RT Journal Article
T1 International normative data for paediatric foot posture assessment: a cross-sectional investigation.
A1 Gijon-Nogueron, Gabriel
A1 Martinez-Nova, Alfonso
A1 Alfageme-Garcia, Pilar
A1 Montes-Alguacil, Jesus
A1 Evans, Angela Margaret
K1 children
K1 flatfoot
K1 foot
K1 foot posture index
K1 paediatric
K1 posture
AB The foot posture index (FPI) is an observational tool designed to measure the position of the foot. The objective of this study was to establish international reference data for foot posture across childhood, and influence of body mass index (BMI) on paediatric foot posture. Cross-sectional study. The dataset comprised 3217 healthy children, aged from 3 to 15 years. Contributing data were acquired from Spain, UK and Australia. Foot posture was described by means and z-score of the FPI and the height and weight of each subject was measured and the BMI was calculated. The foot posture of 3217 children were reviewed. A pronated (FPI ≥+6) foot posture was found in 960 (29.8%) children, a normal (FPI 0 to +6) foot posture in 1776 (55.2%) and a highly pronated (FPI +10) foot posture was found in 127 children (3.9%) (range -4 to +12 FPI). Less than 11% were found to have a supinated foot type (n=354). Approximately 20% of children were overweight/obese, but correlation between BMI and FPI was weak and inverse (r=-0.066, p This study confirms that the 'flat' or pronated foot is the common foot posture of childhood, with FPI score of +4 (3) the average finding. Trend indicated a less flatfoot with age, although non-linear. A wide normal range of foot posture across childhood is confirmed.
YR 2019
FD 2019-04-14
LK http://hdl.handle.net/10668/13837
UL http://hdl.handle.net/10668/13837
LA en
DS RISalud
RD Apr 10, 2025