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Is valgus foot always flat? The longitudinal arch of the foot and hindfoot valgus in 10–12 year-olds

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Agnieszka Jankowicz-Szymańska A., Katarzyna Wódka K., Edyta Mikołajczyk E.
European Journal of Clinical and Experimental Medicine
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2019
|
issue 1
33-37
EN
Introduction. Flat foot is still a controversial topic. As of yet, there are no unified definitions of this deformation. Aim. To assess the correlation between the longitudinal arch of the foot and hindfoot valgus in school-age children. Material and methods. A total of 362 pupils, 183 girls aged 10.96 ± 0.78 yrs and 179 boys aged 10.89 ± 0.78 yrs, participated in the study. Their height and weight were measured and their Body Mass Index (BMI) weight status was categorized. The Arch Index (AI) was used to assess the longitudinal arch of the foot. Hindfoot valgus was measured by a goniometer and defined as the angular deviation between the tibial anatomical axis and the calcaneus longitudinal axis. Results. About 1/3 of the participants had hollow feet and about a fifth of them had flat feet. No correlations between the longitudinal arch of the foot and the hindfoot valgus were discovered; however, a correlation between excessive weight and the longitudinal flat foot was revealed. No correlations between BMI and hindfoot malalignment were found. Conclusion. Hindfoot valgus was prevalent in a considerable proportion of boys and girls with the flat, normal and hollow foot. Therapeutic correction of valgus feet should be varied and should depend on the quality of the longitudinal arch of the foot
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The effect of hippotherapy on postural balance

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Edyta Mikołajczyk E., Beata Ligęza B., Agnieszka Jankowicz-Szymańska A.
European Journal of Clinical and Experimental Medicine
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2017
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issue 1
45–49
EN
Introduction. Impaired motor control in children with infantile cerebral palsy (ICP) frequently leads to mobility limitations. Aim. The aim of the study was to assess the effect of hippotherapy on maintaining postural balance and gait in children with ICP. Material and methods. A total of thirty children with spastic diplegia, aged 8-13 years, participated in the study. All children took part in a two-week hippotherapy program. The Tinetti and Timed Up and Go (TUG) tests were used to investigate the quality of their postural balance and gait. All tests were performed before and after therapeutic horseback riding. Results. After the two weeks of therapy, a statistically significant (p<0.05) improvement in balance maintenance and gait performance was observed in all children. Conclusion. 1. Hippotherapy sessions significantly improved the level of postural balance in children with ICP. 2. Equine-assisted therapy (EAT) positively affected the quality of gait and significantly decreased the risk of accidental falls in children who participated in the rehabilitation program.
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