| ?Background?The aim of this study was to compare the effect of 2 methods for treating toe-in gait in children(reverse-shoe wearing and orthopedic insoles)and to determine whether reverse-shoe wearing results in hallux valgus.?Methods? Between July 2012 and July 2014,337 children who were diagnosed with toe-in gait over 2 years without significant remission,were recruited.For random allocation,139 children were selected use of reverse-shoe wearing treatment(RS group)and for 198 children were selected orthopedic insoles treatment(OI group).There were 98 children in the RS group and 167 in the OI group who completed the 12-month therapy and follow-up.28 cases failed to complete the study and were excluded,44 ceased treatment within 1 month,but returned for assessment and were selected as controls.Foot progression angle(FPA)and presence and degree of hallux valgus angle(HVA)were recorded before and during treatment.?Results? Foot progression angle was significantly reduced after 6 months in both reverse shoes and orthopedic insoles groups(P < 0.05),and the reverse shoes method was found to be more efficacious.Foot progression angle returned to almost normal parameters after 12 months of treatment and no significant difference was observed between the 2 groups.There were 29 cases(51 feet)of hallux valgus in the reverse shoes group after 12-month treatment;the degree of hallux valgus significantly declined 2 years after treatment with normal shoe wearing,but did not return to normal.?Conclusions? Corrective treatment should be used with children diagnosed with an toe-in gait over 2 years of age,showing no remission.Both reverse-shoe wearing and orthopedic insoles show similar levels of treatment success,but reverse-shoe wearing has a significant adverse effect of hallux valgus. |
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