Сколько лет малышу?Вам врач поставил проблемы со ступнёй? Зачем ему медицинская ортопедическая обувь? Мне врач тут объяснил, что давно уже не считают, что нужен жёсткий задник. Это даже вредно - нога не работает сама, мыщцы не развиваются. Как вам уже написали, до 3 лет никто на плоскостопие не смотрит. Такого диагноза в этом возрасте нет. Носите обычную обувь (необязательно дешёвую. Есть много хорошей обуви). Мягенькую, лёгкую, без всяких жёстких задников и супинаторов. Дома всегда босиком или в носочках. Обувь только на улицу.Я сохранила некоторые интересные ссылкиОбувь для детей: http://pediatrics.aappublications.org/cgi/content/abstract/88/2/371?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=shoes&andorexactfulltext=and&searchid=1086366262077_6724&stored_search=&FIRSTINDEX=0&sortspec=relevance&resourcetype=1&journalcode=pediatricsКорректирующая обувь: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=2663868Изучение связи плоскостопия и хождения в обуви\босиком: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7706341&dopt=Abstracthttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=1624509http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=10063780We analysed the static footprints of 1846 skeletally mature individuals to establish the influence of the age at which shoe-wearing began on the prevalence of flat foot. The incidence was 3.24% among those who started to wear shoes before the age of six years, 3.27% in those who began between the ages of 6 and 15 and 1.75% in those who first wore shoes at the age of 16 (p < 0.001). Flat foot was highest in those who, as children, wore footwear for over eight hours each day. Obese individuals and those with ligament laxity had a higher prevalence of flat foot (p < 0.01 and p < 0.0001, respectively). Even after adjusting for these two variables, significantly higher rates of prevalence were noted among those who began to wear shoes before the age of six years. Our findings suggest an association between the wearing of shoes in early childhood and flat foot. http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=7706341&dopt=AbstractPlusShoes for Children: A Review Lynn T. Staheli MD1 1 From the Department of Orthopedics, Children's Hospital and Medical Center, Seattle; and Department of Orthopaedics, University of Washington, Seattle1. Optimum foot development occurs in the barefoot environment.2. The primary role of shoes is to protect the foot from injury and infection.3. Stiff and compressive footwear may cause deformity, weakness, and loss of mobility.4. The term "corrective shoes" is a misnomer.5. Shock absorption, load distribution, and elevation are valid indications for shoe modifications.6. Shoe selection for children should be based on the barefoot model.7. Physicians should avoid and discourage the commercialization and "media"-ization of footwear. Merchandizing of the "corrective shoe" is harmful to the child, expensive for the family, and a discredit to the medical profession. http://pediatrics.aappublications.org/cgi/content/abstract/88/2/371?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=shoes&andorexactfulltext=and&searchid=1086366262077_6724&stored_search=&FIRSTINDEX=0&sortspec=relevance&resourcetype=1&journalcode=pediatricsWe analysed static footprints of 2300 children between the ages of four and 13 years to establish the influence of footwear on the prevalence of flat foot. The incidence among children who used footwear was 8.6% compared with 2.8% in those who did not (p less than 0.001). Significant differences between the predominance in shod and unshod children were noted in all age groups, most marked in those with generalised ligament laxity. Flat foot was most common in children who wore closed-toe shoes, less common in those who wore sandals or slippers, and least in the unshod. Our findings suggest that shoe-wearing in early childhood is detrimental to the development of a normal longitudinal arch. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=1624509&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusThe footprints of 1851 Congolese children were studied using the index of Chippaux-Smirak, Staheli's index of the arch, and Clarke's angle. The sample consisted of 906 girls and 945 boys aged between 3 and 12 years, including city children who wore shoes and children from rural areas who had gone barefoot. At the ages of 3 and 4 years, most feet were morphologically flat, but the proportion of flat feet decreased with age in both sexes. Boys had a greater tendency for flat feet. According to the three parameters studied there was a greater proportion of flat feet in the urban environment. By multiple regression analysis the three parameters we had studied identified age as the primary predictive factor for flat feet. As in previous studies in western populations, the girls had a higher inner arch than the boys and footwear had very little influence on the morphology of the foot. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=12584500&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusOBJECTIVES: Our aim with this study was to establish the prevalence of flat foot in a population of 3- to 6-year-old children to evaluate cofactors such as age, weight, and gender and to estimate the number of unnecessary treatments performed. METHODS: A total of 835 children (411 girls and 424 boys) were included in this study. The clinical diagnosis of flat foot was based on a valgus position of the heel and a poor formation of the arch. Feet of the children were scanned (while they were in a standing position) by using a laser surface scanner, and rearfoot angle was measured. Rearfoot angle was defined as the angle of the upper Achilles tendon and the distal extension of the rearfoot. RESULTS: Prevalence of flexible flat foot in the group of 3- to 6-year-old children was 44%. Prevalence of pathological flat foot was < 1%. Ten percent of the children were wearing arch supports. The prevalence of flat foot decreases significantly with age: in the group of 3-year-old children 54% showed a flat foot, whereas in the group of 6-year-old children only 24% had a flat foot. Average rearfoot angle was 5.5 degrees of valgus. Boys had a significant greater tendency for flat foot than girls: the prevalence of flat foot in boys was 52% and 36% in girls. Thirteen percent of the children were overweight or obese. Significant differences in prevalence of flat foot between overweight, obese, and normal-weight children were observed. CONCLUSIONS: This study is the first to use a three-dimensional laser surface scanner to measure the rearfoot valgus in preschool-aged children. The data demonstrate that the prevalence of flat foot is influenced by 3 factors: age, gender, and weight. In overweight children and in boys, a highly significant prevalence of flat foot was observed; in addition, a retarded development of the medial arch in the boys was discovered. At the time of the study, > 90% of the treatments were unnecessary. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=16882817&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVAbstractPlusWe performed a prospective study to determine whether flexible flatfoot in children can be influenced by treatment. One hundred and twenty-nine children who had been referred by pediatricians, and for whom the radiographic findings met the criteria for flatfoot, were randomly assigned to one of four groups: Group I, controls; Group II, treatment with corrective orthopaedic shoes; Group III, treatment with a Helfet heel-cup; or Group IV, treatment with a custom-molded plastic insert. All of the patients in Groups II, III, and IV had a minimum of three years of treatment, and ninety-eight patients whose compliance with the protocol was documented completed the study. Analysis of radiographs before treatment and at the most recent follow-up demonstrated a significant improvement in all groups (p less than 0.01), including the controls, and no significant difference between the controls and the treated patients (p greater than 0.4). We concluded that wearing corrective shoes or inserts for three years does not influence the course of flexible flatfoot in children. http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=2663868Flatfoot may be classified as pathologic or physiologic. Pathologic flatfoot is often characterized by stiffness of the foot, causes disability, and requires treatment. Physiologic flatfoot is a normal variation; it causes no disability and tends to improve with time. Physiologic flatfoot is most common in individuals who are loose-jointed, are obese, or usually wore shoes during childhood. Treatment of children with physiologic flatfoot with orthoses or shoe modifications not only is ineffective but is uncomfortable and embarrassing for the child and is associated with lowered self-esteem in adult life. http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=10063780