Stručni rad
https://doi.org/10.21751/FRM-39-1-2-1
FOOT DEFORMITIES IN CHILDREN
Klara Grahovec
; Odjel za fizikalnu medicinu i rehabilitaciju, Županijska bolnica Čakovec
Valentina Matijević
orcid.org/0000-0003-0096-2034
; Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Klinički bolnički centar „Sestre milosrdnice“, Zagreb
Jelena Marunica Karšaj
orcid.org/0009-0007-7964-7673
; Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Klinički bolnički centar „Sestre milosrdnice“, Zagreb
*
Velimir Šušak
; Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Klinički bolnički centar „Sestre milosrdnice“, Zagreb
* Dopisni autor.
Sažetak
This work aims to address the topic of foot deformities in children, which are often encountered in clinical practice, and the treatment approach. The foot is a specific part of the locomotor system whose static role is carrying
the body weight, and dynamic enabling movement. Foot malformations are characterized by anatomical defects during embryonic development. Deformities occur on a previously normally configured foot during the fetal
period due to various factors. Foot deviations that appear during the first year throughout physiological musculoskeletal development represent variations and pass spontaneously. More severe deformities must be recognized promptly to prevent later functional complications, primarily in the gait kinematics. The most common foot deformities are congenital flat foot, adductus metatarsus, calcaneovalgus and clubfoot. It is important to recognize clinical features and conservative treatment modalities in terms of conventional passive
therapeutic exercises and three-dimensional manual therapy. Despite the judgment of many specialists who have advocated treatment that has not been scientifically demonstrated, asymptomatic flexible flat feet recover
naturally during physiological neuromotor development, with no discomfort or reduced function. The effectiveness of orthoses used for the treatment of flexible flat feet has not been scientifically proven. Surgical intervention of
rigid flat foot is necessary, but it is postponed at a very early age and initial conservative treatment is proposed.
Along with physiatrists and physiotherapists, it is inevitable to emphasize parental education on how to perform passive exercises, since active exercises in pediatric age cannot be performed before the age of three. Even for
defects that require surgery, therapeutic exercises are not only recommended but also required to be performed both during and after the surgical procedure. The effectiveness of stretching exercises and three-dimensional manual therapy according to Barbara Zukunft-Huber has been proven.
Ključne riječi
foot deformities, flat feet, clubfoot, exercises, parent education
Hrčak ID:
330724
URI
Datum izdavanja:
4.5.2025.
Posjeta: 0 *