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. 2022 Jan 14;2022(1):CD006311. doi: 10.1002/14651858.CD006311.pub3

Ahn 2017.

Study characteristics
Methods Randomised controlled two‐arm parallel trial
Participants 40 children with flexible flat feet
Age: average 10 (4.5) years
Gender: 24 M, 16 F
Location: Daejeon, Korea
Setting: Department of Pediatric Rehabilitation at Chung Nam National University Hospital
Inclusion criteria: flexible flatfoot defined as > 4° valgus RCSP, one abnormal x‐ray finding i.e. > 30° AP talo‐calcaneal angle, > 45° lateral talo‐calcaneal angles, > 4° lateral talo‐metatarsal angles, < 10° calcaneal pitch
Exclusion criteria: rigid flatfoot, of any cause
Baseline characteristics: matched except for age ‐ RFO 10.14 (4.99) years, TCFO 9.59 (4.24) years
Interventions 1. rigid foot orthoses (N = 20)
2. talus control foot orthoses (N = 20)
Outcomes ‐ RCSP
‐ x‐rays, 4 angles: AP talo‐calcaneal angle, lateral talo‐calcaneal angles, lateral talo‐metatarsal angles, calcaneal pitch
Both measures were assessed at baseline and after 12 months
Source of funding none reported
Notes no mention of pain, or gait parameters
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information about the sequence generation process to permit judgement of low risk or high risk.
‘Forty children were randomly prescribed a foot orthosis: 20 a RFO and 20 a TCFO’
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement of low risk or high risk.
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants were not blinded
Personnel were not blinded
Blinding of outcome assessment (detection bias) ‐ self‐reported outcomes (e.g., pain, function) High risk N/A
Blinding of outcome assessment (detection bias) ‐ objective outcomes Unclear risk It was not clear if the person who measured resting calcaneal stance position or radiographs was blinded.
Incomplete outcome data (attrition bias)
All outcomes Unclear risk The number of children who completed the study, or for whom outcome data were presented was not reported.
Selective reporting (reporting bias) Unclear risk No reference to study protocol.
Insufficient information to permit judgement of low risk or high risk.
Other bias Unclear risk Funding source for orthoses was not stated.