Abstract：
OBJECTIVE: Persons with intellectual disabilities frequently have podiatric conditions. Findings from the 2018 United States Summer games (USA) venues are compared to those from athletes screened at the 2019 Special Olympics World Summer Games in Abu Dhabi, United Arab Emirates (UAE).
METHODS: Data from Fit Feet screenings from 2445 United Arab Emirates (UAE) participants were compared to 1244 US participants.
RESULTS: A sampling of results that reflect significant differences in findings between the USA cohort and Abu Dhabi cohort include ankle joint range of motion, excessive abduction, hallux abducto valgus and pes planus. The overall shoe to foot mismatch was found to be 52.2%. A professional referral was recommended 27.7% of the time in the USA data and 28.5% in the Abu Dhabi data. An urgent referral was requested 5.1% of the time for the USA data and 3.7% of the time in the Abu Dhabi data.
CONCLUSIONS: Special Olympics athletes experience a greater prevalence of identifiable podiatric conditions as compared to the general population. Several of the conditions investigated in this study differed significantly between the international Special Olympics cohort and the USA cohort. Assessment of the feet of Special Olympics athletes can help to better appreciate the podiatric conditions in a population of individuals with intellectual disabilities. The variance identified between populations of Special Olympics athletes may be a reflection on the lack of standardization of conditions that are assessed for as well as the disparate characteristics of the clinical volunteers. Future Fit Feet events may wish to consider significant improvements in objectivity and standardization as it pertains to the conditions that are evaluated for in the Fit Feet exam.
METHODS: Data from Fit Feet screenings from 2445 United Arab Emirates (UAE) participants were compared to 1244 US participants.
RESULTS: A sampling of results that reflect significant differences in findings between the USA cohort and Abu Dhabi cohort include ankle joint range of motion, excessive abduction, hallux abducto valgus and pes planus. The overall shoe to foot mismatch was found to be 52.2%. A professional referral was recommended 27.7% of the time in the USA data and 28.5% in the Abu Dhabi data. An urgent referral was requested 5.1% of the time for the USA data and 3.7% of the time in the Abu Dhabi data.
CONCLUSIONS: Special Olympics athletes experience a greater prevalence of identifiable podiatric conditions as compared to the general population. Several of the conditions investigated in this study differed significantly between the international Special Olympics cohort and the USA cohort. Assessment of the feet of Special Olympics athletes can help to better appreciate the podiatric conditions in a population of individuals with intellectual disabilities. The variance identified between populations of Special Olympics athletes may be a reflection on the lack of standardization of conditions that are assessed for as well as the disparate characteristics of the clinical volunteers. Future Fit Feet events may wish to consider significant improvements in objectivity and standardization as it pertains to the conditions that are evaluated for in the Fit Feet exam.
摘要：
目的：智障人士常有足病。将2018年美国夏季运动会（美国）场馆的调查结果与在阿布扎比举行的2019年世界夏季特奥会上筛选的运动员的调查结果进行比较，阿拉伯联合酋长国（阿联酋）。
方法：将2445名阿拉伯联合酋长国（UAE）参与者的FitFeet筛查数据与1244名美国参与者进行了比较。
结果：反映美国队列和阿布扎比队列之间发现的显着差异的采样结果包括踝关节活动范围，过度绑架,外翻和扁平苔藓。发现鞋与脚的整体不匹配为52.2%。在美国数据中，推荐专业转诊的时间为27.7％，在阿布扎比数据中推荐的时间为28.5％。美国数据要求紧急转诊的时间为5.1％，阿布扎比数据要求紧急转诊的时间为3.7％。
结论：与普通人群相比，特奥会运动员的可识别足病患病率更高。在这项研究中调查的一些条件在国际特奥会队列和美国队列之间存在显着差异。评估特奥会运动员的脚可以帮助更好地了解智障人士的足病状况。特奥会运动员人群之间的差异可能反映出缺乏对评估条件的标准化以及临床志愿者的不同特征。FutureFitFeeteventsmaywishtoconsidersignificantimprovementinobjectivityandstandardizationasitappliedtotheconditionsthatareevaluatedforintheFitFeetexamine.
方法：将2445名阿拉伯联合酋长国（UAE）参与者的FitFeet筛查数据与1244名美国参与者进行了比较。
结果：反映美国队列和阿布扎比队列之间发现的显着差异的采样结果包括踝关节活动范围，过度绑架,外翻和扁平苔藓。发现鞋与脚的整体不匹配为52.2%。在美国数据中，推荐专业转诊的时间为27.7％，在阿布扎比数据中推荐的时间为28.5％。美国数据要求紧急转诊的时间为5.1％，阿布扎比数据要求紧急转诊的时间为3.7％。
结论：与普通人群相比，特奥会运动员的可识别足病患病率更高。在这项研究中调查的一些条件在国际特奥会队列和美国队列之间存在显着差异。评估特奥会运动员的脚可以帮助更好地了解智障人士的足病状况。特奥会运动员人群之间的差异可能反映出缺乏对评估条件的标准化以及临床志愿者的不同特征。FutureFitFeeteventsmaywishtoconsidersignificantimprovementinobjectivityandstandardizationasitappliedtotheconditionsthatareevaluatedforintheFitFeetexamine.
