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Bilateral Foot Orthoses Elicit Changes in Gait Kinematics of Adolescents with Down Syndrome with Flatfoot

Author

Listed:
  • Daniele Galafate

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy)

  • Sanaz Pournajaf

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy)

  • Claudia Condoluci

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy)

  • Michela Goffredo

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy)

  • Gabriella Di Girolamo

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy)

  • Carlotta Maria Manzia

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy)

  • Leonardo Pellicciari

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy)

  • Marco Franceschini

    (IRCCS San Raffaele Pisana, 00163 Rome, Italy
    Department of Human Sciences and Promotion of the Quality of Life, San Raffaele University, 00166 Rome, Italy)

  • Manuela Galli

    (Department of Electronic, Information and Bioengineering, Politecnico di Milano, 20133 Milan, Italy)

Abstract

Background: Subjects with Down Syndrome (DS) are characterized by specific physiological alterations, including musculoskeletal abnormalities. Flat Foot (FF), caused by hypotonia and ligament laxity, represents one of the most common disabling disorders in this population. Conservative treatments promote the use of orthopaedic insoles and plantar supports. The aim of this study was to evaluate the impact of Foot Orthoses (FOs) on the gait pattern of subjects with DS, assessing the biomechanical effects associated with their use. Methods: Twenty-nine subjects were screened under two conditions—walking barefoot (WB); with shoes and insoles (WSI), during three trials for each. Assessments were performed through the 3D gait analysis, using an optoelectronic system, force platforms, and video recording. Specifically, synthetic indices of gait kinematics, i.e., gait profile score (GPS) and gait variable score (GVS) were calculated and compared with Wilcoxon signed-rank test, to evaluate between-conditions. Results: Significant variations were found in GVS foot progression index, representative of foot rotation during walking, in adolescents only. Conclusions: Bilateral FOs has a positive immediate impact on gait quality in adolescents with DS, as confirmed by quantitative analysis. FOs prescription is an evidence-based early approach to slow down biomechanical abnormalities and prevent relative symptoms.

Suggested Citation

  • Daniele Galafate & Sanaz Pournajaf & Claudia Condoluci & Michela Goffredo & Gabriella Di Girolamo & Carlotta Maria Manzia & Leonardo Pellicciari & Marco Franceschini & Manuela Galli, 2020. "Bilateral Foot Orthoses Elicit Changes in Gait Kinematics of Adolescents with Down Syndrome with Flatfoot," IJERPH, MDPI, vol. 17(14), pages 1-9, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4994-:d:383199
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    References listed on IDEAS

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    1. Soo-kyung Bok & Hyunkeun Lee & Bong-ok Kim & Soyoung Ahn & Youngshin Song & Insik Park, 2016. "The Effect of Different Foot Orthosis Inverted Angles on Plantar Pressure in Children with Flexible Flatfeet," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-10, July.
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    Cited by:

    1. Liya Xu & Hongyi Gu & Yimin Zhang & Tingting Sun & Jingjing Yu, 2022. "Risk Factors of Flatfoot in Children: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(14), pages 1-13, July.

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