Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea
Abstract Background Children with spina bifida (SB) may have congenital or acquired foot deformities due to neurological defects in the spinal cord. As the musculoskeletal system keeps growing, foot deformities can develop or become aggravated. Thus, healthcare providers should provide constant moni...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-023-04100-3 |
| _version_ | 1797806538144874496 |
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| author | Hyeseon Yun Eun Kyoung Choi Hyun Woo Kim Jeong Sook Ha Doo Sung Kim Kun-Bo Park |
| author_facet | Hyeseon Yun Eun Kyoung Choi Hyun Woo Kim Jeong Sook Ha Doo Sung Kim Kun-Bo Park |
| author_sort | Hyeseon Yun |
| collection | DOAJ |
| description | Abstract Background Children with spina bifida (SB) may have congenital or acquired foot deformities due to neurological defects in the spinal cord. As the musculoskeletal system keeps growing, foot deformities can develop or become aggravated. Thus, healthcare providers should provide constant monitoring and proper orthopedic management. Since foot deformities can affect not only the gait but also the daily life of children with SB, it is necessary to investigate the impact of foot deformities on everyday life. The purpose of this study was to examine the relationship between foot deformity and health-related quality of life (HRQoL) among independently ambulating children with SB. Methods This cross-sectional study examined the associations between foot deformity and HRQoL using two patient-reported outcome measures (Oxford Ankle Foot Questionnaire, Pediatric Outcomes Data Collection Instrument) in 93 children with SB aged 7–18 years between January 2020 and July 2021. Results Children with foot deformity (n = 54) reported lower scores in all subscales (physical, school and play, emotional, and footwear) of the Oxford Ankle Foot Questionnaire for children than those without foot deformity (n = 39; p < 0.001). Additionally, in terms of the Pediatric Outcomes Data Collection Instrument, children with foot deformity also reported poorer scores in four subscales (transfer and basic mobility, sports and physical functioning, comfort and pain, happiness with physical functioning; p < 0.001) than those without foot deformity, whereas upper extremity functioning was not significantly affected. Children with foot deformities, particularly those with bilateral foot deformities, equinus deformities, or mixed deformities, which are different types of right and left foot deformities, have a lower perceived HRQoL (p < 0.05). Conclusions Among independently ambulating children with SB, those with foot deformities showed lower HRQoL. Moreover, children with foot deformities tend to have other clinical problems, including bladder and bowel dysfunction. Therefore, orthopedic management should consider the multifaceted factors that affect children’s daily life and HRQoL. |
| first_indexed | 2024-03-13T06:08:46Z |
| format | Article |
| id | doaj.art-c37b03104dc847e585bb11bee487a429 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-03-13T06:08:46Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-c37b03104dc847e585bb11bee487a4292023-06-11T11:25:27ZengBMCBMC Pediatrics1471-24312023-06-012311910.1186/s12887-023-04100-3Foot deformity and quality of life among independently ambulating children with spina bifida in South KoreaHyeseon Yun0Eun Kyoung Choi1Hyun Woo Kim2Jeong Sook Ha3Doo Sung Kim4Kun-Bo Park5College of Nursing and Brain Korea 21 FOUR Project, Yonsei UniversityCollege of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei UniversityDivision of Pediatric Orthopaedic Surgery, Severance Children’s Hospital, Yonsei University College of MedicineSeverance Children’s Hospital, Yonsei University Health SystemDivision of Pediatric Orthopaedic Surgery, Severance Children’s Hospital, Yonsei University College of MedicineDivision of Pediatric Orthopaedic Surgery, Severance Children’s Hospital, Yonsei University College of MedicineAbstract Background Children with spina bifida (SB) may have congenital or acquired foot deformities due to neurological defects in the spinal cord. As the musculoskeletal system keeps growing, foot deformities can develop or become aggravated. Thus, healthcare providers should provide constant monitoring and proper orthopedic management. Since foot deformities can affect not only the gait but also the daily life of children with SB, it is necessary to investigate the impact of foot deformities on everyday life. The purpose of this study was to examine the relationship between foot deformity and health-related quality of life (HRQoL) among independently ambulating children with SB. Methods This cross-sectional study examined the associations between foot deformity and HRQoL using two patient-reported outcome measures (Oxford Ankle Foot Questionnaire, Pediatric Outcomes Data Collection Instrument) in 93 children with SB aged 7–18 years between January 2020 and July 2021. Results Children with foot deformity (n = 54) reported lower scores in all subscales (physical, school and play, emotional, and footwear) of the Oxford Ankle Foot Questionnaire for children than those without foot deformity (n = 39; p < 0.001). Additionally, in terms of the Pediatric Outcomes Data Collection Instrument, children with foot deformity also reported poorer scores in four subscales (transfer and basic mobility, sports and physical functioning, comfort and pain, happiness with physical functioning; p < 0.001) than those without foot deformity, whereas upper extremity functioning was not significantly affected. Children with foot deformities, particularly those with bilateral foot deformities, equinus deformities, or mixed deformities, which are different types of right and left foot deformities, have a lower perceived HRQoL (p < 0.05). Conclusions Among independently ambulating children with SB, those with foot deformities showed lower HRQoL. Moreover, children with foot deformities tend to have other clinical problems, including bladder and bowel dysfunction. Therefore, orthopedic management should consider the multifaceted factors that affect children’s daily life and HRQoL.https://doi.org/10.1186/s12887-023-04100-3ChildFoot deformitiesOrthopedicsSpinal dysraphismQuality of life |
| spellingShingle | Hyeseon Yun Eun Kyoung Choi Hyun Woo Kim Jeong Sook Ha Doo Sung Kim Kun-Bo Park Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea BMC Pediatrics Child Foot deformities Orthopedics Spinal dysraphism Quality of life |
| title | Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea |
| title_full | Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea |
| title_fullStr | Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea |
| title_full_unstemmed | Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea |
| title_short | Foot deformity and quality of life among independently ambulating children with spina bifida in South Korea |
| title_sort | foot deformity and quality of life among independently ambulating children with spina bifida in south korea |
| topic | Child Foot deformities Orthopedics Spinal dysraphism Quality of life |
| url | https://doi.org/10.1186/s12887-023-04100-3 |
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