Prevalence and Associated Factors of Pes Planus in Children and Young Adults With Down’s Syndrome at Kenyatta National Hospital

Abstract

Introduction: Pes planus, also known as flat foot, comprises of a loss of the medial longitudinal arch, a hindfoot which is in valgus and a forefoot in abduction with weight bearing. Pes planus is a common foot disorder in persons with Down’s syndrome with a prevalence rate of 60% - 91% and is associated with significant morbidity. If left untreated, it can result in delay in ambulation and subsequently osteoarthritis. Down’s syndrome is a chromosomal disorder which occurs frequently in humans and causes intellectual disability. Persons who have Down’s syndrome are living longer today thus musculoskeletal complications that arise in childhood may have longer lasting adverse effects in adulthood and cause osteoarthritis which leads to disability. This study aims to highlight on the prevalence of flat foot in children and young adults with Down’s Syndrome to inform policy/practice on routine musculoskeletal screening for this population. Objectives: To establish the prevalence and associated factors of Pes planus in children and young adults with Down’s syndrome of ages 5- 21 years seen at Kenyatta National Hospital..................................................................................................................................................