Changes in foot posture evaluated with dynamic pedobarography over the course of childhood in ambulatory youth with cerebral palsy

Church, Chris; Lennon, Nancy; Lennon, Madison; Henley, John D; Shields, Thomas; Niiler, Tim; Taylor, Daveda A; Shrader, M Wade; Miller, Freeman

doi:10.1177/18632521231208746

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…Following the lead of similar studies that involved no more than 85 participants [20,21], we recruited a convenience sample of 100 healthy adults from among the students and personnel of the clinic after announcing the study. Those interested in participating voluntarily contacted the outpatient office, where eligibility was confirmed by a physiotherapist who was unaware of our research objectives.…”

Section: Participantsmentioning

confidence: 99%

Foot Posture Index Does Not Correlate with Dynamic Foot Assessment Performed via Baropodometric Examination: A Cross-Sectional Study

Origo,

Buffone,

Montini

et al. 2024

Healthcare

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Background. Clinicians employ foot morphology assessment to evaluate the functionality of the method and anticipate possible injuries. This study aims to correlate static foot posture and the dynamic barefoot evaluation in a sample of healthy adult participants. Methods. The foot posture was evaluated using the Foot Posture Index-6 (FPI-6) and the dynamics were evaluated through baropodometric examination. Two operators independently assessed the participants’ foot posture through FPI-6, and then a dynamic evaluation was performed by asking them to walk 8 times across a platform. One hundred participants (mean age: 32.15 ± 7.49) were enrolled. Results. The inter-rater agreement between the two assessors was found to be excellent. The majority of the feet belonged to the 0 < FPI < 4 class (32%), followed by the 4 < FPI < 8 (31%) and the FPI > 8 ranges (19.5%). Our “area of contact” analysis showed a significant poor correlation between FPI and total foot, midfoot, and the second metatarsophalangeal joint (MTPJ) (−0.3 < r < 0). Regarding “force” parameters, the analysis showed a poor correlation between the midfoot, hallux, and the second toe (−0.2 < r < 2); finally the “pressure” analysis showed a poor correlation between FPI, the fourth MTPJ, and the second toe (−0.2 < rs < 0.3) and a moderate correlation between the hallux (r = 0.374) and the fifth MTPJ (r = 0.427). Conclusions. This study emphasizes the constrained correlation between static foot posture observation and dynamic barefoot examination.

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Section: Participantsmentioning

confidence: 99%

Foot Posture Index Does Not Correlate with Dynamic Foot Assessment Performed via Baropodometric Examination: A Cross-Sectional Study

Origo,

Buffone,

Montini

et al. 2024

Healthcare

View full text Add to dashboard Cite

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Prevalence of valgus and varus foot deformities in 2784 children with cerebral palsy, a register-based cross-sectional study

Manousaki,

Rodby-Bousquet,

Pettersson

et al. 2024

BMC Musculoskelet Disord

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Background Foot deformities, such as valgus and varus in the coronal plane and equinus in the sagittal plane, are common in children with cerebral palsy (CP). The purpose of this study was to describe the prevalence of coronal plane foot deformities and their association with the Gross Motor Function Classification System (GMFCS) level, age, CP subtype, and equinus in children with CP. Methods A cross-sectional study was performed of 2784 children (1644 boys, 1140 girls), mean age 10 years, 2 months (standard deviation, 4.83), from the Swedish CP Follow-up Program and registry for 2021–2023. Single and multiple binary regression analyses estimated the association between coronal plane foot deformities (valgus or varus) and sex, age, GMFCS level, CP subtype, and equinus. Results More than half (58%) the children with CP had valgus feet and 6% had varus feet. Valgus feet were more common in young children with high GMFCS levels, whereas the number of varus feet remained consistently low across all GMFCS levels. The prevalence of valgus feet was lower in older children at GMFCS I and II, but remained high in older children at GMFCS III–V. Coronal plane foot deformities were associated with higher GMFCS levels (odds ratio [OR] 11, 95% confidence interval [CI] 8–15 for GMFCS V), lower age (OR 1.5, 95% CI 1.3–1.7), and equinus (OR 1.9, 95% CI 1.4–2.5). Conclusions Most children with CP have a coronal plane foot deformity. Valgus is most commonly associated with higher GMFCS levels and lower age. These findings contribute to a mapping of the children with an increased risk of foot deformities and also highlight the need for continuous follow-up of foot deformities in children with CP.

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Changes in foot posture evaluated with dynamic pedobarography over the course of childhood in ambulatory youth with cerebral palsy

Cited by 2 publications

References 32 publications

Foot Posture Index Does Not Correlate with Dynamic Foot Assessment Performed via Baropodometric Examination: A Cross-Sectional Study

Foot Posture Index Does Not Correlate with Dynamic Foot Assessment Performed via Baropodometric Examination: A Cross-Sectional Study

Prevalence of valgus and varus foot deformities in 2784 children with cerebral palsy, a register-based cross-sectional study

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