Biomechanical assessment of the paediatric foot: using the current evidence
© Evans and Rome; licensee BioMed Central Ltd. 2012
Published: 10 April 2012
The paediatric flat foot is a frequent presentation in clinical practice, a common concern to parents and continues to be debated. As an entity, it is confused by varied classifications, the notion of well-intended prevention and unsubstantiated, if common, treatment . The paediatric flat foot proforma (p-FFP) is a standardized framework from which to evaluate the paediatric flat foot .
Materials and methods
Inter-rater reliability: mean inter-rater ICC’s (95% CI’s) and SEM in children aged seven to 15 years (n=30)
ICC (95% CI)
Foot Posture Index
Lower Limb Assessment Score
A recent critical literature review has identified that the resting calcaneal stance position (RCSP), navicular height and Foot Posture Index (FPI-6) are the only three reliable measures of static foot posture .
Further research is required to establish a universal method of assessment of paediatric foot posture. The relevance of static foot posture to pain and shod gait function remains largely unsubstantiated in children, and warrants further investigation.
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