Comparative analysis of the foot position in children with symptomatic and asymptomatic flatfoot using the foot posture index (FPI-6)

2020 ◽  
Vol 5 (4) ◽  
pp. 76-83
Author(s):  
N. A. Shabaldin ◽  
A. V. Shabaldin ◽  
F. V. Titov ◽  
V. A. Kokina
Keyword(s):  
Conservative Treatment ◽  
The Body ◽  
Healthy Children ◽  
Lateral Projection ◽  
Foot Posture Index ◽  
Posture Index ◽  
Efficient Approach ◽  
Asymptomatic Children ◽  
Foot Posture ◽  
Foot Position

Aim. To compare the foot position in asymptomatic children and those who received conservative or surgical because of flatfoot.Materials and Methods. We consecutively recruited three patient groups: 112 healthy children, 74 children with a pronation position, and 80 children with an overpronation position of the foot. The Foot Posture Index (FPI – 6) was used for the clinical examination. Visual and manual clinical tests were used to determine the mobility of the foot joints. X-ray was performed in a standard lateral projection with a load; if necessary, multislice computed tomography of the foot was performed.Results. Healthy children commonly have pronation position of the foot during the first 10 years of life, with the further normalisation of the posture. In patients receiving conservative treatment of foot pronation, normalisation of the foot position was considerably less pronounced than in healthy children. Further, in those with overpronation position, there were no age-dependent changes in the posture and surgery was the only efficient approach to correct the flatfoot.Conclusion. FPI-6 is a highly sensitive tool for clinical diagnosis of flatfoot. Moderate pronation has a more favorable prognosis than the overpronation position, which is not corrected during the body growth or by the conservative treatment. Yet, surgery is a safe and efficient approach to relieve the pain syndrome and treat the flatfoot deformity.

Influence of Age, Sex, and Anthropometric Determinants on the Foot Posture Index in a Pediatric Population

2017 ◽  
Vol 107 (2) ◽  
pp. 124-129 ◽  
Author(s):  
Ana María Jimenez-Cebrian ◽  
María Francisca Morente-Bernal ◽  
Pedro Daniel Román-Bravo ◽  
Juan Francisco Saucedo-Badía ◽  
Juan Antonio Alonso-Ríos ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Quantitative Result ◽  
Total Sample ◽  
Clinical Tool ◽  
Foot Posture Index ◽  
Posture Index ◽  
Asymptomatic Children ◽  
Foot Posture ◽  
The Mean ◽  
Foot Position

Background: The Foot Posture Index (FPI) is a clinical tool for diagnosis that aims to quantify the grade of a foot position as neutral, pronated, or supinated. Its purpose is to develop a simple six-factor method for rating foot posture with an easy and quantitative result. We evaluated possible differences in the FPI by sex and the influences of age, weight, height, foot size, and body mass index (BMI) on foot posture. Methods: In 150 asymptomatic children (79 boys and 71 girls) aged 8 to 13 years, we determined weight, height, BMI, and FPI in the bipedal, static, and relaxed position. The FPI was obtained as the sum of the scores (–2, –1, 0, 1, 2) given to each of the six criteria. Results: The mean ± SD FPI value for the total sample was 5.1 ± 2.1 (boys: 5.1 ± 2.2; girls: 5.2 ± 2.0), so there were no significant differences between the sexes (P = .636). Of the 150 feet examined, none had FPI values of very supinated or highly pronated, two were supinated (1.3%), 76 neutral (50.7%), and 72 pronated (48.0%). Of the total FPI values, 7.7% can be explained by anthropometric variables: height, weight, and foot size (r2 = 0.077; P < .010). Conclusions: The most frequent foot postures in the sample were neutral and pronated. Neither age nor BMI explained variations in the FPI.

Criterion Validation of Four Criteria of the Foot Posture Index

2004 ◽  
Vol 94 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Rolf Scharfbillig ◽  
Angela M. Evans ◽  
Alexander W. Copper ◽  
Marie Williams ◽  
Sheila Scutter ◽  
...  
Keyword(s):  
Linear Model ◽  
Generalized Linear Model ◽  
Initial Study ◽  
Radiographic Images ◽  
Foot Posture Index ◽  
Posture Index ◽  
Criterion Validation ◽  
Foot Posture ◽  
Final Score ◽  
Foot Position

The Foot Posture Index is a new multidimensional and multiplanar tool aimed at quantifying the degree of pronation to supination of the foot, comprising eight criteria that sum to produce a final “score” of foot posture. In an initial study involving 31 subjects, angulations measured from dorsoplantar and lateral radiographs were compared with the corresponding Foot Posture Index criteria using Spearman’s rho and the generalized linear model of analysis of variance. Eleven of the participants from Study 1 completed a second study in which wedges were used to alter foot position to determine whether changes to foot position were sensitively reflected in Foot Posture Index criterion scores and associated radiographic images. Study 1 demonstrated a significant correlation for only one criterion (talar head palpation), while Study 2 demonstrated intrasubject sensitivity to overall changes from supinated to pronated and supinated to resting positions but insensitivity to changes from resting to pronated positions. The results suggest that although the Foot Posture Index could be a useful tool to broadly classify foot postures, it is not sensitive to all small movements when assessed by this method. (J Am Podiatr Med Assoc 94(1): 31-38, 2004)

Reliability of the Foot Posture Index and Traditional Measures of Foot Position

2003 ◽  
Vol 93 (3) ◽  
pp. 203-213 ◽  
Author(s):  
Angela M. Evans ◽  
Alexander W. Copper ◽  
Rolf W. Scharfbillig ◽  
Sheila D. Scutter ◽  
Marie T. Williams
Keyword(s):  
Repeated Measures ◽  
Interrater Reliability ◽  
Age Groups ◽  
Reliable Measure ◽  
Foot Posture Index ◽  
Posture Index ◽  
Foot Length ◽  
Foot Posture ◽  
Foot Position ◽  
Adequate Reliability

Repeatable measures are essential for clinicians and researchers alike. Both need baseline measures that are reliable, as intervention effects cannot be accurately identified without consistent measures. The intrarater and interrater reliability of the new Foot Posture Index and current podiatric measures of foot position were assessed using a same-subject, repeated-measures study design across three age groups. The Foot Posture Index total score showed moderate reliability overall, demonstrating better reliability than most other current measures, although navicular height (normalized for foot length) was the single most reliable measure in adults. None of the tested measures exhibited adequate reliability in young children, and, with less-than-desirable reliability being demonstrated, most measures need to be interpreted accordingly when repeated measures are involved. (J Am Podiatr Med Assoc 93(3): 203-213, 2003)

scholarly journals Establishing normative foot posture index values for the paediatric population: a cross-sectional study

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Gabriel Gijon-Nogueron ◽  
Jesus Montes-Alguacil ◽  
Pilar Alfageme-Garcia ◽  
Jose Antonio Cervera-Marin ◽  
Jose Miguel Morales-Asencio ◽  
...  
Keyword(s):  
Paediatric Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Foot Posture Index ◽  
Posture Index ◽  
Foot Posture

Association between the Foot Posture Index and running related injuries: A case-control study

2019 ◽  
Vol 61 ◽  
pp. 217-221
Author(s):  
Aitor Pérez-Morcillo ◽  
Antonio Gómez-Bernal ◽  
Vicente F. Gil-Guillen ◽  
Javier Alfaro-Santafé ◽  
José Víctor Alfaro-Santafé ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
Foot Posture Index ◽  
Posture Index ◽  
Foot Posture ◽  
Control Study

scholarly journals Association between Foot Posture Index and Ankle Sprain in Indoor Football Players

2016 ◽  
Vol 8 (10) ◽  
pp. 160 ◽  
Author(s):  
Afsaneh Safar Cherati ◽  
Masoud Dousti ◽  
Shima Younespour
Keyword(s):  
Ankle Sprain ◽  
Football Players ◽  
Male And Female ◽  
Positive History ◽  
Foot Posture Index ◽  
Posture Index ◽  
Foot Posture ◽  
History Of ◽  
The Relationship

<p><strong>Objective</strong><strong>: </strong>This study investigated the relationship between foot type and ankle sprain incidence.</p><p><strong>Method</strong><strong>: </strong>In a prospective cohort study using the FPI, 68 adult male and female indoor football (Futsal) players were measured and their feet were classified according to foot posture index (FPI) as neutral, supinated and pronated. They were followed over 6 month as a one competition season and at the end, any injuries at the ankle during this period were detected.</p><p><strong>Result</strong><strong>: </strong>There was no significant association between FPI score (considering the total FPI score and its six components) and occurrence of ankle sprain. Also, no association was existed between gender, age, height, weight, BMI, duration of professional exercise, dominant foot and occurrence of ankle sprain. In this study, the history of previous ankle sprain was the only significant predictor of the occurrence of ankle sprain in the follow-up period. Participants with the positive history of previous ankle sprain were at higher risk of developing new ankle sprain (OR=6.02, 95% CI: (1.93, 18.84), p=0.002).</p><p><strong>Conclusion</strong><strong>: </strong>There was no significant association between FPI score and occurrence of ankle sprain.<strong></strong></p><p><strong>Limitation: </strong>there was scarce of supinated foot in the study so evaluation of relationship between supinated feet and ankle sprain was not applicable.</p>

Effect of Foot Morphology on Center-of-Pressure Excursion During Barefoot Walking

2008 ◽  
Vol 98 (2) ◽  
pp. 112-117 ◽  
Author(s):  
Lilian Wong ◽  
Adrienne Hunt ◽  
Joshua Burns ◽  
Jack Crosbie
Keyword(s):  
Regional Differences ◽  
Center Of Pressure ◽  
Pressure Data ◽  
Lateral Border ◽  
Foot Posture Index ◽  
Posture Index ◽  
Foot Posture ◽  
Foot Morphology ◽  
The Relationship

Background: The path of the center of pressure during walking varies among individuals by deviating to a greater or lesser extent toward the medial or lateral border of the foot. It is unclear whether this variance is systematic and is affected by foot posture. The aim of this study was to explore the relationship between foot morphology and center-of-pressure excursion during barefoot walking. Methods: Pressure data were collected from 83 participants whose foot type had been classified as supinated, normal, or pronated according to the Foot Posture Index. Three center-of-pressure variables were analyzed: medial excursion area, lateral excursion area, and total excursion area. Results: Across the spectrum of foot types, we found that the more supinated a participant’s foot posture, the larger the area of lateral center-of-pressure excursion, and, conversely, the more pronated the foot posture, the smaller the area of lateral center-of-pressure excursion. Furthermore, the supinated foot type had a relatively larger center-of-pressure total excursion area, and the pronated foot type had a relatively smaller center-of-pressure total excursion area. Conclusions: These results indicate the importance of assessing foot posture when measuring center of pressure and may help explain regional differences in pain and injury location among foot types. (J Am Podiatr Med Assoc 98(2): 112–117, 2008)

scholarly journals A Positive Association Between Foot Posture Index and Medial Compartment Knee Osteoarthritis in Moroccan People

2014 ◽  
Vol 8 (1) ◽  
pp. 96-99 ◽  
Author(s):  
Abourazzak F.E ◽  
Kadi N ◽  
Azzouzi H ◽  
Lazrak F ◽  
Najdi A ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Medial Compartment ◽  
Control Group ◽  
Flat Foot ◽  
Pes Cavus ◽  
Foot Posture Index ◽  
Posture Index ◽  
Knee Oa ◽  
Significant Difference ◽  
Foot Posture

Objectives : To compare foot posture in people with and without medial compartment knee osteoarthritis (OA), and to assess association between its abnormalities and medial compartment knee OA. Methods : We compared the foot posture of patients with clinically and radiographically-confirmed medial compartment knee OA and asymptomatic healthy controls using the foot posture index (FPI), navicular height, and the medial arch. Results : We included 100 patients and 80 asymptomatic controls. The mean age of patients was 59 ± 7 (44-76) years and 48 ± 9 (28-60) years in the control (p=0.06). Patients group have more pronated foot for FPI (1.50 ± 2.68 vs 0.72 ± 2.63; p=0.05), more flat foot (42% vs 22%; p=0.03), and less pes cavus than the control group (58% vs 77%; p=0.004). However, there was no significant difference between the groups in the navicular height (3.90 ± 0.85 cm vs 4.00 ± 0.76 cm; p=0.41). In multivariate statistical analysis, after adjusting for age and body mass index, pronated foot in FPI (OR=1.22, 95%IC= [1.06-1.40], p=0.005), and pes cavus (OR=0.32, 95%IC= [0.11-0.93], p=0.03) had a significant correlation with the knee osteoarthritis. Conclusion : Pronated foot posture and flat foot are significantly associated with medial compartment knee osteoarthritis.

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