Abstract：
In-toeing gait is defined as the internal rotation of the long axis of the foot to the line of progression. Although most of the time it is corrected spontaneously but sometimes causes torsional misalignment syndrome and maybe patellofemoral instability and arthritis of the knee.
What is the effect of gait plate insoles and lateral sole wedged shoes on foot progression angle (FPA) in children with in-toeing?
In this study, a randomized control trial was conducted with 11 participants (18 feet) who were girls aged between seven and ten years old. They were randomly assigned to either the gait plate group (6 girls, 11 feet) or the lateral sole wedge group (5 girls, 11 feet). The foot progression angle was measured using the RS scanner pressure platform before and after four weeks of intervention, both with and without interventions. The interaction effects of time and group on outcomes were analyzed using Mixed ANOVA and post-hoc complementary tests with a confidence interval of 95%.
It was observed that none of the interventions had an immediate impact on the FPA (P > 0.05). However, after four weeks, the FPA increased by 9.96 degrees with the lateral sole wedge and by 3.51 degrees with the gate plate insole. During the immediate and short-term evaluation, no significant difference was noticed between the two groups (P > 0.05). However, there was a large effect size (eta square = 0.269) observed in the time group interaction between the two groups (P = 0.028).
Conservative methods like using a gait plate insole or modifying shoes with a lateral sole wedge can improve the foot progression angle in children with in-toeing gait. However, longer studies with larger sample sizes are needed to reach a conclusion.
What is the effect of gait plate insoles and lateral sole wedged shoes on foot progression angle (FPA) in children with in-toeing?
In this study, a randomized control trial was conducted with 11 participants (18 feet) who were girls aged between seven and ten years old. They were randomly assigned to either the gait plate group (6 girls, 11 feet) or the lateral sole wedge group (5 girls, 11 feet). The foot progression angle was measured using the RS scanner pressure platform before and after four weeks of intervention, both with and without interventions. The interaction effects of time and group on outcomes were analyzed using Mixed ANOVA and post-hoc complementary tests with a confidence interval of 95%.
It was observed that none of the interventions had an immediate impact on the FPA (P > 0.05). However, after four weeks, the FPA increased by 9.96 degrees with the lateral sole wedge and by 3.51 degrees with the gate plate insole. During the immediate and short-term evaluation, no significant difference was noticed between the two groups (P > 0.05). However, there was a large effect size (eta square = 0.269) observed in the time group interaction between the two groups (P = 0.028).
Conservative methods like using a gait plate insole or modifying shoes with a lateral sole wedge can improve the foot progression angle in children with in-toeing gait. However, longer studies with larger sample sizes are needed to reach a conclusion.
摘要：
背景：脚尖内步态定义为脚的长轴相对于前进线的内部旋转。虽然大多数时候是自发纠正，但有时会导致扭转错位综合征，可能是髌股不稳定和膝关节炎。
目的：步态板鞋垫和外鞋底楔入鞋对足底儿童脚部前进角（FPA）的影响如何？
方法：在本研究中，我们对11名年龄在7至10岁之间的女孩(18英尺)进行了一项随机对照试验.他们被随机分配到步态板组(6名女孩，11英尺）或外侧鞋底楔形组（5个女孩，11英尺）。在干预前和干预四周后，使用RS扫描仪压力平台测量足部前进角，无论是否有干预。使用混合方差分析和事后互补检验分析时间和群体对结果的交互影响，置信区间为95％。
结果：观察到没有任何干预措施对FPA有直接影响（P>0.05）。然而,四周后，外侧鞋底楔形件的FPA增加了9.96度，门板鞋垫的FPA增加了3.51度。在即时和短期评估期间，两组比较差异无统计学意义(P>0.05)。然而,在两组之间的时间组交互作用中观察到较大的效应大小(eta平方=0.269)(P=0.028).
结论：保守方法，如使用步态板鞋垫或带有外侧鞋底楔形物的改良鞋，可以改善脚部内步态儿童的足部发展角。然而,需要更大样本量的更长时间的研究才能得出结论。
目的：步态板鞋垫和外鞋底楔入鞋对足底儿童脚部前进角（FPA）的影响如何？
方法：在本研究中，我们对11名年龄在7至10岁之间的女孩(18英尺)进行了一项随机对照试验.他们被随机分配到步态板组(6名女孩，11英尺）或外侧鞋底楔形组（5个女孩，11英尺）。在干预前和干预四周后，使用RS扫描仪压力平台测量足部前进角，无论是否有干预。使用混合方差分析和事后互补检验分析时间和群体对结果的交互影响，置信区间为95％。
结果：观察到没有任何干预措施对FPA有直接影响（P>0.05）。然而,四周后，外侧鞋底楔形件的FPA增加了9.96度，门板鞋垫的FPA增加了3.51度。在即时和短期评估期间，两组比较差异无统计学意义(P>0.05)。然而,在两组之间的时间组交互作用中观察到较大的效应大小(eta平方=0.269)(P=0.028).
结论：保守方法，如使用步态板鞋垫或带有外侧鞋底楔形物的改良鞋，可以改善脚部内步态儿童的足部发展角。然而,需要更大样本量的更长时间的研究才能得出结论。
