3-10 YAŞINDAKİ ÇOCUKLARDA MEDİAL LONGİTUDUNAL ARKIN GELİŞİMİ

Year 2022, Volume: 32 Issue: 4, 380 - 385, 31.08.2022

Neslihan Altuntas Yılmaz , Ali Keleş , Mehmet Tuğrul Yılmaz , Sevim Akdoğan Meryem Esma Düz , Huriye Nur Kantar Duygu Akın Saygın

https://doi.org/10.54005/geneltip.1071824

Abstract

Amaç: Çocuklarda medial arkın gelişiminin takip edilmesi ve gelişim yetersizliği durumunda erken dönemde tespiti oldukça önemlidir. Bu çalışmanın amacı çocuklarda MLA gelişiminin ayak plantar temas alanı oranının ve basıncının yaş ile değişiminin araştırılarak belirlenmesidir. Gereç ve Yöntem: Çalışmamıza ayak taban basınç ölçüm cihazında değerlendirmesi yapılan randomizasyon yöntemi ile aileleri tarafından onamları alınmış 51 (16 kız, 35 erkek) sağlıklı çocuk (3-10 yaş) dahil edildi. Değerlendirme için ayağın ön kısmının medial ve laterali, orta kısmının medial ve laterali ve arka kısmının medial ve lateral olarak altıya ayrıldı. Çalışmamızda ayağın belirlenen bölgelerinin temas yüzeylerinin tüm ayak taban alanına göre oranı ve birim yüzeye düşen taban basınçları istatistiksel olarak yaşa göre değerlendirildi. Elde edilen veriler SPSS 11.0 paket programında tanımlayıcı istatistikler ve yüzdelik analizler ile incelendi. Bulgular: Yapılan istatistiksel analiz sonucunda sağ ve sol ayak bölgelerinin plantar basınç ve temas alan oran değerleri arasında istatistiksel olarak anlamlı fark bulunmadı (p>0,05). Plantar basınç değerinin yaşa göre analizinde ise sadece orta ayağın medialinde 3,4 ve 5 yaşlarının 9 ve 10. yaşlarla anlamlı fark çıkmamıştır (p>0,05). Plantar temas alan oranlarında ise; ayağın ön kısmının mediali ve ayağın arka kısmının lateralinde8 yaş üstünde anlamlı artış varken, ayağın orta kısmının medialinde anlamlı azalış dikkat çekmiştir (p<0,05). Sonuç: Elde ettiğimiz sonuçlara MLA gelişiminde 8 yaşın önemli olduğu ve arkın gelişmesiyle ayak temasının ayağın ön kısmının medialinden, ayağın arka kısmının lateraline aktarıldığı belirlenmiştir.

Keywords

çocuk, medial longitudinal ark, taban temas alan oranı, taban basıncı

Development of Medial Longitudunal Arc in Children Aged 3-10 Years

Abstract

Purpose: It is very important to follow the development of the medial arch in children and to detect it in the early period in case of developmental deficiency. The aim of this study is to determine the development of medial arch in children by investigating the change in plantar contact area ratio and pressure with age. Materials and Methods: 51 (16 girls, 35 boys) healthy children (3-10 years old) whose consent was obtained by their families with the randomization method evaluated on the foot sole pressure measuring device were included in our study. For evaluation, medial and lateral of the anterior part of the foot, medial and lateral of the middle part, and medial and lateral of the posterior part of the foot were divided into six. In our study, the ratio of the contact surfaces of the determined areas of the foot to the entire foot sole area and the sole pressure per unit surface were statistically evaluated according to age. The obtained data were analyzed with descriptive statistics and percentage analyzes in the SPSS 11 package program. Results: As a result of the statistical analysis, no statistically significant difference was found between the plantar pressure and contact area ratio values of the right and left foot regions (p>0.05). In the analysis of the plantar pressure value according to age, there was no significant difference between the 9th and 10th ages of 3,4 and 5 years of age only in the medial of the midfoot (p>0.05). In plantar contact area ratios; While there was a significant increase in the medial part of the anterior part of the foot and the lateral part of the posterior part of the foot above the age of 8, there was a significant decrease in the medial part of the middle part of the foot (p<0.05). Conclusion: According to the results we obtained, it was determined that 8 years of age is important in the development of MLA and with the development of the arch, foot contact is transferred from the medial of the anterior part of the foot to the lateral part of the posterior part of the foot.

Keywords

child, medial longitudunal arch, base contact area ratio, base pressure

Supporting Institution

The authors declare that are no conflict of interests.

Thanks

We thank all the children who agreed to participate and their parents in this research.

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