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Flatfoot, one of the most common foot problems experienced by preschool-aged children, characterized by the collapse of the foot's medial longitudinal arch. Children with motor developmental delay often have flatfoot, according to clinical observation, and research indicates that preschool age is the main stage of the medial longitudinal arch development period. There flatfoot symptoms due to poor arch shock effect, poor walking endurance, likely to cause gait problems while growing up. The lack of a stable foot structure to support and maintain posture may lead to delayed motor development. Early training intervention and help to balance stability is the main rehabilitation goal for motor developmental delayed children. With understanding of the foot development of motor development delayed children, proper intervention can be provided to improve the movement and stability of the lower limbs. The possible deformation of the foot structure and resultant pain in the future can also be prevented.
The investigators designed a prospective cohort study to long-time follow up of preschool aged children with delayed motor development and to establish standard data, including the foot shape, footprint and balance development. The investigators also discuss the influence of the shoe insert with balance and flatfoot correction. Flatfoot leads to poor gross motor balance and the balance improvement after flatfoot correction has never been studied. The investigators findings should provide direct evidence as a reference for clinical workers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| with modified shoe inserts | Experimental | wear the modified shoe inserts and shoes for balance test. |
|
| without modified shoe inserts | No Intervention | only wear the shoes for balance test. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Modified shoe inserts | Device | For experimental arm: wear modified shoe inserts and shoes for balance test. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The balance change of Movement ABC-2 scales | balance subscore of Movement ABC-2 scales | baseline/immediately/12 weeks/1 year/2 year |
| Measure | Description | Time Frame |
|---|---|---|
| The change of foot print parameters | foot-print parameters(using CSI scales) | baseline/12 weeks/1 year/2 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kun-Chung Chen, Ph.D. | School of Physical Therapy, Chung Shan Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chung Shan Medical University Hospital | Taichung | 40201 | Taiwan |
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| ID | Term |
|---|---|
| D007859 | Learning Disabilities |
| D011596 | Psychomotor Disorders |
| D005413 | Flatfoot |
| ID | Term |
|---|---|
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
| D000070558 | Talipes |
| D005531 | Foot Deformities, Acquired |
| D005530 | Foot Deformities |
| D009140 | Musculoskeletal Diseases |
| D005532 | Foot Deformities, Congenital |
| D038061 | Lower Extremity Deformities, Congenital |
| D017880 | Limb Deformities, Congenital |
| D009139 | Musculoskeletal Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |