Comparative Analysis of the Components of a Child's Gait Pattern with Flat Foot Disorder

Abstract

Flat foot is a condition that generally occurs in children. Flat-foot is a condition where the entire foot is on the ground. The condition of a flat foot often does not show symptoms because in pre-school children, this condition remains a physiological condition. However, this condition will become pathological if it continues with age. The gait pattern is a structured movement carried out by a person to move and have a step distance, speed, and footprints. This study aimed to determine the gait pattern of normal-foot children and flat-foot children between the ages of 4-6 years at PAUD Sahabat Ananda Dau. The method used is a case-control two-group test on 23 children who have met the inclusion and exclusion criteria at PAUD Sahabat Ananda Dau in March 2022. Measurements of the wet footprint test, Clarke‘s angle, and gait parameters were out after obtaining approval from the respondents. \ It was found that respondents with flat-foot were 57%. Based on the T2 Sample Independent Test, the results obtained on stride was p=0.263, step right was p=0.235, step left was p=0.69, cadence p=0.7, and speed p=0.311(p<0,05). It was discovered that there is no difference in gait pattern in normal foot and flat foot children aged 4-6 years at PAUD Sahabat Ananda Dau.


Keywords: normal arch, flat foot, Gait pattern, Gait parameter, preschool children

References
[1] Nurohman MA. Hubungan Tinggi Lompatan Dan Bentuk Arcus Pedis Dengan Kejadian Sprain Pergelangan Kaki Pada Atlet Bulutangkis Yang Melakukan Jumping Smash [Universitas Muhammadiyah Semarang]. DigilibadminUnismuhAcId. 2017.

[2] Flores DV. C. M. H, M. F., Davis MA, Pathria MN. Adult acquired flatfoot deformity. Radiographics. 2019;39(5):1437–60.

[3] Antar NK, Nugraha MH, Dewi AA. Pelayanan Fisioterapi Pemeriksaan Bentuk Arkus Pedis (Normal Foot, Flat Foot, Dan Cavus Foot) Dan Pemeriksaan Pola Berjalan (Stride Length, Step Length, Cadence, Dan Speed) Pada Anak Di Sdn 8 Dauh Puri Denpasar. Bul Udayana Mengabdi; 2019. p. 18.

[4] Zheng T, Yu Z, Wang J, Lu G. A New automatic foot arch index measurement method based on a flexible membrane pressure sensor. Sensors. 2020;20(10). https://doi.org/10.3390/s20102892.

[5] Herianto AB. Analisis Pengaruh Bentuk Telapak Kaki Terhadap Kelelahan Fisik. J Teknosains. 2013;2(3):147–53.

[6] Buldt AK, Levinger P, Murley GS, Menz HB, Nester CJ, Landorf KB. Foot posture is associated with kinematics of the foot during gait: A comparison of normal, planus and cavus feet. Gait Posture. 2015 Jun;42(1):42–8.

[7] Nanang I. Latihan Fleksi Telapak Kaki Tanpa Kinesio Taping Dan Mengunakan Kinesio Taping Terhadap Keseimbangan Pada Fleksibel Flat Foot. J Phys Educ Heal Sport. 2015;2(2):89–93.

[8] Kim HY, Shin HS, Ko JH, Cha YH, Ahn JH, Hwang JY. Gait analysis of symptomatic flatfoot in children: an observational study. Clin Orthop Surg. 2017 Sep;9(3):363–73.

[9] Mien VA, Mayasari W, Chaidir MR. Gambaran Faktor Risiko Flat Foot pada Anak Umur Enam sampai Sepuluh Tahun di Kecamatan Sukajadi. Jurnal Sistem Kesehatan. J Sist Kesehat. 2017;3(2):97–102.

[10] Listyorini I, Shanti M, Prabowo T. Effectiveness in Dynamic Balance: a Comparison between Foot Muscle Strengthening Using Elastic Band and without Elastic Band in Children Aged 8-12 with Flexible Flatfeet. Int J Integr Heal Sci. 2015;3(1).

[11] Atik A, Ozyurek S. Flexible Flat Foot. North Clin Istanbul. 2014. 57–64 p.

[12] Baker R, Esquenazi A, Benedetti MG, Desloovere K. Gait analysis: clinical facts. Eur J Phys Rehabil Med. 2016 Aug;52(4):560–74.

[13] Kachoosangy RA, Aliabadi F, Ghorbani M. Prevalence of flat foot: comparison between male and female primary school students. Iran Rehabil J. 2013;11(18):22–4.

[14] Syafi’i M, Pudjiastuti SS, K. PP. Beda Pengaruh Arkus Kaki terhadap Keseimbangan Statis Anak Usia 9-12 Tahun di SD Negeri Mojolegi, Teras, Boyolali. J Ilm Kesehat. 2016;7(3).

[15] Latifah Y, Naufal AF, Nafi’ah D, Astari RW. Hubungan Antara Postur Flat Foot Dengan Keseimbangan Statis Pada Anak Usia 12 Tahun. FISIO MU Physiother Evidences. 2021;2(1):1–6.

[16] Karandagh MM, Balochi R, Soheily S. Comparision Of Kinematic Gait Parameters In The 16-18 Years Old Male Students With The Flat And Normal Foot. Indian J Fundam Appl Life Sci. 2015;5(1).

[17] Antar NK, Nugraha MH, Dewi AA. Pelayanan Fisioterapi Pemeriksaan Bentuk Arkus Pedis (Normal Foot, Flat Foot, Dan Cavus Foot) Dan Pemeriksaan Pola Berjalan (Stride Length, Step Length, Cadence, Dan Speed) Pada Anak Di Sdn 8 Dauh Puri Denpasar. Bul Udayana Mengabdi; 2019. p. 18.

[18] Githa KP, Ayu AN, Komang NA, Wiwiek AI. Perbedaan Gait Parameter Terhadap Tipe Arkus Pedis (Normal Foot, Flat Foot Dan Cavus Foot) Pada Anak Sekolah Dasar Usia 10-12 Tahun Di Denpasar Barat. Maj Ilm Fisioter Indones. 2020;8(2):57–61.

[19] Sterling GO, Sugiarto T, Handy FA, Natasha R. Flat foot at 5 to 6-year-old and history of delayed walking. Paediatr Indones Indones. 2020;60(6):321–7.

[20] Pita-Fernández S, González-Martín C, Seoane-Pillado T, López-Calviño B, Pértega- Díaz S, Gil-Guillén V. Validity of footprint analysis to determine flatfoot using clinical diagnosis as the gold standard in a random sample aged 40 years and older. J Epidemiol. 2015;25(2):148–54.

[21] Badiya A, Kapoor N, Kathane P, Krishan K. Forensic gait analysis. Forensic Gait Analysis. 2020;(May):1–342.

[22] Morio Y, Izawa KP, Omori Y, Katata H, Ishiyama D, Koyama S, et al. The Relationship between Walking Speed and Step Length in Older Aged Patients. Diseases. 2019 Feb;7(1):17.

[23] Carballo A, Chang M, Hirmiz B, Lambright N, Lee V, Lewis M, et al. Effects of Auditory Cueing on Cadence and Gait Pattern. 2021.

[24] Callisaya ML, Blizzard L, McGinley JL, Srikanth VK. Risk of falls in older people during fast-walking—the TASCOG study. Gait Posture. 2012 Jul;36(3):510–5.