Dec
16
Written by:
Cherri Choate, DPM
12/16/2009
When do we treat children with flat feet? This is a question that the research community is beginning to address. A study by Selby-Silverstein (2001) focused on a population of children with flexible flat feet secondary to Down Syndrome. It is one of the first studies that includes dynamic measurements as well as static measurements. By including data from force plates, video and static footprints, the researchers gained information regarding possible functional changes related to flexible flat feet.
The results showed that the signfiicant changes with use of a semi-rigid orthotic were decreased heel eversion, and reduced transverse plane angulation of foot. Since the children were all 10 years old, they were passed the age of 7, which is the age the medical community believes the calcaneus should be close to perpendicular.
Since this age old question of when and how to treat pediatric flat feet persists, this study is an important piece of work in the modern age of biomechanical research. It showed that semi-rigid orthotics did change some measures that reflect function. As a result, functional improvement should lead to fewer pathological changes with the aging process.
As more information becomes available, we will keep our community informed.
Visit our E-Journal archives to view the Selby-Silverstein E-Journal summary and other E-Journals addressing pediatric flat foot.
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