Innovative technology «Plantar Support Load Simulator (Corvit)» in medical rehabilitation of children with flat foot

Abstract

For the first time, the possibility of using the innovative technology «Plantar Support Load Simulator (Corvit)» in the medical rehabilitation of children with flat feet has been scientifically substantiated. Purpose. Scientific rationale for the use of innovative technology «Plantar Support Load Simulator (Corvit)» for flat feet in children. Materials and Methods. The clinical study included 30 children with flat feet aged 7 to 17 years. The study group consisted of 15 children who were treated with the plantar support load simulator «Corvit»; the comparison group (15 children) had no exposure to the plantar support load simulator «Corvit». The children of groups 1 and 2 received a standard complex of therapeutic exercises for flat feet in children. To determine the effectiveness of using support stimulation with the plantar support load simulator «Corvit», we carried out the assessment of orthopedic status, subjective determination of the severity of pain syndrome according to the VAS, determination of the functional state of the feet in statics and dynamics (DIERS pedoscan of the DIERS formetric 4D system), and the assessment of the state of microcirculation in the foot area using laser Doppler flowmetry. Results and discussion. The conducted prospective open randomized comparative study allowed us to establish relief of pain during physical activity in the area of the legs and feet and the reduction of fatigue in most children under the influence of mechanical stimulation of support zones. According to the assessment of the orthopedic status by the DIERS pedoscan of the DIERS formetric 4D system, an improvement in the support, spring, and balancing functions of the feet was revealed, characterized by an improvement in podometry and stabilometry indicators. An improvement in the state of microcirculation has been proven according to laser Doppler flowmetry in the form of an improvement in perfusion and regulatory mechanisms of the microcirculatory bloodstream. A significantly more pronounced therapeutic effectiveness of medical rehabilitation of children using the plantar support load simulator «Corvit» for flat feet in children (86.7 %), in relation to the comparison group (53.3 %), p < 0.05, was established.