Issue №5-93, 2019
Influence of the individual approach of conservative therapy of flatfoot on reducing the pain syndrome and improving the quality of life of patients
1 Zhukova E.V., 1 Achkasov E.E., 2 Polukarov N.V.
1 I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
2 Medical Center TSCH, Moscow, Russia
ABSTRACT
We have examined 162 pts. with transverse and longitudinal flat-footedness (control group consist 78 pts. (standardmethods of treating flatfoot; the main – 84 pts. (individually selected orthopedic insoles). Design of investigation is prospectivecohort study, that was conducted on the basis of the Center for Human Reconstruction and the Department of HospitalSurgery No. 1 of the medical faculty of the First MGMU named after IM Sechenov. We evaluated the severity of pain by a10-point visual-analogue scale and assessment of the quality of life of patients using the SF-36 questionnaire. Statistical dataprocessing was carried out using Windows SPSS 11.5. It was indicated that after 6 months of applying the author’s approachto treating flatfoot, the presence of pain in the main group was observed in 23.8% of patients (p<0.05); the complaints frequency of increased fatigue during walking in the main group was 8.3%; the main group patients had a share of “excellent”treatment outcomes of 36.9% (control group – 17.9%); the severity of pain in the foot area was assessed by patients of themain group by 1.4 ± 0.3 points, which indicated a low degree of pain (control group – 3.5 ± 1.1, p <0.05). We had revealedthat proposed individual approach to the flatfoot treatment, based on taking into account the patients plant-graphic characteristicsand the correction of biomechanical characteristics using an orthopedic insole, is clinically eff ective, improves thequality of life of patients and reduces the frequency of patient complaints about pain.
KEYWORDS: flatfoot, complex treatment method, rehabilitation, plantagraphic characteristics, orthopedic insoles.
References:
- Toullec E. Adult flatfoot. Orthop Traumatol Surg Res. 2015; 101(1 Suppl): S11-7. doi: 10.1016/j.otsr.2014.07.030.
- Zanolli D.H., Glisson R.R., Easley M.E. Biomechanical assessment of flexible flatfoot correction: comparison of techniques in a cadaver model. J Bone Joint Surg Am. 2014; 96(6): e45. doi: 10.2106/JBJS.L.00258.
- Artemenkov A.A. Zapredel’noe tormozhenie i rabotosposobnost’ pri jekstremal’noj dejatel’nosti cheloveka // Sportivnaja medicina: nauka i praktika. 2018; 8(4): 5-15.
- Matishev A.A., Loktev S.A., Makarova G.A. Funkcional’nye narushenija oporno-dvigatel’nogo apparata u junyh legkoatletov kak faktor riska ego po-sledujushhej travmatizacii // Sportivnaja medicina: nauka i praktika. 2017; 7(3): 51-56.
- Ivanova G.E., Skvorcov D.V. Ob#ektivnyj klinicheskij analiz pohodki. Obzor // Vestnik vosstanovitel’noj mediciny. 2015; 4(68): 59-66.
- Kasatkin M.S. Kineziotejpirovanie: terminologija metodiki, pokazanija i protivopokazanija k ee primeneniju. Osnovnye mehanizmy dejstvija kinezi-otejpov // Sportivnaja medicina: nauka i praktika. 2015; 2: 82-88.
- Mel’nikova E.V., Bujlova T.V., Bodrova R.A., Shmonin A.A., Mal’ceva M.N., Ivanova G.E. Ispol’zovanie mezhdunarodnoj klassifikacii funkcionirovanija (MKF) v ambulatornoj i stacionarnoj medicinskoj reabilitacii: instrukcija dlja specialistov // Vestnik vosstanovitel’noj mediciny. 2017; 6(82): 7-20.
- Arsen’ev A.V., Baloshin Ju.A., Vasilevich S.V., Dudin M.G., Kipke M.V., Sorokin A.A., Suhov T.M., Suhova M.A. Ob#ektivnaja ocenka ortopedicheskogo statusa u pacientov s deformirujushhimi dorsopatijami // Vestnik vosstanovitel’noj mediciny. 2017; 4(80): 29-32.
- Nigamad’janov N.R., Cykunov M.B., Luk’janov V.I., Ivanova G.E. Issledovanie pokazatelej ballistogrammy vertikal’noj stojki metodom komp’juternoj stabilometrii u detej s ortopedicheskoj patologiej // Vestnik vosstanovitel’noj mediciny. 2018; 4(86): 14-20.
- Ivanova G.E., Mel’nikova E.V., Shamalov N.A., Bodrova R.A., Shmonin A.A., Suvorov A.Ju., Nyrkov G.V., Tulupov D.O. Ispol’zovanie MKF i ocenochnyh shkal v medicinskoj reabilitacii // Vestnik vosstanovitel’noj mediciny. 2018; 3(85): 14-20.
- Kubrjak O.V., Nechaev V.I. Selekcija vlijajushhih faktorov pri podbore ortopedicheskih stelek s ispol’zovaniem stabilometrii // Sportivnaja medicina: nauka i praktika. 2018; 8(1): 40-46.
- Sereda A.P., Beljakova A.M. Hirurgicheskoe lechenie sindroma zadnej pjatochnoj boli u sportsmenov // Sportivnaja medicina: nauka i praktika. 2016; 6(4): 35-41
- Poljakova A.G. Personalizirovannaja mikrovolnovaja terapija v komplekse reabilitacionnyh meroprijatij pri patologii opornodvigatel’noj sistemy // Vestnik vosstanovitel’noj mediciny. 2016; 6(76): 41-45.
- Gercik Ju.G., Gercik G.Ja. Biofizicheskie predposylki primenenija magnito-i jelektrostimuljacii kostnyh tkanej pri reabilitacionnyh meroprijatijah v travmatologii // Vestnik vosstanovitel’noj mediciny. 2016; 3(73): 58-61.
- Ivanova S.V., Malygina M.A., Saharova O.M., Gol’dina I.M., Zabavskaja O.A. Lechenie boli v pjatochnoj oblasti metodom jekstrakorporal’noj udarno-volnovoj terapii // Vestnik vosstanovitel’noj mediciny. 2016; 3(73): 35-39.
- Abros’kina M.V., Prokopenko, S.V., Ondar V.S., Kajgorodceva S.A., Gasymly Je.D. Korrekcija stereotipa hod’by u bol’nyh s sindromom central’nogo gemipareza metodom aktivizacii zadnego tolchka stopy // Vestnik vosstanovitel’noj mediciny. 2015; 1(65): 14-18.
- Daminov V.D., Gorohova I.G., Tkachenko P.V. Antigravitacionnye tehnologii vosstanovlenija hod’by v klinicheskoj nejroreabilitacii // Vestnik vosstanovitel’noj mediciny. 2015; 4(68): 33-36
- Smyth N.A., Aiyer A.A., Kaplan J.R., Carmody C.A., Kadakia A.R. Adult-acquired flatfoot deformity. Eur J Orthop Surg Traumatol. 2017; 27(4): 433-439. doi: 10.1007/s00590-017-1945-5.
- Egorova S.A., Petrjakova V.G., Egorov N.A. Teoreticheskoe obosnovanie lechebnoj gimnastiki pri ploskostopii u detej // «Akademicheskaja nauka -problemy i dostizhenija»: materialy IV mezhdunarodnoj nauchno-prakticheskoj konferencii. Moskva: «Akademicheskij», 2014. S. 35.
- Yurt Y., Jener G., Yakut Y. The effect of different foot orthoses on pain and health related quality of life in painful flexible flat foot: a randomized controlled trial. Eur J Phys Rehabil Med. 2019; 55(1): 95-102. doi: 10.23736/S1973-9087.18.05108-0.
- Jafarnezhadgero A., Madadi-Shad M., Alavi-Mehr S.M., Granacher U. The long-term use of foot orthoses affects walking kinematics and kinetics of children with flexible flat feet: A randomized controlled trial. PLoS One. 2018; 13(10): e0205187. doi: 10.1371/journal.pone.0205187.
- Epishin V.V., Popov V.P., Rostovcev A.V., Kljuchnikov M.Ju., Koljadin M.A. Sravnitel’naja ocenka rezul’tatov lechenija val’gusnogo otklonenija pervogo pal’ca stopy // Voprosy rekonstruktivnoj i plasticheskoj hirurgii. 2014. T. 17, № 2(49): 43-49.
- Cifuentes-De la Portilla C., Larrainzar-Garijo R., Bayod J. Analysis of biomechanical stresses caused by hindfoot joint arthrodesis in the treatment of adult acquired flatfoot deformity: A finite element study. Foot Ankle Surg. 2019. In Press. doi: 10.1016/j.fas.2019.05.010
- Toepfer A., Harrasser N. Acquired adult flat foot deformity: Current concepts in diagnostics and therapy. MMW Fortschr Med. 2016; 158(10): 56-8. doi: 10.1007/s15006-016-8282-1.
- Sheikh Taha A.M., Feldman D.S. Painful Flexible Flatfoot. Foot Ankle Clin. 2015; 20(4): 693-704. doi: 10.1016/j.fcl.2015.07.011. Epub 2015 Oct 23.
- Zhai J., Wang J., Qiu Y. Whether Flexible Flatfoot Needs the Treatment? An Observation of Plantar Pressure Effects on Adults with Flexible Flatfoot by Wearing over the Counter Insoles When Walking on Level Surface, Upstairs and Downstairs. J Am Podiatr Med Assoc. 2017. doi: 10.7547/16-103.
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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.