Turkish Journal of Physiotherapy and Rehabilitation, vol.3325462, no. 33(2)54-62, pp.54-62, 2022 (ESCI)
Purpose: The aim of this study was to investigate whether the characteristics of the shoes used
by the children have an effect on the dynamic and static plantar pressure distribution parameters
and balance parameters in hearing impaired children, and to compare the results with those of nonhearing-impaired children.
Methods: The study included 136 children, 68 children with hearing impairment and 68 children
without hearing impairment. The Footwear Assessment Score (FAS) was applied to evaluate children's
footwears. Flamingo Balance Test (FBT) was used to evaluate the static balance of the children, and
the Functional Reach Test (FRT) was used to evaluate the dynamic balance of the children. Static and
dynamic plantar pressure distribution measurements of the children were carried out with a sensored
walking platform (Footscan® pedobarography system (RsScan-FootScan lab ltd., Ipswich, England)).
Results: In hearing impaired children, a positive relationship was found between FAS and dominant
foot total percentage of pressure values. In children without hearing impairment, there was a negative
relationship between FAS and dominant hindfoot pressure, and a positive relationship between FAS
and anterior non-dominant foot pressure (p<0.05). There was no significant relationship of FAS with
balance tests, dynamic plantar pressure values, and walking parameters in both groups (p>0.05).
Conclusions: The increase in static loading with the footwear suitability on the dominant foot in
hearing impaired children may be an indication that children with balance problems load more on the
dominant foot in order to feel safer.
Key Words: Balance, Footwear, Hearing Impaired, Plantar Pressure Distribution