131415]. Through the use of a dynamic stabilizing insole and customized foot orthoses to correct the RCSPA to the vertical position for flexible flatfoot patients, objective evidence in the improvement of foot prints and RCSPA was found [20].…”

Section: Discussionmentioning

confidence: 99%

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Changes in Resting Calcaneal Stance Position Angle Following Insole Fitting in Children With Flexible Flatfoot

Lee

Kim

et al. 2017

Ann Rehabil Med

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ObjectiveTo clarify the relationship of the initial radiologic and a biomechanical parameter at first clinical visit, and define the effectiveness of modified insole, following insole fitting in children with flexible flatfoot.MethodsChildren aged less than 13 years with flexible flatfoot were enrolled. The total number of subjects was 66 (33 boys, 33 girls). The subjects were divided into 5 subgroups, based on age: 1–2, 3–4, 5–6, 7–9, and 10–12 years. The mean time period between the initial & final examination for their resting calcaneal stance position angle (RCSPA) was 24 months. Radiography quantified the deformity by measuring angles, including the talometatarsal angle, the metatarsal angle, and the calcaneal pitch angle.ResultsFrom the angles measured on radiographs, only the talometatarsal angle showed a statistically significant correlation to the initial RCSPA (r=-0.578 for right side, r=-0.524 for left side; p<0.01). The mean RCSPA improved in all subgroups of subjects following insole fitting. Moreover, in children younger than 7 years, the improvement in RCSPA from the insole fitting was greater compared to children aged 7 years and older.ConclusionThe insole has additionally beneficial effects in all populations younger than 13 years. However, there might exist a hidden effect of normal structural pedal alignment during growth accompanied with bony maturation and developmental process. To date, it is controversial whether the treatment of flexible flatfoot is necessary in the vast majority of cases, or simple observation and advice to parents would suffice.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, the natural history of flexible flatfoot and correction of flatfoot by insole has been debated in many previous studies [26789101112131415]. …”

Section: Introductionmentioning

confidence: 99%

Changes in Resting Calcaneal Stance Position Angle Following Insole Fitting in Children With Flexible Flatfoot

Lee

Kim

et al. 2017

Ann Rehabil Med

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“…Historically, there have been many studies that have used varying methods of diagnosing the disorder and including the use of various kinds of foot orthoses and footwear. Jay et al [3] studied the effects of the dynamic stabilizing innersole system in patients with flexible flat foot. Their study was conducted in children aged 20 months to 14 years.…”

Section: Discussionmentioning

confidence: 99%

“…Abnormal pronation in the subtalar joint can unsettle the midtarsal joint. Additionally, hypermobility, due to abnormal pronation, can lead to complications, such as foot pain, bunion formation, hallux limitus, and hallux rigidus [3]. Otman et al [4] suggested that flat foot required much more energy expenditure because of the greater muscular effort and instability in this foot condition.…”

Section: Introductionmentioning

confidence: 99%

“…Jay et al [3] reported that there was significant improvement in the resting calcaneal stance position (RCSP) in children aged 20 months to 14 years with flexible flat foot who were provided with a custom-made foot orthosis. In another study on flat foot children, aged 7-11 years, Whitford and Esterman [6] found no evidence to justify the use of orthotic inserts in the management of flexible excess foot pronation in children.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Custom-Made Rigid Foot Orthosis on Pes Planus in Children Over 6 Years Old

2014

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ObjectiveTo identify the effects of a custom-made rigid foot orthosis (RFO) in children over six years old with pes planus.MethodsThe medical records of 39 children (mean age, 10.3±4.09 years) diagnosed with pes planus, fitted with RFOs, and had who more than two consecutive radiological studies were reviewed. The resting calcaneal stance position (RCSP), anteroposterior talocalcaneal angle (APTCA), lateral talocalcaneal angle (LTTCA), the lateral talometatarsal angle (LTTMA), and calcaneal pitch (CP) of both feet were measured to evaluate foot alignment. After diagnosis, children were fitted with a pair of RFOs and recommended to walk with heel strike and reciprocal arm swing to normalize the gait pattern. A follow-up clinical evaluation with radiological measurements was performed after 12-18 months and after 24 months of RFO application. Post-hoc analysis was used to test for significant differences between the radiological indicators and RCSP.ResultsWith RFOs, all radiological indicators changed in the corrective direction except LTTCA. RCSP and CP in the third measurement showed significant improvement in comparison with the second and baseline measurements. Additionally, APTCA and LTTMA revealed improvements at the third measurement versus the baseline measurements.ConclusionThis study revealed that radiological indicators improved significantly after 24 months of RFO application. A prospective long-term controlled study with radiographical evaluation is necessary to confirm the therapeutic effects of RFOs and to determine the optimal duration of wear in children with pes planus.

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Non-surgical interventions for paediatric pes planus

Rome

Ashford

Evans

2010

Cochrane Database of Systematic Reviews

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Background Paediatric pes planus ('flat feet') is a common childhood condition with a reported prevalence of 14%. Flat feet can result in pain and altered gait. No optimal strategy for non-surgical management of paediatric flat feet has been identified. Objectives To assess the effectiveness of non-surgical interventions for treatment of paediatric pes planus (flat feet). Search strategy We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library), MEDLINE, EMBASE, CINAHL, Index to Theses, and Dissertation Abstracts (up to June 2009). Selection criteria All randomised and quasi-randomised trials of non-surgical interventions for paediatric pes planus were identified. The primary outcomes were pain reduction and adverse events; secondary outcomes included disability involving the foot, goniometric measurements, quality of life and patient comfort. Data collection and analysis Two authors independently extracted data and assessed the risk of bias of included trials. Main results Three trials involving 305 children were included in this review. Due to clinical heterogeneity, data were not pooled. All trials had potential for bias. Data from one trial (40 children with juvenile arthritis and foot pain) indicated that use of custom-made orthoses compared with supportive shoes alone resulted in significantly greater reduction in pain intensity (mean difference (MD)-1.5 points on a 10-point visual analogue scale (VAS), 95% CI-2.8 to-0.2; number need to treat to benefit (NNTB) 3, 95% CI 2 to 23), and reduction in disability (measured using the disability subscale of the Foot Function Index on a 100mm scale (MD-18.65mm, 95% CI-34.42 to-2.68mm). The second trial of seven to 11 year old children with bilateral flat feet (n = 178) found no difference in the number of participants with foot pain between custom-made orthoses, prefabricated orthoses and the control group who received no treatment. A third trial of one to five year olds with bilateral flat feet (n=129) did not report pain at baseline but reported the subjective impression of pain reduction after wearing shoes. No adverse effects were reported in the three trials. 1 Non-surgical interventions for paediatric pes planus (Review)

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The dynamic stabilizing innersole system (DSIS): The management of hyperpronation in children

Cited by 28 publications

References 2 publications

Changes in Resting Calcaneal Stance Position Angle Following Insole Fitting in Children With Flexible Flatfoot

Changes in Resting Calcaneal Stance Position Angle Following Insole Fitting in Children With Flexible Flatfoot

Effects of Custom-Made Rigid Foot Orthosis on Pes Planus in Children Over 6 Years Old

Non-surgical interventions for paediatric pes planus

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