Analysis of pediatric flexible flatfoot screening and associated factors among children aged 7-8 in Changzhou City
10.16835/j.cnki.1000-9817.2024285
- VernacularTitle:常州市7~8岁儿童柔韧性扁平足筛查结果及相关因素分析
- Author:
DAI Xiaoyu, FENG Keshu, XU Chenyang, ZHANG Yige, DING Kai, ZHAO Yiwen, WANG Yirong, LI Xuefei, DING Wenge
1
Author Information
1. Department of Traumatic Orthopedics, the Third Affiliated Hospital of Soochow University/the First Peoples Hospital of Changzhou, Changzhou (213000) , Jiangsu Province, China
- Publication Type:Journal Article
- Keywords:
Flatfoot;
Incidence;
Regression analysis;
Child
- From:
Chinese Journal of School Health
2024;45(10):1471-1475
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the prevalence and related factors of pediatric flexible flatfoot (PFF) among 7-8 year old children in Changzhou, so as to provide a feasible basis for the prevention and treatment of PFF.
Methods:From December 2023 to February 2024, a total of 1 685 children aged 7-8 from 10 primary schools in Changzhou were selected by stratified cluster random sampling method, and screened for PFF by using a foot optical assessment recording device. Information including sex, body mass index (BMI), diet, exercise and shoe wearing habits were collected. The valgus angle of the hindfoot was measured on the body surface by using an orthopedic measuring ruler in the standing position. Pain levels were evaluated by using visual analogue score (VAS) for children with flatfoot syndrome. Multivariate Logistic analysis was used to analyze related factors of PFF.
Results:The overall detection rate of PFF was 27.4%, and there was a significant difference in the detection rate of PFF between boys and girls, with 30.3% and 24.1% respectively ( χ 2=7.96, P < 0.01 ). Most cases of PFF were mild flatfoot (60.8%) and bilateral ( 60.4% ). Approximately 13.2% of children with PFF had flatfoot syndrome, with a mean VAS of (2.86±0.73). About 56.1% of children with PFF had a normal valgus angle of the hindfoot. Sex, high BMI and preference for shoe last with front upturned shoe shape were positively correlated with the detection of PFF ( OR= 1.74, 1.54, 1.13, P <0.05). After stratified by sex, regular exercise in boys and age in girls were negatively correlated with the detection of PFF ( OR=0.40, 0.64, P <0.05).
Conclusions:The detection rate of PFF in 7-8 year old children is high. Additionally, PFF combined with flatfoot syndrome or valgus hindfoot is relatively rare and is likely to be underestimated, which emphasizes the importance of early detection and intervention for PFF.
