Rehabilitation protocol with VISS system and human synergy mat in subjects with flat foot problems in developmental age
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Abstract
The flat foot can be defined as a syndrome with multiple etiopathogenesis, characterized by an altered structure of the longitudinal arch of the plantar vault with its reduction in height. The plantar arch collapse can be counteracted by strengthening the muscles involved; for many years, specific physical exercises have been proposed for this purpose in physical and rehabilitation medicine. Our work aimed to improve the plantar arch muscles’ tone using high focal vibration therapy (300 Hz).
Methods: 49 children with a 3rd degree flat foot (age: 8,7,6) underwent 10 sessions, 2 days/wk, of 30 min of focused high vibratory therapy at a frequency of 300 Hz (Vissman, Italy). Before and after treatment stabilometry (StT), static and dynamic baropodometry tests were performed.
Results: Evaluation of StT showed an improvement in stability and a decrease in the sway area and ellipse area. Baropodometry tests showed a decrease in foot surface. Also, dynamic tests showed a decrease in both foot surfaces.
Discussion: The results lead us to consider this method as a method of the first choice for a conservative approach in the rehabilitation of flat foot syndrome and also for 3rd grade children [1,2].
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Copyright (c) 2022 Bellomo RG, et al.
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Flour F. Anatomy of the musculoskeletal system. Edises, 2008.
Kapandji IA. Joint Physiology, Monduzzi, 2009.
Evans AM, Rome K. A Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet. Eur J Phys Rehabil Med. 2011 Mar;47(1):69-89. PMID: 21448121.
HARRIS RI, BEATH T. Hypermobile flat-foot with short tendo achillis. J Bone Joint Surg Am. 1948 Jan;30A(1):116-40. PMID: 18921631.
Staheli LT. Planovalgus foot deformity. Current status. J Am Podiatr Med Assoc. 1999 Feb;89(2):94-9. doi: 10.7547/87507315-89-2-94. PMID: 10063780.
Uden H, Scharfbillig R, Causby R. The typically developing paediatric foot: how flat should it be? A systematic review. J Foot Ankle Res. 2017 Aug 15;10:37. doi: 10.1186/s13047-017-0218-1. PMID: 28814975; PMCID: PMC5558233.
Orthopedics - Practical manual of orthopedics for the pediatrician Novembri, Pagliazzi, Flori, Generoso, Solito. SEE Florence 1996.
Carr JB 2nd, Yang S, Lather LA. Pediatric Pes Planus: A State-of-the-Art Review. Pediatrics. 2016 Mar;137(3):e20151230. doi: 10.1542/peds.2015-1230. Epub 2016 Feb 17. PMID: 26908688.
Pfeiffer M, Kotz R, Ledl T, Hauser G, Sluga M. Prevalence of flat foot in preschool-aged children. Pediatrics. 2006 Aug;118(2):634-9. doi: 10.1542/peds.2005-2126. PMID: 16882817.
Harris EJ, Vanore JV, Thomas JL, Kravitz SR, Mendelson SA, Mendicino RW, Silvani SH, Gassen SC; Clinical Practice Guideline Pediatric Flatfoot Panel of the American College of Foot and Ankle Surgeons. Diagnosis and treatment of pediatric flatfoot. J Foot Ankle Surg. 2004 Nov-Dec;43(6):341-73. doi: 10.1053/j.jfas.2004.09.013. PMID: 15605048.
Re-education of the foot. Static and dynamic biomechanical and postural problems. Martinelli E. Firenze University Press 2012
Banwell HA, Mackintosh S, Thewlis D. Foot orthoses for adults with flexible pes planus: a systematic review. J Foot Ankle Res. 2014 Apr 5;7(1):23. doi: 10.1186/1757-1146-7-23. PMID: 24708560; PMCID: PMC4108129.
Tachdjian’s Pediatric Orthopaedics. Herring JA New York: Elsevier Saunders, 2014
Dars S, Uden H, Banwell HA, Kumar S. The effectiveness of non-surgical intervention (Foot Orthoses) for paediatric flexible pes planus: A systematic review: Update. PLoS One. 2018 Feb 16;13(2):e0193060. doi: 10.1371/journal.pone.0193060. PMID: 29451921; PMCID: PMC5815602.
Benedetti MG, Ceccarelli F, Berti L, Luciani D, Catani F, Boschi M, Giannini S. Diagnosis of flexible flatfoot in children: a systematic clinical approach. Orthopedics. 2011 Jan 1;34(2):94. doi: 10.3928/01477447-20101221-04. PMID: 21323297.
Benedetti MG. Movement analysis. Elsevier Italia S.r.l. 2005
http://vissman.info/?page_id=165
Pagella F, Chiappano G, Reggiani G, Di Biase D, Giuffre D, Traverso CM. Selective muscle vibrations in the treatment of neuromuscular pathologies.
Iodice P, Bellomo RG, Migliorini M, Megna M, Saggini R. Flexible flatfoot treatment in children with mechanical sound vibration therapy. Int J Immunopathol Pharmacol. 2012 Jan-Mar;25(1 Suppl):9S-15S. doi: 10.1177/03946320120250s102. PMID: 22652156.
https://humantecar.com/prodotti/apparecchiature/human-tecar-mat/
Busquet L. The muscle chains. Lower limbs, Marrapese 1996.