Assessing Plantar Pressure Distribution in Children with Flatfoot Arch

Pauk, Jolanta; Ihnatouski, Mikhaił; Najafi, Bijan

doi:10.7547/8750-7315-104.6.622

Cited by 45 publications

(47 citation statements)

References 22 publications

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“…35 However, others have found CA to be a practical, reliable and sensitive measure of arch height in children, stating that it can estimate plantar pressure under the medial arch and diagnose problems associated with flat feet. 22 Our study concurs with Diéguez et al, who found a relationship between static measures and foot type categories and stipulated limits without dynamic variables. 36 An association has been observed between increased plantar foot surface area and pes planus and a greater propensity for overuse injuries in the lower extremities.…”

Section: Discussionsupporting

confidence: 93%

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Evaluation of the paediatric foot using footprints and foot posture index: A cross‐sectional study

Gijón-Noguerón

Marchena‐Rodriguez

Montes-Alguacil

et al. 2019

J Paediatrics Child Health

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Aim Footprints have long been used as proxy measures of foot morphology, yet there is little consensus regarding footprints versus measures of foot posture, which address foot anatomy directly. Foot posture in children can be a confusing clinical presentation, with previous studies both supporting and refuting the relationship between childhood obesity and flat feet. The aim of this study was to determine the relationship between footprints and foot posture in children. Methods A total of 316 school children (153 boys, 163 girls) from Spain, aged 6–9 years, were assessed for both footprint (Clarke's angle (CA)), by Tecniwork Pedrograph Plate, and foot posture (foot posture index (FPI)) measures, with participants barefoot, in a relaxed standing position, on a 50‐cm elevated platform. Results A negative correlation was found between FPI and footprints (CA) (rho = −0.505 left, P < 0.001) and by gender (rho = −0.457 for the left foot in girls, P < 0.001; rho = −0.548 for the left foot in boys, P < 0.001). The children with pes cavus according to the CA (73.3%) had normal feet according to FPI, and the children with severe pes planus according to the CA (78.98%) had pronated feet according to the FPI. A χ2 test showed these results to be statistically significant (P > 0.001). Conclusions An inverse relationship between CA and FPI was identified, that is, the greater the FPI, the smaller the CA, but not all pronated foot are planus feet and not all cavus feet are supinated feet. Footprints may overestimate and misguide paediatric foot posture concerns.

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Section: Discussionsupporting

confidence: 93%

“…This discordance was found to decrease with higher BMI values . However, others have found CA to be a practical, reliable and sensitive measure of arch height in children, stating that it can estimate plantar pressure under the medial arch and diagnose problems associated with flat feet …”

Section: Discussionmentioning

confidence: 99%

Evaluation of the paediatric foot using footprints and foot posture index: A cross‐sectional study

Gijón-Noguerón

Marchena‐Rodriguez

Montes-Alguacil

et al. 2019

J Paediatrics Child Health

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“…Pauk et al (18) y Periyamasy y Anand(15) coincidieron en las presiones obtenidas en el estudio que realizaron, comparando las presiones del pie normal con las del pie plano. Ambos indicaron un aumento de presión en la zona del mediopié: Pauk et al (18) …”

Section: Presiones Plantares En El Pie Planounclassified

“…En relación al pie cavo y al pie plano, hay estudios que comparan las presiones plantares de estas dos tipologías de pie entre sí, a parte de la comparativa mencionada anteriormente con el pie normal (15,18).…”

Section: Figura 4 Presiones Plantares Del Pie Planounclassified

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Presiones plantares de las patologías más frecuentes en el pie

Jiménez¹,

Maldonado²

2016

Eur J Pod

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Objetivos: Conocer la evidencia científica de los valores de presión plantar establecidos como “normales”, así como la modificación de éstas en las patologías más frecuentes del pie. El estudio de las presiones plantares se realizará complementario a la exploración, y servirá de ayuda para el diagnóstico de diversas patologías.Material y Métodos: Revisión narrativa realizada a través de 76 referencias (8 libros, 55 artículos científicos, 1 tesis doctoral y 3 páginas de internet.). Usando palabras clave como pressure plantar, cavus foot, flatfoot, claw toe… etc, en distintas bases de datos, siendo PubMed la más usada.Resultados: Los datos de presiones plantares reflejan la arquitectura del pie, por lo que, por regla general, el pie cavo posee mayores presiones en antepié por la verticalización de los metatarsianos, mientras que el pie plano tiene mayores picos de presión en mediopié por el aplanamiento del arco. Las afecciones del metatarso y las deformidades digitales reflejan mayor presión en la zona metatarsal por la sobrecarga a la que los metatarsianos se encuentran sometidos. Las presiones en las disimetrías reflejan variaciones según la pierna larga y la pierna corta, obteniendo mayores presiones plantares la pierna larga en el antepié.Conclusiones: Los resultados obtenidos confirman que al realizar el estudio de presiones plantares nos servirá de ayuda para realizar un diagnóstico y tratamiento eficaz, ya que cada patología muestra diferencias significativas respecto a la presión plantar del pie normal.

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