Effect of Foot Mal-alignment on Quality of Life in Children with Down Syndrome; A retrospective cross-sectional Study. | ||||
| Egyptian Journal of Physical Therapy | ||||
| Volume 22, Issue 1, June 2025 PDF (290.99 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejpt.2025.356469.1208 | ||||
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| Authors | ||||
Hamada El-Sayed Ayoub   1; Hamada Kamal Ouda2; Yasmine Faisal AboElgheit3; Marwa Onsy4
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| 1Assistant Professor, Pediatric Physical Therapy Department, Faculty of Physical Therapy, Cairo University | ||||
| 2Professor, Pediatric physical therapy department, Faculty of Physical Therapy, Cairo University. | ||||
| 3Physical Therapist, Ebiar Central Hospital, El-Gharbia. Egypt. | ||||
| 4Lecturer of Radiology, Faculty of Medicine, Cairo University. Egypt. | ||||
| Abstract | ||||
| Background: Proper foot alignment is usually needed for normal walking pattern, and certain foot malalignment may considerably affect regular daily activities induced by the associated proximal lower limb abnormalities. Purpose: The aim of the study was to explore the effect of foot malalignment on quality of life in children with Down syndrome. Subjects and methods: Forty children with Down syndrome from both genders with ages ranged from eight to twelve years old participated in this study. Foot angles (talo-calcaneal angle, calcaneal pitch angle, Bohler's angle, the fifth metatarsal base angle and talo-metatarsal angle) were being assessed by standing-X-ray and compared with normal references. Whereas, quality of life of children with Down syndrome was being evaluated by the Oxford ankle foot questionnaire Arabic version. Results: There was a significant increase in all measured angels except for both calcaneal pitch angles compared with normal references, there was a significant decrease of the Oxford ankle foot questionnaire Arabic version three domains scores, and there was moderate positive correlation between right Talo-calcaneal angles, left Calcaneal pitch and physical score. there was moderate positive correlation between right 5th metatarsal bases angle and school & play score, while there was weak positive correlation between right Bohler’s angle and physical score, left Talo-metatarsal angle and emotional score. Conclusion: Children with Down syndrome have a significant foot malalignments that directly affect their quality of life especially physical, school and play activities. | ||||
| Keywords | ||||
| Down syndrome; foot mal-alignment; Quality of life; X-ray; Oxford ankle foot questionnaire | ||||
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