Is Dance Training Suitable for Children with Flat Feet? - Rehabilitation

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Is flatfoot suitable for learning dance?


My daughter is in the first grade and has been diagnosed with flat feet by a rehabilitation specialist.
She has a severe inward foot position and struggles with walking longer distances.
Currently, she has been using corrective rigid insoles in her shoes for about six months.
Given this situation, is it appropriate for her to take up dance as an extracurricular activity?

Fanrao de ma, 30~39 year old female. Ask Date: 2005/09/15

Dr. Pan Yingda reply Rehabilitation


Some say that having an inward foot position (internal rotation) is suitable for learning ballet, as ballet primarily involves outward positions.
However, I believe that the key question is whether children enjoy dancing.
My child is in first grade and has flat feet (a pediatrician at kindergarten conducted a screening, and since I am a rehabilitation physician, he didn't need to see a specialist for corrective shoes).
He walks well, even better than adults, and I haven't implemented any corrective measures.
He has plenty of opportunities to be barefoot and engage with nature.
Most newborns have flat feet, and the arch of the foot develops gradually over time.
Therefore, I think it's important to give children opportunities to move freely.
Corrective measures should only be considered as a last resort when improvement is no longer possible.
This is just my personal opinion and does not represent the views of other rehabilitation physicians.
Learning dance is great, especially if children enjoy it!

Reply Date: 2005/09/15

More Info


When considering whether dance training is suitable for children with flat feet, particularly in the case of a first grader who has been diagnosed with significant flatfoot and severe internal rotation (often referred to as "in-toeing"), several factors need to be taken into account. Flat feet, or pes planus, is a common condition in children where the arches of the feet are either absent or not fully developed. This can lead to various complications, including discomfort during walking or standing, and in some cases, it may affect overall mobility.

First and foremost, it is essential to understand that many children with flat feet can participate in physical activities, including dance, especially if they enjoy it. The key is to ensure that they are monitored and supported appropriately. In this specific case, the child has been using corrective orthotic insoles for about six months, which is a positive step toward managing the condition. These insoles can help provide the necessary arch support and improve alignment, potentially reducing discomfort during physical activities.

Dance, particularly styles like ballet, often emphasizes proper alignment and posture, which can be beneficial for children with flat feet. Ballet requires a lot of movements that promote external rotation of the hips and feet, which may help counteract the internal rotation seen in this child. However, it is crucial to ensure that the dance instructor is aware of the child’s condition and can provide modifications or adjustments to prevent strain or injury.

Moreover, it is important to consider the child's interest and enjoyment in dance. If the child is enthusiastic about learning to dance, this can have positive psychological benefits, including boosting self-esteem and providing a sense of accomplishment. Engaging in dance can also promote physical fitness, coordination, and social skills, which are all valuable for a child's development.

That said, it is advisable to consult with the child's healthcare provider or a physical therapist who specializes in pediatric orthopedics before starting dance classes. They can provide tailored advice based on the child's specific condition and needs. They may recommend specific exercises to strengthen the muscles around the feet and ankles, which can be beneficial for managing flat feet.

In summary, while flat feet can pose challenges, many children with this condition can successfully participate in dance training, provided they have the right support and guidance. The use of orthotic insoles, proper instruction, and a focus on the child's enjoyment and comfort are all critical components in making dance a suitable activity for children with flat feet. It is essential to monitor the child's progress and adjust their activities as needed to ensure they remain healthy and happy while pursuing their interest in dance.

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