GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE, cilt.184, sa.9, 2024 (ESCI)
BACKGROUND: The paediatric flatfoot is a common presentation and complex condition to diagnose since it varies from one child to another child. The goal of this study was to investigate the relationships between via calculated Autocad software of digital phometric analysis values and assesment of Foot Posture Index (FPI-6).
METHODS: Three hundred twenty-ninechildren (150 girls, 179 boys) were recruited from six age groups (between 5 and 10 of age). 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. Both feet were measured using navicular height (NH), longitudinal arch angle (LAA) and rearfoot angle (RA) via Autocad software of phometric analysis. Comparisons between groups employed t-tests and correlation analysis adjusted by age conducted to determine the relationships between FPI value and photographic analysis value (NH, LAA, RA).
RESULTS: The mean lowest FPI value for girls aged 8 was 2.4±2.8, while mean highest FPI value for girls aged 5 was 5.7±3.6. The mean lowest FPI value for boys aged 10 was 3.7±2.4, while mean highest FPI value for boys aged 7 was 5.8±3. Statistical analysis revealed correlation between FPI values and NH, LLA angle, RA. A negative correlation was found between NH, LLA and FPI. A positive correlation was found between RA and FPI in 5, 7, 8 age group girls and 6- and 9-year-old boys.
CONCLUSIONS: Pediatric flatfoot was a prevalent condition in school-age children. Our results of photographic NH, RA and longitudinal arch measuremets were correlated FPI results. In our opinion, FPI and digital photographic data can be used in the evaluation of foot during pandemic period such as COVID-19.