Psychosocial development and corrective shoewear use in childhood
Driano, A.N.; Staheli, L.; Staheli, L.T.
Journal of Pediatric Orthopedics 18(3): 346-349
1998
ISSN/ISBN: 0271-6798 PMID: 9600561 Document Number: 486480
To assess the short- and long-term psychosocial effects of wearing modified shoes during childhood, we compared measures of self-esteem and self-image of 46 adults who wore shoe modifications during childhood with 92 adult controls. The treated cases characterized their remembrance of the experience through a subjective report questionnaire. Those who wore shoe modifications during childhood showed lower self-esteem than controls (p < 0.05). In addition, the treated recalled a decrease in their self-image (41%), the experience as negative (57%), being teased about their footwear (47%), and having their activities limited (41%). These findings show that wearing shoe modifications during childhood, in addition to being ineffective and unnecessary as demonstrated in prior studies, is a negative experience in childhood and is associated with lower self-esteem in adult life. Such data suggest that children who wore modified footwear may fall into the spectrum of the vulnerable child syndrome.