Feet deformities and their close association with postural stability deficits in children aged 10-15 years

• Published in: BMC musculoskeletal disorders Vol. 20; no. 1; p. 537
• Main Authors: Szczepanowska-Wolowiec, Beata, Sztandera, Paulina, Kotela, Ireneusz, Zak, Marek
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 13.11.2019; BioMed Central; BMC
• Subjects: Accidental Falls; Accidents; Adolescent; Age Factors; Analysis; Balance; Child; Children; Disease susceptibility; Elementary school students; Feet deformities; Female; Foot Deformities - complications; Foot Deformities - diagnostic imaging; Foot Deformities - physiopathology; Hallux valgus; Humans; Male; Police officers; Postural Balance; Postural stability; Public health; Public health movements; Regression analysis; Risk Assessment; Risk Factors; Sensation Disorders - diagnosis; Sensation Disorders - etiology; Sensation Disorders - physiopathology; Sex Factors; Children; Balance; Postural stability; Public health; Feet deformities
• ISSN: 1471-2474; 1471-2474
• DOI: 10.1186/s12891-019-2923-3

Children and young people make up an age group most vulnerable to falls. Various stability disorders may become instrumental in sustaining more frequent falls and resultant fractures. Correct morphological structure impacts overall efficiency of the foot, as well as offers significant diagnostic potential. Even minor foot disorders may affect the entire bio kinematic chain, also impacting the foot's motility. Structural alterations within a foot may also impair balance in the standing position, and contribute to more frequent injuries. The study aimed to assess the relationship between feet deformities and postural stability deficits in schoolchildren prone to sustain accidental falls. The study involved 200 children (101 girls and 99 boys) aged 10-15 years, randomly selected from primary schools. A 2D podoscan was used to assess the plantar part of the foot, while stabilometric examination was aided by the FreeMed dynamometric platform. Correlation between respective variables was reflected by Spearman's rank coefficient. The subjects' age negatively correlated with the COP range of movement along the Y axis, and the COP surface area, while their BMI negatively correlated with the COP trajectory's length. Step regression analysis indicated that the width of the left foot, the left foot Wejsflog index, the left foot Clark's angle, the hallux valgus angle were the essential predictors of stabilometric variables in girls. In boys, though, predictive value was associated with Clarke's angle of the left and right foot, Wejsflog index of the right foot, and the width of both the left and right foot. There is a statistically significant correlation between morphological variables of the foot and postural stability. When assessing the key variables of the foot and their interrelationship with postural stability, the Clarke's angle, Wejsflog index, hallux valgus angle, and foot width, should be granted due prominence in the girls. As regards the boys, the following variables were established as predictive in assessing postural stability: Clarke's angle, Wejsflog index, and foot width.