Therapeutic update of pediatric flatfoot: a systematic review with meta-analysis

Аннотация

Objectives: The aim of this systematic review is to evaluate the effectiveness of the use of orthoses in the treatment of pediatric flatfoot. Methodology: A systematic review was carried out in the online databases Cochrane Library, EMBASE, CINAHL, Medline and PubMed, using the following terms: flatfoot AND pediatric AND Orthotic Devices. There were no limitations on gender, date or language. All results up to February 1, 2024 were included. Results: 213 patients under the age of 18 were included in this study. The use of medial arch support insoles proved to be effective in the treatment of flat feet in The American Journal of Medical Sciences and Pharmaceutical Research 13 https://www.theamericanjournals.com/index.php/tajmspr The American Journal of Medical Sciences and Pharmaceutical Research children, with an improvement in ankle internal Due to the different methodologies, the lack of rotation angles and knee internal and external consensus regarding the definition of flat feet, the rotation. scarcity of research on pain/complications and the few existing studies, more research is needed to determine Conclusion: The use of orthoses has shown good a relationship between children's body weight, flat feet results and is a reproducible and reliable approach, and the associated effects on pain and function. The aim especially in pre- school patients who have been using of this systematic review is to evaluate the effectiveness them for more than 12 months, with improvements in of the use of orthoses in the treatment of pediatric gait, alignment and coordination of the lower limbs. flatfoot.