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Content available remote Correction of foot deformities with hallux valgus by transversal arch restoration
EN
The paper presents the effects of the application of a new technical solution along with medical procedures. This approach aims to correct the collapsed transverse arch of the foot and thus restore the physiological course of the anatomical structures. In this way, the alignment of the toes is achieved, thus also eliminating valgus of the big toe. In the article are presented results for 19 patients with stage I and 22 patients with stage II of the foot deformities. Patients applied the orthosis at 57 h daily per one year. Physical examination and X-ray scans were used to assess correction progress. Angles between individual bones of the foot were compared. Correction of the transverse arch of the foot reduces the remain toes deformities of the foot (II–V). The HV angle in the group of patients with the degree I deformity before and after the therapy was 18.38 (3.18) and 15.28 (2.68), respectively, and for patients with degree II deformity it was 19.28 (2.98) and 16.3. (3.28). The correction deficit was reduced in stage I from 22% to 1.33% and in stage II from 28% to 8.6% (p < .05). The proposed approach to treating feet with the developed device, ie Forefoot arch-type orthosis: (1) restores spatial arrangement of tendons, bones, and ligaments and prevents the development of foot contractures (2) enables gradual stretching of extra-articular and capsular contractures (3) can reduce forefoot pain and improves the quality of life.
EN
Proper adjustment of shoes to the dimensions and shape of the feet has decisive effect on the health status of entire lower extremity and even a posture of the body. A significant factor is a relationship between the foot length and the internal length of footwear. It is commonly accepted that a shoe must be longer than the foot however the magnitude of this difference - the optimal toe allowance - is still open to discussion. In the present paper there are presented results of preliminary investigations of changes in the length of children's feet resulting from age and load during ambulation. The obtained data were analysed and compared with results from earlier publications and there has been being proposed a preliminary value of toe allowance for the children's footwear.
PL
W pracy przedstawiono sposób stworzenia cyfrowej bazy danych na potrzeby badań diagnostycznych oraz planowania rehabilitacji wad stóp u dzieci i młodzieży. Baza danych zawiera informacje pozyskane z maty dynamograficznej oraz podoskopu wyposażonego w zestaw kamer. Celem pracy jest opracowanie nowej, usystematyzowanej metody wspomagania doboru rodzaju oraz materiału wkładek ortopedycznych przeznaczonych do korekcji różnego typu deformacji stóp. Stworzona baza umożliwi ponadto analizę statystyczną występowania różnych typów deformacji stopy w określonych przedziałach wiekowych grupy badanej.
EN
The aim of this work was to present the way of creation digital database for diagnostic research of deformation children 's and youth's foot and plane of rehabilitation deformed children 's foot. The digital database will be like a report of statistic children 's foot deformed incidence in age bracket.
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