Flatfoot decreases school functioning among children < 11 years of age
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Abstract
Flatfoot is a musculoskeletal abnormality commonly found in children that could result in a reduction of quality of life because of its related symptoms and functional abnormalities. This study aimed to determine the association between flatfoot and the quality of life among children 5-18 years of age.
Methods
A cross sectional design was used in this study of children aged 5-18 years. The diagnosis of flatfoot was made in accordance with the Chippaux-Smirak Index classification, whereas general and domain-specific quality of life were measured using the Indonesian version of PedsQL™ that has been previously validated. Mann Whitney test was used to compare quality of life between children with flatfoot and normal feet, along with other variables that potentially may influence a child’s quality of life.
Results
A total of 79 out of 120 subjects was used to analyze the data. There was a statistically significant difference in the quality of life score in the school functioning domain between children with flatfoot (64.46 ±18.22) and those with normal feet (75.90 ±17.29) in children <11 years of age (p=0.029). Apart from this, the study did not find any statistically significant differences in the total quality of life score or in other quality of life domains between the two groups.
Conclusions
Flatfoot significantly decreases children’s quality of life in the school functioning domain. Early detection and correction of flatfoot may be necessary to improve the educational attainment of children suffering from this condition.
Article Details
The journal allows the authors to hold the copyright without restrictions and allow the authors to retain publishing rights without restrictions.
References
Chang JH, Wang SH, Kuo CL, et al. Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and age. Eur J Pediatr 2010;169:447–52. doi: 10.1007/s00431-009-1050-9.
Nurzynska D, Di Meglio F, Castaldo C, et al. Flatfoot in children: anatomy of decision making. Ital J Anat Embryol 2012;117:98–106.
Wardanie S, Herawati I, Wahyuni. Prevalensi kelainan bentuk kaki (flatfoot) pada anak usia 6 - 12 tahun di Kota Surakarta. Universitas Muhammadiyah Surakarta; 2013.
Ezema CI, Abaraogu UO, Okafor GO. Flatfoot and associated factors among primary school children: a cross-sectional study. Hong Kong Physiother J 2013;5:1–8.
Benedetti MG, Ceccarelli F, Berti L, et al. Diagnosis of flexible flatfoot in children: a systematic clinical approach. Orthopedics 2011;34:94. https://doi.org/10.3928/01477447-20101221-04.
Odell S, Logan DE. Pediatric pain management: The multidisciplinary approach. J Pain Res Open 2013;6:785–90.
Riazi A, Shakoor S, Dundas I, et al. Health-related quality of life in a clinical sample of obese children and adolescents. Heal Qual Life Outcomes 2010;8:134.
Svedberg P, Eriksson M, Boman E. Associations between scores of psychosomatic health symptoms and health-related quality of life in children and adolescents: a cross-sectional study. Health Qual Life Outcomes 2013;11:176. doi: 10.1186/1477-7525-11-176.
Kothari A, Dixon PC, Stebbins J, et al. The relationship between quality of life and foot function in children with flexible flatfeet. Gait Posture 2015;41:786–90. DOI: https://doi.org/10.1016/j.gaitpost.2015.02.012.
López DL, Bouza PMA, Requeijo CA, et al. The impact of foot arch height on quality of life in 6-12 year olds. Colombia Médica 2014;45:168–72.
Khairy SA, Eid SR, El Hadidy LM, et al. The health-related quality of life in normal and obese children. Gaz Egypt Paediatr Assoc 2016;64:53–60. https://doi.org/10.1016/j.epag.2016.05.001.
Scarpelli AC, Paiva SM, Pordeus IA, et al. The pediatric quality of life inventory™ (PedsQL™) family impact module: reliability and validity of the Brazilian version. Health Quality Life Outcomes 2008;6:35. doi: 10.1186/1477-7525-6-35.
Chen KC, Yeh CJ, Kuo JF, et al. Footprint analysis of flatfoot in preschool-aged children. Eur J Pediatr 2011;170:611–7.
Bhattacharjee N, Goswami M. Footprint analysis and prevalence of flatfoot: a study among the children of South 24 Parganas, West Bengal, India. Anthropol Rev 2017; 80: 369–80. DOI: 10.1515/anre-2017-0026.
Desai AD, Zhou C, Stanford S, et al. Validity and responsiveness of the pediatric quality of life inventory (PedsQL) 4.0 generic core scales in the pediatric inpatient setting. JAMA Pediatr 2014;168:1114-21. doi:10.1001/jamapediatrics.2014.1600.
Self MM, Neigut DA, Nurko S, et al. PedsQL gastrointestinal symptoms module: feasibility, reliability, and validity. JPGN 2014;59:347–55.
Thissen D, Varni JW, Stucky BD, et al. Using the PedsQLTM 3.0 asthma module to obtain scores comparable with those of the PROMIS pediatric asthma impact scale (PAIS). Qual Life Res 2011;20:1497–505. doi: 10.1007/s11136-011-9874-y. 2011;1497–505.
Varni JW, Kay MT, Limbers CA, et al. PedsQL Gastrointestinal symptoms module item development: qualitative methods. J Pediatr Gastroenterol Nutr 2012;54:664-71. doi: 10.1097/MPG.0b013e31823c9b88.2012;54:664–71.
Wilson JMM. Synopsis of causation: pes planus. UK: Ministry of Defence; 2008.
Mosca VS. Flexible flatfoot in children and adolescents. J Child Orthop 2010;4;107–21.
Kothari A, Stebbins J, Zavatsky AB, et al. Health-related quality of life in children with flexible flatfeet: A cross-sectional study. J Child Orthop 2014;8:489–96.
Petersen AS, Hägglöf BL, Bergström EI. Impaired health-related quality of life in children with recurrent pain. Pediatr 2009;124:e759-67. doi: 10.1542/peds.2008-1546.
Chen G, Ratcliffe J, Olds T, et al. BMI, health behaviors, and quality of life in children and adolescents: a school-based study. Pediatr 2018;133:868–74. doi:10.1542/peds.2013-0622.