Flat Foot and Postural Harmony in 6-Year-Old Caucasians: What is Their Relationship?

Ann Rehabil Med. 2020 Aug;44(4):320-326. doi: 10.5535/arm.19091. Epub 2020 Jul 28.

Abstract

Objective: To determine whether asymptomatic flexible flat feet show specific postural assessment with respect to neutral feet in 6-year-old children.

Methods: In this cross-sectional observational study, 164 subjects were observed and divided into two groups: 57 with flexible flat feet and 107 with neutral feet. A non-quantitative inspection by podoscopy and baropodometry were performed to evaluate plantar support, and a clinical examination to assess postural setting.

Results: The prevalence of flexible flat feet was 34.8%. The differenceinthe mean centre of pressure (CoP) between the two groups was significant (p=0.028), regarding the antero-posterior direction of CoP only. There was no significant differencein the presence of postural growth disharmony between the neutral and flat-feet groups.

Conclusion: The flattening of the plantar archseems to be linked to a displacement of CoP Y, more posterior in flat feet than in neutral feet; on the other hand, postural harmony in 6-year-old children during growth is not influenced by flat feet.

Keywords: Pediatric; Pes planus; Posture; Rehabilitation.