Informace o publikaci
The aspects of foot defect therapy in childhood
| Autoři | |
|---|---|
| Rok publikování | 2018 |
| Druh | Konferenční abstrakty |
| Fakulta / Pracoviště MU | |
| Citace | |
| Popis | The treatment of congenital and acquired foot defects in childhood has its specifics, which should be taken into account during the therapeutic considerations, together with the standard aspects of foot defect treatment in adult age. First of all, there is the question of age in which it is possible to diagnose foot defects in children and why, which often collides with the lack of knowledge of developmental ontogenesis of infants through all the fields dealing with this problem. Another aspect, more recent one, is brought about by the quality of the connective tissue, which progresses from generation to generation towards greater laxicity. The change of positioning in the ankle joint brings about a change in the setup of the proximal and distal segments, together with a change in proprioception and afference. Last but not least, there is hypoafferentation and dysafferentation, also caused by changes of lifestyle, whether due to increasing occurrence of overweight and obesity, or due to unsuitable footwear. The ratio of participation of the individual etiological factors in the occurrence of a foot defect then plays a role in the therapeutic consideration. While, for example, the fallen longitudinal foot arch in an infant or a toddler with non-optimal ontogenetic development is usually very well manageable, increased laxicity of the connective tissue appears to be very limiting. It is necessary to approach the small patients in a multidisciplinary attitude, not only in theory, but also in practice, because unsuitably indicated treatment, for example the recommendation of orthopaedic insoles too soon, may aggravate the foot defect. |