Development Delay
Conditions
Keywords
Motor development delay, balance, flatfoot, shoe insert
Brief summary
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.
Detailed description
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.
Interventions
DEVICEModified shoe inserts
For experimental arm: wear modified shoe inserts and shoes for balance test.
Sponsors
Chung Shan Medical University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
36 Months to 83 Months
Healthy volunteers
No
Inclusion criteria
* preschool aged children with delayed motor development
Exclusion criteria
1. lower limb injury case in six months. 2. other neurological history such as cerebral palsy, traumatic brain injury, spina bifida to cause of developmental delay. 3. have been or are receiving insoles correction or treatment. 4. can not be completed with the instruction by foot measurement and balance measurement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The balance change of Movement ABC-2 scales | baseline/immediately/12 weeks/1 year/2 year | balance subscore of Movement ABC-2 scales |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The change of foot print parameters | baseline/12 weeks/1 year/2 year | foot-print parameters(using CSI scales) |
Countries
Taiwan
Outcome results
None listed