Projects & Grants

Hyperpronation syndrome in children - diagnostics and therapy from the physiotherapist´s point of view
Project IdSGS02/LF/2020
Main solverIng. Bc. Lucie Honzíková, Ph.D.
Periodr1/2020 - 12/2020
ProviderSpecifický VŠ výzkum
AnotationHyperpronation syndrome manifests under load as compensation for structural or functional disorders in the distal or proximal segments of the lower limb (Vařeka & Vařeková, 2009). It is usually associated with disto-proximal chaining of the disorder in forefoot varus or rearfoot varus. Several studies have shown the effect of foot pronation on the position of the lower limb including the pelvis (Duval, Lam & Sanderson, 2010; Khamis & Yizhar, 2007; Pinta et al., 2008; Tateuchi, Wada & Ichihashi, 2011; Twomey & McIntosh, 2012; Zafiropoulos, Prasad, Kouboura & Danis, 2009). The Duval et al. (2010), Khamise and Yizhara (2007), Pinta et al. (2008), Tateuchi et al. (2011) assess the relationship only under static load and when simulating foot pronation using lateral wedges inserted under the foot along its entire length. As a result, there was a significant increase in the internal rotation of the lower limb, which is also associated with increased pelvic anteversion (Khamis & Yizhar, 2007; Tateuchi et al., 2011; Zafiropoulos et al. 2009). Proximo-distal chaining, on the other hand, may be due to a structural or functional disorder in the hip or pelvis projecting into the acral regions (Vařeka & Vařeková, 2009). An important part of the solution of hyperpronation syndrome in children is the recommendation of various rehabilitation exercises, which are not only to activate the muscles on the sole of the foot, but also to learn to control the foot by volition. We lose this ability due to the fact that children have been put on shoes since the moment they stand (Rao and Joseph, 1992). The aim of this project is to verify whether the targeted therapy focused on the activation of the foot muscles can influence both the position of the individual foot segments and the way the foot is loaded and the position of the segments in the higher levels of the lower limb and axial skeleton. It is therefore a comprehensive view and therapeutic approach focused on the issue of the child's