Foot orthoses for foot pain in children

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The use of foot orthoses in school children with foot problems due to sports and other physical activities
Kauzlarić N.
Acta Med Croatica. 2007;61 Suppl 1:15-7.

 

Finally....a paper that documents what I have been seeing over the past 24 years of making foot orthoses for children. Does anyone have access to this journal that could send me the pdf??

 

CONCLUSION: Foot orthoses are crucial for treatment of foot pain in school children regardless of pain etiology.

Hi Kevin:
I do agree with the premise of the study, however, on a purely scientific level I have a problem with the wording of the CONCLUSION. IT should read: It appears the use of orthotics in symptomatic children reduces pain during activity.

Since no other treatment options were tested, no mention as to the type of orthotic, no mention as to the interview set up or whether sham orthotics were tested, etc....... the use of the word "crucial" seems a bit overstated.

Again, I do agree with the results (I have seen this first hand many many times in my own practice) my problem is merely with the conclusion statement.

Kevin, you are into studies more than anyone else here, you must agree that there are definite assumptions and hasty conclusions made here. I don't want to rain on your parade!

Steve

 

Steve:

Certainly your amended conclusion would be a more objective, sterile, and scientific statement to make regarding the authors' research. However, possibly the authors of the study feel as I do that this problem of the under-treatment of children's foot and lower extremity pathologies, being written off as simply "growing pains" (that doesn't require treatment) by a good portion of the pediatric and medical community, demanded a little more emphatic statement on their part.

Sometimes, the pain and suffering of children makes even the most objective scientist realize that expressing a little emotion on their part may be required to draw attention to the ignorance and apathy of the pediatric and medical community regarding this easily-treatable, common and important medical condition that plagues thousands of children around the world.

 

I totally agree with you Steve - "crucial" could be considered as the incorrect wording here! Also, shouldn't the practitioner be looking holistically at the individual? What about referred pain, from lower back? Should foot orthoses be used then?

Im newish to this, so PLEASE bear with me

Claire

 

In fairness, this project was done in Crotia and was written in croatian ... there may have been somethiong lost in the use of english in the translation of the abstract.

 

I tend to agree with Drsarbes, but am a little less generous about the author’s conclusion.


Quote from a paper on the placebo effect in children:

Quote from the study in question:

Without controlling for the placebo effect or the natural course of symptoms, the experimental design seems unable to test the authors hypothesis, especially as the main outcome variables were subjective (pain).

 

"In fairness, this project was done in Crotia and was written in croatian ... there may have been somethiong lost in the use of english in the translation of the abstract."

Croatia???
OH. That explains why that girl slapped in a bar my last time in Croatia!
My translator must have screwed something up!!!!!!!! Apparently it's a tough language to translate.

Hmmmmmmm.

Steve