{"id":19105,"date":"2021-01-18T18:16:00","date_gmt":"2021-01-18T17:16:00","guid":{"rendered":"https:\/\/www.mgc.es\/?p=19105"},"modified":"2021-03-11T10:58:14","modified_gmt":"2021-03-11T09:58:14","slug":"els-peus-plans-en-els-nens","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/els-peus-plans-en-els-nens\/","title":{"rendered":"Els peus plans en els nens"},"content":{"rendered":"\n<div class=\"video\"><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/417927270\" allow=\"autoplay; fullscreen\" allowfullscreen=\"\" width=\"640\" height=\"360\" frameborder=\"0\"><\/iframe><\/div>\n\n\n\n<p>El peu pla \u00e9s una afecci\u00f3 comuna i \u00e9s normal en nadons i nens petits. Es produeix quan el peu t\u00e9 una disminuci\u00f3 de l&#8217;altura de l&#8217;arc longitudinal plantar (tamb\u00e9 anomenat volta plantar). Parlem amb Xavier Noguer, especialista en podologia del Centre M\u00e8dic MGC, sobre com afecta els nens i quan \u00e9s necessari un tractament.<\/p>\n\n\n\n<!--more-->\n\n\n\n<p><strong>A qu\u00e8 s&#8217;anomena peu pla?<\/strong> El peu pla \u00e9s una alteraci\u00f3 de la volta plantar. Els \u00e9ssers humans tenim al peu unes estructures \u00f2ssies que estan unides i organitzades de manera que formen com una volta. Quan els teixits que sostenen les articulacions al peu estan fluixos, el peu s&#8217;eixampla i aquesta volta cau.<\/p>\n\n\n\n<p>L&#8217;arc longitudinal del peu es va desenvolupant de manera progressiva. Fins als dos o tres anys d&#8217;edat, la gran elasticitat i l&#8217;acumulaci\u00f3 de teixit adip\u00f3s donen al peu un aspecte de pla. A mesura que els nens creixen, els teixits del peu es van tensant fins a formar un arc, que aconsegueix la m\u00e0xima altura cap a l&#8217;adolesc\u00e8ncia. Tot i que la majoria dels adults tenen arcs normals, \u00e9s possible que en algunes persones aquest arc no arribi a formar-se mai.<\/p>\n\n\n\n<p><strong>Per qu\u00e8 es produeix?<\/strong> Les causes d&#8217;aquesta alteraci\u00f3 estructural caracter\u00edstica del peu pla solen ser dues. D&#8217;una banda, poden ser causes \u00f2ssies. \u00c9s a dir, que els ossos del peu estan disposats de manera que no permeten el desenvolupament normal de l&#8217;arc longitudinal. \u00c9s el que s&#8217;anomena un peu pla r\u00edgid.<\/p>\n\n\n\n<p>Una altra causa seria un peu que t\u00e9 una volta normal per\u00f2 en qu\u00e8 les estructures m\u00fasculo-lligamentoses i la f\u00e0scia no aguanten b\u00e9 i, llavors, el peu s&#8217;aplana i actua com un peu pla, tot i que t\u00e9 estructura. \u00c9s el que s&#8217;anomena peu pla flexible.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/vimeo.com\/417927270\"><img loading=\"lazy\" decoding=\"async\" width=\"880\" height=\"587\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2020\/05\/pies-planos-ni\u00f1os_redu-880x587.jpg\" alt=\"\" class=\"wp-image-19102\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2020\/05\/pies-planos-ni\u00f1os_redu-880x587.jpg 880w, https:\/\/www.mgc.es\/wp-content\/uploads\/2020\/05\/pies-planos-ni\u00f1os_redu-440x294.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2020\/05\/pies-planos-ni\u00f1os_redu-768x512.jpg 768w, https:\/\/www.mgc.es\/wp-content\/uploads\/2020\/05\/pies-planos-ni\u00f1os_redu-600x400.jpg 600w, https:\/\/www.mgc.es\/wp-content\/uploads\/2020\/05\/pies-planos-ni\u00f1os_redu.jpg 1100w\" sizes=\"auto, (max-width: 880px) 100vw, 880px\" \/><\/a><\/figure>\n\n\n\n<p><strong>Com sabem que un nen t\u00e9 el peu pla?<\/strong> Un dels factors que ens poden indicar l&#8217;exist\u00e8ncia d&#8217;el peu pla \u00e9s que els nens, a partir de l&#8217;any i mig o els dos anys, comencin a demanar bra\u00e7os o dir que tenen mal de cames, i s&#8217;asseguin i s&#8217;aixequin sovint quan estan de passeig. Aix\u00f2 ens pot estar dient que hi ha un problema al peu. De vegades tamb\u00e9 hi ha dolor, tot i que no \u00e9s sempre present. No tots els nens amb peu pla tenen dolor. Tamb\u00e9 es veuen alteracions de la marxa, maneres de caminar que s\u00f3n una mica complexes.<\/p>\n\n\n\n<p>Per fer un diagn\u00f2stic concret de peu pla, a partir dels dos anys i mig o els tres anys i mig, l&#8217;especialista ha de fer una exploraci\u00f3 m\u00fasculo-esquel\u00e8tica de l&#8217;infant amb especial atenci\u00f3 al turmell i el peu, i una previsi\u00f3 de futur. Es comprova, en sedestaci\u00f3 i caminant, amb certs punts de refer\u00e8ncia, si els ossos no estan alineats de la manera adequada. Les dues exploracions b\u00e0siques per comprovar que es tracta d&#8217;un peu pla flexible i descartar un peu pla r\u00edgid s\u00f3n el test de &#8220;Jack&#8221; i l&#8217;observaci\u00f3 del peu quan el nen es col\u00b7loca de puntetes.<\/p>\n\n\n\n<p><strong>Qu\u00e8 cal fer quan el nen t\u00e9 el peu pla?<\/strong> El treball dels especialistes en podologia \u00e9s aconseguir que l&#8217;estructura del peu de l&#8217;infant formi la volta plantar i que l&#8217;arc aguanti. Pot fer-se mitjan\u00e7ant exercicis de flexibilitat i potenciaci\u00f3 o, a partir dels quatre anys aproximadament, utilitzant plantilles personalitzades que canvi\u00efn els eixos d&#8217;alineaci\u00f3 del peu perqu\u00e8 els m\u00fasculs treballin de manera diferent.<\/p>\n\n\n\n<p>Les plantilles es poden posar en qualsevol cal\u00e7at que compleixi els requisits adequats, per exemple, que no deixi el peu solt per la part del tal\u00f3, cal\u00e7at que inclou el esportiu. De fet, en la podologia esportiva les plantilles tamb\u00e9 s&#8217;utilitzen per millorar la biomec\u00e0nica del peu.<\/p>\n\n\n\n<p>En nens que ja tenen l&#8217;estructura formada i no hi ha dolor o problemes per caminar, no sempre \u00e9s necessari l&#8217;\u00fas de plantilles, o es poden utilitzar de manera pal\u00b7liativa per evitar que el peu caigui m\u00e9s del normal. L&#8217;\u00fas de les plantilles tamb\u00e9 pot millorar una mica la seva deambulaci\u00f3. Les plantilles han de ser personalitzades, adaptades al creixement de l&#8217;infant, i utilitzar-se fins que vegem que l&#8217;estructura plantar, la volta, \u00e9s fixa. Hi ha pacients en qu\u00e8 amb poc temps ja n&#8217;hi ha prou. Per\u00f2 mentre no hi hagi dolor, i si no interfereix gaire en el creixement, no s&#8217;ha de posar aquest tipus de tractament. Una bona previsi\u00f3, una visita a l\u2019especialista, ens traur\u00e0 de dubtes en aquests casos.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El peu pla \u00e9s una afecci\u00f3 comuna i \u00e9s normal en nadons i nens petits. Es produeix quan el peu t\u00e9 una disminuci\u00f3 de l&#8217;altura de l&#8217;arc longitudinal plantar (tamb\u00e9 anomenat volta plantar). Parlem amb Xavier Noguer, especialista en podologia del Centre M\u00e8dic MGC, sobre com afecta els nens i quan \u00e9s necessari un tractament.<\/p>\n","protected":false},"author":3,"featured_media":19753,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[669,1000,15,668],"tags":[402,413,463,478,481],"class_list":["post-19105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fills","category-podologia","category-salut","category-vida-parella","tag-centre-medic","tag-destacat","tag-nens","tag-podologia-ca","tag-prevencio"],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2020\/05\/THUMBNAIL_podologia_infantil-1.jpg","author_info":{"display_name":"Revista Inter\u00e8s Mutu","author_link":"https:\/\/www.mgc.es\/ca\/blog\/author\/interesmutu\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Els peus plans en els nens - MGC M\u00fatua<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mgc.es\/ca\/blog\/els-peus-plans-en-els-nens\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Els peus plans en els nens - MGC M\u00fatua\" \/>\n<meta property=\"og:description\" content=\"El peu pla \u00e9s una afecci\u00f3 comuna i \u00e9s normal en nadons i nens petits. 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