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The effectiveness of shoe modifications for intoeing
The Orthopedic Clinics of North America
|October 1, 1976
Summary
Shoe wedges do not significantly alter children's gait angle. While Torqheel wedges showed some effectiveness, they only partially corrected rotational deformities during walking.
Area of Science:
- Pediatrics
- Biomechanics
- Orthopedics
Background:
- Gait abnormalities in children can impact development.
- Rotational deformities are a common concern in pediatric gait analysis.
- Interventions aim to correct deviations for improved mobility.
Purpose of the Study:
- To evaluate the immediate clinical effect of shoe wedges on gait angle in children.
- To compare the efficacy of standard shoe wedges versus a circular Torqheel design.
Main Methods:
- Children with apparent rotatory deformity during gait were assessed.
- Measurements of gait angle were taken before and after intervention.
- Comparison between standard shoe wedges and the circular Torqheel.
Main Results:
- Shoe wedges demonstrated no clinically significant immediate effect on the gait angle.
- The circular Torqheel showed greater effectiveness than standard wedges.
- The Torqheel corrected approximately 25% of the observed rotatory deformity.
Conclusions:
- Standard shoe wedges are not effective for immediate correction of gait angle in children.
- The circular Torqheel offers a modest improvement but does not fully resolve rotatory gait deformities.
- Further research may be needed to explore more effective interventions for pediatric gait issues.