Visual categorisation of the Arch Index: a simplified measure of foot posture in older people
© Menz et al; licensee BioMed Central Ltd. 2012
Published: 10 April 2012
Many foot posture measurement approaches are not suitable for routine use as they are time-consuming or require specialised equipment and/or clinical expertise. The objective of this study was to develop and evaluate a simple visual assessment tool for foot posture assessment based on the Arch Index (AI) .
Materials and methods
Inter- and intra-tester reliability of the examiners was almost perfect (percentage agreement = 93 to 97%; Spearman’s rho = 0.91 to 0.95, and weighted kappas = 0.85 to 0.93). Examiner’s scores were strongly correlated with actual AI values (Spearman’s rho = 0.91 to 0.94 and significant differences between all categories with ANOVA; p<0.001) and AI categories (percentage agreement = 95 to 98%; Spearman’s rho = 0.89 to 0.94, and weighted kappas = 0.87 to 0.94). There was a slight tendency for examiners to categorise participants as having higher arches than their AI scores indicated.
Foot posture can be quickly and reliably categorised as high, normal or low in older people using a simplified visual categorisation tool based on the AI.
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