An investigation of the factors affecting flatfoot in children with delayed motor development |
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| Institution: | 1. School of Physical Therapy, Chung Shan Medical University, 110, Sec. 1, Jianguo N. Rd., Taichung 402, Taiwan;2. Physical Therapy Room, Chung Shan Medical University Hospital, 110, Sec. 1, Jianguo N. Rd., Taichung 402, Taiwan;3. Department of Physical Medicine and Rehabilitation, Chi Mei Medical Center, 901, Zhonghua Rd., Yongkang Dist., Tainan 710, Taiwan;4. Program of Landscape and Recreation, National Chung Hsing University, 250 Kuo, Kuang Rd., Taichung 402, Taiwan;5. School of Public Health, Chung Shan Medical University, 110, Sec. 1, Jianguo N. Rd., Taichung 402, Taiwan;6. Department of Physical Therapy, National Cheng Kung University, 1, Ta-Hsueh Road, Tainan 701, Taiwan;1. University of Wyoming, WY 82071-2000, USA;2. University of New Mexico, NM 87131, USA;1. School of Public Health, National Defense Medical Center, Taipei City, Taiwan;2. Department of Senior Citizen Service Management, Ching-Kuo Institute of Management and Health, Keelung City, Taiwan;3. Department of Healthcare Administration, Asia University, Taichung City, Taiwan;4. Department of Public Health, China Medical University, Taichung City, Taiwan;5. Chung-Hua Foundation for Persons with Intellectual Disabilities, New Taipei City, Taiwan;6. Centre for Environment and Population Health, Griffith University, Brisbane, Australia;1. Shriners Hospitals for Children, Salt Lake City, UT, USA;2. Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA;3. Shriners Hospitals for Children, Greenville, SC, USA;1. School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Inciralti, 35340, Izmir, Turkey;2. Institute of Sport, Exercise and Active Living (ISEAL), Victoria University, Melbourne, VIC, 8001, Australia;3. School of Health Sciences, University of Salford, Salford, Manchester, M6 6PU, United Kingdom;1. Graduate School of Comprehensive Scientific Research, Prefectural University of Hiroshima, 1-1 Gakuen-cho, Mihara-shi, Hiroshima 723-0053, Japan;2. Department of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, 1-1 Gakuen-cho, Mihara-shi, Hiroshima 723-0053, Japan;3. Department of Rehabilitation, Innoshima Ishikai Hospital, 1962 Innoshima nakanosyo-cho, Onomichi-shi, Hiroshima 722-2211, Japan |
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| Abstract: | This study investigated the prevalence of flatfoot in children with delayed motor development and the relevant factors affecting it. In total, 121 preschool-aged children aged 3–6 with delayed motor development (male: 81; female: 40) were enrolled in the motor-developmentally delayed children group, and 4 times that number, a total of 484 children (male: 324; female: 160), of gender- and age-matched normal developmental children were used as a control group for further analyses. The age was from 3.0 to 6.9 years old for the participants. The judgment criterion of flatfoot was the Chippaux-Smirak index >62.70%, in footprint measurement. The results showed that the prevalence of flatfoot in children with motor developmental delay was higher than that in normal developmental children, approximately 58.7%, and that it decreased with age from 62.8% of 3-year-olds to 50.0% of 6-year-olds. The results also showed that motor-developmentally delayed children with flatfoot are at about 1.5 times the risk of normal developmental children (odds ratio = 1.511, p = 0.005). In addition, the prevalence of flatfoot is relatively higher in overweight children with delayed motor development, and that in obese children is even as high as 95.8% (23/24). Children with both excessive joint laxity and delayed development are more likely to suffer from flatfoot. The findings of this study can serve as a reference for clinical workers to deal with foot issues in children with delayed motor development. |
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| Keywords: | Developmental delay Preschool-aged children Flatfoot |
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