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April 1, 2026Physical Therapy

Effects of Non-surgical Interventions on Standing Posture and Pain in Children with Flexible Flatfoot: A Network Meta-Analysis of Randomized Controlled Trials

L F Lin Ai-Chieh Lin Pei-Chun Lai Ching‐Ju Fang Yu‐Kang Tu Ming-Tung Huang P.-S. Wu Wei-Ren Su Chih-Kai Hong Fa‐Chuan Kuan K. C. Hsu Chih-Wei Chang Chii-Jeng Lin Jou-Hua Wang Zhao-Wei Liu Su-Ying Lee Chien‐An Shih

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Key Points

The aim is to compare non-surgical interventions for managing pediatric flexible flatfoot.
Conducted a systematic review and network meta-analysis of randomized controlled trials.
Included eleven trials with 761 children diagnosed with flexible flatfoot.
Compared interventions such as orthotic devices and exercise-based treatments on various outcomes.
NMES combined with corrective exercises improved the Staheli index significantly compared to no treatment.
Talus control insoles improved radiological outcomes compared to conventional footwear.
Traditional insoles reduced pain scores compared to flat insoles.

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Implication

Network meta-analysis compares effectiveness of non-surgical treatments for flexible flatfoot, suggesting best practices.

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Cite This Study

Lin et al. (2026) studied this question.

synapsesocial.com/papers/69cf5cd15a333a821460a590 https://doi.org/10.1093/ptj/pzag033

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Keep reading

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Biomechanical effects of foot orthoses in children with flexible flat foot; a systematic reviewSystematic Review · 2026
2Effects of Orthotic Interventions on Pain, Balance, and Plantar Pressure in Flexible Flatfoot: A Systematic ReviewSystematic Review · 2026
3<b>Effectiveness of Custom-Made Foot Orthoses Versus Standard Footwear in Children with Symptomatic Flexible Flatfoot: A Randomized Controlled Trial</b>2025 · 1 citations
4OrthoticS for TReatment of symptomatic flat feet In CHildren (OSTRICH): a randomised controlled trial2025
5Effects of conservative interventions on plantar pressure in individuals with flat foot: a systematic review and meta-analysisMeta-Analysis · 2026 · 1 citations