Effect of the Foot Orthosis for Children Scoliosis Caused by Inequality of Resting Calcaneal Stance Position Angle.

, Yoon, Yong Soon; , Kang, Ji Young; , Yoon, Suk Bong; , Choi, Jun Sup; , Choi, Jyul Lee; , Yu, Ki Pi; , Kwak, Soo Hyun

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(1):66-73.

Yoon, Yong Soon , Kang, Ji Young , Yoon, Suk Bong , Choi, Jun Sup , Choi, Jyul Lee , Yu, Ki Pi , Kwak, Soo Hyun

Department of Rehabilitation Medicine, Jesus Hospital, Korea. kangmarch@naver.com

기립 종골각의 좌우 차에 의한 소아의 척추 측만증에서 족부 보조기의 적용

윤용순, 강지영, 윤석봉, 최준섭, 최쥴리, 유기삐, 곽수현

예수병원 재활의학과

Abstract

Objective
To evaluate the effect of custom molded foot orthosis without heel lift in scoliosis patients who had different pelvic height caused by inequality of RCSPA (resting calcaneal stance position angle).
Method
We retrospectively reviewed the medical data of all patients who had been prescribed custom molded foot orthosis without heel lift in our institution from 2005 to 2009 and chose 38 scoliosis patients with Cobb's angle (≥10^o) and different pelvic height (≥5 mm) caused by inequality of RCSPA (≥2^o). Radiologic findings of whole spine AP and RCSPA were measured pre and post treatment and compared.
Results
Twenty two females and sixteen males were included in this study. Their mean age was 7.76±3.72 years. Their mean period of wearing orthosis was 14.11±3.25 months. Initial average Cobb's angle of 13.18±3.16^o were reduced to 7.42±3.45^o (p＜0.001). Initial difference of height between right and left iliac crest of 0.87±0.26 cm reduced to 0.55±0.28 cm (p＜0.01) and angle of pelvic inequality of 3.98±1.55^o reduced to 2.54±1.27^o(p＜0.05). Initial difference of RCSPA between right and left of 3.69±1.54^o decreased to 1.69±1.54^o(p＜0.01). Each parameter has significantly reduced 12 months after the wearing of the custom molded foot orthosis in scoliosis patients whose age was 9 or below, whose Cobb's angle at 15^o or lower.
Conclusion
The custom molded foot orthosis without heel lift was effective for scoliosis patients, who had different pelvic height caused by inequality of RCSPA. (J Korean Acad Rehab Med 2010; 34: 66-73)

Key Words: Scoliosis, Foot, Orthotic devices