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Physiotherapeutic approaches for patients with flat-foot in different age categories
VANDOVÁ, Alena
Flat foot, pes planus, belongs to common diagnosis encountered by orthopaedic surgeons. It is described as the fall or loss of the medial longitudinal arch of the foot. Pes planus often occurs in children as well as adults. In the theoretical part of the thesis the foot anatomy is defined, along with the structure of the plantar vault and supporting tendons and ligaments. Furthermore, the development of the plantar vault with its relation to other parts of the body is outlined. The last chapter focuses on flat foot, its cause, impact and prevention. The aim of the thesis is to map the possibilities of therapeutic and physiotherapeutic influence of the plantar vault; describe and evaluate the findings of patients' therapy in different age categories. The information for the practical part was gathered on the basis of qualitative research, with the casuistic approach. Six male patients took part in the research, divided into three groups according to their ages. The therapy lasted for eight weeks. Before the start of the therapy I created a training unit, which was altered individually on the base of actual abilities of the patients. The unit included exercise with elements of sensomotoric stimulation, positions from dynamic neuromuscular stabilisation with the support of the correct foot positioning and exercise for the awareness of unwinding the sole of the foot. Improvement has been found in all patients' foot condition after the therapy. Better activation of the short feet muscles was recognised, as well as preferable overload of the toes. In some cases apparent correction of the longitudinal arch of the foot occurred. The therapy raised the patients' awareness of their own feet. This thesis could contribute to clinical practice of the physiotherapists or as a source of information for the general public.
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Affecting the flat foot in children with Down syndrome
NOVOTNÁ, Gabriela
This bachelor thesis deals with one of the most common problems, from which the people with Down syndrome suffer flat foot. Flat foot appears along with this illness more often than with healthy population. This fact is given by the presence of excessive amount of collagen type VI, also by generalised low muscle tone (hypotonia) and hypermobility. Human foot is a very important part of the musculoskeletal system and performs statical, as well as dynamical function. The sole is capable of kindly taking to the terrain on which it moves. The foot ensures the stability of the either standing or moving body, moreover it is source of proprioceptive information from minor planta. To perform these functions, it is necessary that arch of the foot is properly created, to centre stance of joints of the foot be set and no other deformations be present. Many information about the treatment of healthy children for flat foot can be found in professional literature, but unfortunately no information about the treatment of children with such genetical burden so far. Many opinions about the flat foot treatment occur among the professional community, next to starting active exercise it is often recommended to wait with the treatment till further age or use only passive orthopaedical tools. This thesis aims to bring closer the possibilities of the flat foot treatment of children with Down syndrome. In the theoretical part, the Down syndrome is described, its cause of creation and characteristics. Attention is given to signs of the disease on the musculoskeletal system. Moreover, the theoretical part discusses the human foot, its anatomy, kinesiology, its functions and most common deformity flat foot. The diagnostics of the flat foot is described as well the Chippaux - Šmiřák method. The practical part of the thesis is carried out by casuistries with the help of qualitative research. The research set consists of three children with Down syndrome, two girls aged 11 and 8 and one boy aged 5. The therapy was carried out during 5 months. Once in 14 days the children came with their parents to Centre Arpida in České Budějovice for the therapy lead by me, and the children should then exercise daily at home with the help of their parents. At the beginning of the therapy, an entering kinesiological examination was done, footprints were made, as well as examination of standing with the help of dynamical pavement Zebris at the Rehabilitation department of Hospital České Budějovice, a.s. At the end of the therapy, this examination was carried out again and the occurring changes were described.
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Influence of sensomotoric stimulation on flat foot in preschool-aged children
Řehůřková, Markéta ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: The effect of sensomotoric stimulation on flat foot of children Introduction: Flat foot is a common health problem in childhood. Its development is related to congenital or acquired dysfunction of the plantar vault. There is no single opinion on the criteria for diagnosis and therapy forms. The aftereffects and health risks of flat foot are often neglected. The therapy form of sensomotoric stimulation, including balance exercises and walking barefoot over different surfaces, could be an appropriate part of the physical activities and games for children in kindergarten. Objectives: The main objective of this work is to evaluate the effect of sensomotoric stimulation of flat foot at preschool age. Methods: The research contains 21 children. Forty-two foot prints were taken at the beginning of the therapy. Three methods were used to evaluate the foot prints: the Chippaux-Šmiřák method, the Godunov-Sztriter method and the Mayer method. The therapy form of sensomotoric stimulation included balance exercises and walking barefoot over different surfaces. The duration of therapy was 15 minutes each school day for six months. The control foot prints of 15 children were taken after the therapy and the results were compared with the foot prints before therapy. Results: The research contains twenty-one...
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Influence of sensomotoric stimulation on flat foot in preschool-aged children
Řehůřková, Markéta ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Title: The effect of sensomotoric stimulation on flat foot of children Introduction: Flat foot is a common health problem in childhood. Its development is related to congenital or acquired dysfunction of the plantar vault. There is no single opinion on the criteria for diagnosis and therapy forms. The aftereffects and health risks of flat foot are often neglected. The therapy form of sensomotoric stimulation, including balance exercises and walking barefoot over different surfaces, could be an appropriate part of the physical activities and games for children in kindergarten. Objectives: The main objective of this thesis was to compare foot prints of a group of children from one kindergarten class before and after six months of sensomotoric stimulation by three different methods (the Chippaux-Šmiřák method, the Godunov-Sztriter method and the Mayer method.). The second objective was to determine at what age category will be the highest prevalence of flat feet and also at what age group is the biggest improvement of the foot arch. The third objective was to compare each other method and determine whether the results will match. Hypothesis 1: After six months of sensomotoric stimulation of the feet of children occurs in the majority of feet of probands the improvement of the longitudinal foot arch...
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Options of evaluation of the medial longitudinal arch
Hladíková, Eliška ; Lepšíková, Magdaléna (advisor) ; Suzan, Zuzana (referee)
Foot arch as a whole consists of longitudinal and transverse arches. Reduction or absence of the foot arch is called the flat foot. For the diagnosis of the flat foot is assessed medial longitudinal arch of the foot and there are many options that are evaluated. This is a visual evaluation, assessment of the anthropometric measurements, the podographic parameters, the pedobarographic examination and the radiographs. It is not clearly stated which method is the most reliable for diagnosing flat foot. This work deals with different methods and approaches for assessing the medial longitudinal arch of the foot in order to present a clear and comprehensive overview of all possibilities for its evaluation.
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Problems of the functional flatfoot
Michalec, Radim ; Dudová, Agnieszka (advisor) ; Véle, František (referee)
Title: Problems of the functional flatfoot Objective: The aim of this diploma thesis is problems of the functional flatfoot. Main goal is to describe relation between change of structure, disorder of foot function and development of flatfoot. The thesis tries to describe the behavior of foot and arch in standing and walking. Another goal is to summarize the diagnostic possibilities of flatfoot. Methods: The diploma thesis has descriptive-analytical character. It's written in form of literature review. Results: This thesis demonstrates the problem of disunity nomenclature concerning the problem of flatfoot. Specifically, it concerns the interpretation of the words of functional flatfoot, movement components in foot and laboratory diagnostic methods. There is offered an explanation of the concept of functional flatfoot. Further work indicated that the acquired flatfoot is a question of a functional disorder that may progress to structural changes. The static and dynamic loadings were confirmed by the role of small muscles of the foot in the role of dynamic stabilization and influence of femoral rotation on the foot arch. There were summarized methods used for the diagnosis of flatfoot including dynamic plantography. Keywords: flat foot, foot arch, kinesiology, diagnostics
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Foot Arch in Childhood
Kellerová, Kateřina ; Nováková, Tereza (advisor) ; Maršáková, Kateřina (referee)
Author: Bc. Kateřina Kellerová Title: Foot Arch in Childhood Problem definition: The most often diagnosis related to the foot arch in childhood is definitely flexible flat foot also called pes planovalgus. Because of that this thesis will be mostly oriented on this diagnosis. There are many articles about flexible flat foot and many studies were oriented on this problem. The informations about etiology, influencing factors or therapy are sometimes discordant in different articles. But almost all of them contain one same statement which says that the prevalence of this diagnosis is decreasing as the foot arch is changing during the child's growth. It means in older children there is not flexible flat foot so often as in the younger ones. But there is no detailed description of the dynamics of these changes of the foot arch in childhood. Aim of this thesis: The aim of this thesis is to find out the development of the foot arch in children of pre-school age. In other words to run the survey to find out the changes of the foot arch in children of pre-school age which occurs in six months. Method: The survey contains anamnesis questionnare for parents and also these examinations: footprints, examination of joint laxity, mobility of hip joint, position of knee, patellae and heel, Jack's test, posibility...
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Design of shell orthopedic insole fabricated by 3D printing
Chaloupka, Matyáš ; Koutecký, Tomáš (referee) ; Paloušek, David (advisor)
This bachelor thesis deals with the design of shell orthopedic insole fabricated by 3D printing. The background research is focused on matters of pes planus and on the methods of Rapid Prototyping including most commonly used materials. The structural design is focused on designing a material pattern for this medical instrument and consequently modeling sandwich structure by combining two materials, plastic and softened plastic, which is then made using Rapid Prototyping on Fused Deposition Modeling 3D printer. Rhinoceros© was used for the purpose of making a shell orthopedic insole, especially it’s algorithmic editor tightly integrated with Rhino’s 3D modeling tools, Grasshopper®. Final part was made with sandwich structure by combining PLA plastic and Flex material using Rapid Prototyping.
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Physiotherapy procedures affecting flat foot and their another effect on posture in preschool children
BOČANOVÁ, Lucie
This thesis deals with the relationship between the flat foot and overall posture in preschool children. The foot is an important organ for the proper functioning of the entire musculoskeletal system. It mainly provides the standing and the human locomotion. Thanks to receptors ,stored in structures legs CNS (central nervous system) , it obtains information about the surrounding environment. If its function is impaired, occurs due to long muscle chains affecting other body segments. One of the most frequent deformity is flat foot, which is characterized by a reduction or disappearance of the longitudinal arch of the foot. The arches of the foot are essential for the proper function of the foot. It creates three footholds, into their centre of gravity falls man. The aim of this work is to use the stimulation of the soles and use exercises through which will improve the position of the foot arch in preschool children. The exercise unit was chosen individually for each patient. It contained mostly exercises with the element of games that children were able to hold their attention during therapy. The exercises I chose are not only on the soles, but also on the dynamic exercises, involving the participation of the entire musculoskeletal system. Another aim is to map the impact of flat feet in overall posture. The area of the leg is very important for the entire musculoskeletal system its links with higher tiers through the muscular chain. In the theoretical part of this work is presented information about the issue. The first part contains a discussion of foot anatomy and her kinesiology . There are also expressed basic functions of the legs. A significant section of the theoretical site composes arches of the foot and its dysfunction.The most common deformity which is defined here is a deformity of the foot arch, flat foot. The last topic of theoretical part deals with the relationship between flat feet and posture. The practical part was prepared by qualitative research in the form of case studies. The research group consisted of three patients - two boys aged 4 and 5 years, one girl aged 6 years. Therapy took place for 12 weeks where children practiced daily under supervised instructed parents. During the first and the last therapy I carried the input and output assessment, which includes an objective evaluation of the slab using fingerprints. The therapy I had set individually according to the needs of each patient. The results of this work can be assessed that the therapy of the flat foot we can affect the entire musculoskeletal system. In all patients after three months are visible changes not only in the slab, but also in the torso area. For this reason, the area of the feet should not be overlooked.
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