The Influences of Shoe Inserts on Balance Performance in Motor Development Delayed Children

• Main Authors: Ai-Wei Cheng, 鄭艾葦
• Other Authors: Chun-Hou Wang
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/11020060838864909754

碩士 === 中山醫學大學 === 物理治療學系碩士班 === 104 === Background: Some researchers in the past to explore the incidence of flatfoot in children with motor development is higher than normal development children. People with flat feet usual has abnormal bone structure and unstable muscle and ligaments than the average person, there may be a factor to cause motor development delay in their childhood. There are many clinical physicians have recommended that developmental delay child with flatfoot to wear inserts in able to correct their foot structure, and clinical therapist with lower extremity training can help them to achieve better balance performance. But we had never found the study which use the shoe inserts wear or not, and operation the balance performance in the children with motor development delay at the past. Purpose: The aim of this study, we desire to explore the balance influence of shoe inserts in children with motor development delay. Methods: A total of thirty-six subjects with motor development delay whose age between 3 to 6 years 11 months old was recruited. There has nineteen male and seventeen female and each subject would receive the test of balance performance with and without wearing the shoe inserts. Those subject would accept the experiment of footprints collected at the beginning of the study. In this study, we choose the balance performance test at Movement ABC Second Edition in our study. At the end of the test, we use Chippaux-Smiark index (CSI) to determine the arch status from footprints. And use BMI to divided into normal weight and overweight groups, and use Beighton score to divide into normal ligament and laxity ligament group, and balance performance of each project was divided into wearing inserts and without inserts. We use pair-t test analysis to identify the difference between wearing inserts or not, and identify the significant factor from the change score of one-leg standing test between CSI differences, and identify the difference groups of BMI and Beighton score which were the factor to influence the balance performance. Result: In the balance performance, we found that whole of participants and the participants with flatfoot had a significant difference at right-leg standing, left-leg standing, walking heels raised, jumping on mat, balance standard score, balance percentile after wearing inserts. In this research, we found that foot arch groups separate by CSI in one-leg standing test has a significant diffidence on wearing inserts. And almost all of balance test, we found that only the total of balance score has a significant difference on Beighton score, which may be a factor in the balance of performance. Conclusion: Our study found that wearing shoe inserts would affect the balance performance of children with motor development delay, especially in the children with flatfoot, has a significant differences. It seems that wearing shoe inserts may make them better. We also found that the arch differences, Beighton score may be a factor in the balance of performance. If we want to increase the balance of performance of motor development delay children, the shoe inserts may be an assistance with lower extremity training to increase the balance performance and motor development. In this study, we found the same result with prior study. Motor developmental delay children are more like to have flatfoot than normal children. And males are more likely to have flatfoot than females.