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

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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.



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