인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Pes planus involves the collapse of the medial longitudinal arch, altering gait and plantar pressure and leading to pain and injury. This review aimed to evaluate the effects of conservative interventions on plantar pressure in flatfoot patients. Four databases were searched from inception to 20 February 2025. Two reviewers screened studies using predefined criteria and the Downs and Black scale. Eligible designs included randomized controlled trials, quasi-experimental, and observational studies. Mean differences with 95% CIs were synthesized using a random-effects model, and evidence strength was graded using modified van Tulder criteria. Twenty-eight studies (5–80 participants; total n = 815) involving young to middle-aged adults with flexible flatfoot were included, and most showed moderate methodological quality. Exercise significantly reduced medial-heel pressure (MD − 12.61; 95% CI − 21.23 to − 3.98; strong evidence; 2 RCTs) but showed no significant change in midfoot pressure (MD 0.62; 95% CI − 4.41 to 5.65; 2 RCTs). Taping reduced medial-forefoot peak pressure (MD − 3.40; 95% CI − 5.78 to − 1.03; strong evidence; 5 studies) and did not change lateral-heel pressure (MD -1.26 ; 95% CI -5.11 to 2.58; strong evidence; 5 studies). Taping increased second-toe pressure by 28.2% (MD 3.69; 95% CI 1.64 to 5.75; 2 studies) and third-to-fifth-toe pressure by 34.7% (MD 3.21; 95% CI 1.85 to 4.56; 2 studies), while reducing middle forefoot by 18.2% (MD − 6.33; 95% CI − 8.95 to − 3.71; moderate evidence; 2 studies) and lateral forefoot by 12.4% (MD − 1.24; 95% CI − 2.14 to − 0.34; moderate evidence; 3 studies). Insoles increased medial-midfoot pressure by 61% (MD 29.15; 95% CI 17.23 to 41.06; 2 studies) but did not significantly change first-metatarsal (MD 8.79; 95% CI − 11.75 to 29.33; 2 studies) and lateral-midfoot pressures (MD 5.93; 95% CI − 26.31 to 38.16; 2 studies). Overall, conservative interventions may modify plantar-pressure distribution and provide short-term relief (primarily from acute/single-session taping and insole studies, with exercise effects observed over periods up to 8 weeks), but long-term efficacy remains unclear. Protocol registration: CRD42024621107.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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