Foot Orthoses for Pediatric Flexible Flatfoot

In Brief Purpose: This study aimed to examine the evidence for flatfoot intervention in children with gross motor delay of neurological origin, and to understand how physical therapists use foot orthoses (FOs) to treat this population. Methods: Thirty-four physical therapists employed in Canadian publicly funded pediatric centers were surveyed to explore current practices and beliefs related to FOs. Results: Responses are discussed in the context of the research literature. Objective physical examination and differentiation between developmental and pathological flatfeet can help clinicians to identify suitable FO candidates, monitor foot posture over time, and evaluate treatment effectiveness. Conclusions: An evidence-informed approach to assessment and intervention has the potential to improve clinical outcomes for clients with pediatric flatfoot. This survey of clinical PTs demonstrates use of foot orthoses in situations where their use is not supported by evidence. The author provides suggestions for practice using more refined diagnostic classification of flatfoot.