Abstract

Introduction: The foot forms the natural base of the human body bearing all its weight. Over the course of a person's life, the foot ensures the contact of the body with the terrain and creates the basic support during dynamic activities such as walking or running, especially on uneven terrain. (Véle, 2006)
 Objectives: The aim of the research was to verify the effects of targeted corrective exercises on healthy foot development in preschool children.
 Methods: The research was conducted from September 2018 to March 2019. The research sample consisted of 105 probands (59 preschool girls and 46 preschool boys), out of whom 7.62% had the physiological position of the arch on the right foot during baseline measurements. The average age of probands was 5 years. The measured parameters were the foot arch height without and with a load. Measurements were taken before and after rehabilitation intervention.
 Results: The statistical analysis of the results confirmed the positive effect of rehabilitation treatment in all monitored variables on statistically significant diference in terms of an elevation in the foot arch (p <0.005) and the influence of risk factors contributing to the development of researched foot deformities. The obtained data were processed into tables and graphs and subsequently evaluated.
 Conclusion: Our study has shown that the most effective is the active exercise strengthening. The affected muscles maintain the foot arch as well as the whole posture.

Highlights

  • The foot forms the natural base of the human body bearing all its weight

  • Based on the final assessment, the number of children with the physiological position of the longitudinal arch increased to 57.14% and the number of preschoolers of 3rd degree flat foot dropped significantly to 7.62%

  • We evaluated the drop in the height of the plantar vault using the navicular drop test (Tab.1) on the left and right leg, the os naviculare when changing the load from sitting to standing before and after rehabilitation

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Summary

Introduction

The foot forms the natural base of the human body bearing all its weight. Over the course of a person's life, the foot ensures the contact of the body with the terrain and creates the basic support during dynamic activities such as walking or running, especially on uneven terrain. (Véle, 2006). One of the main reasons why parents bring their children to the orthopedics is the three-dimensional deformity of the foot that occurs during the initial period of their growth. It connects the foot to the lower leg through a joint with the distal bone of the tibia and the fibula (talocrural joint) It is precisely positioned because it has no muscular connections; its stability depends on the ligaments surrounding it as well as the external and internal muscles (Moore et al 2019) Both passive and active factors contribute to maintaining the longitudinal and transverse arches of the foot.

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