![]() ![]() Whilst many reports relating to flat feet/pes planus/pes valgus have occupied the medical literature, there remains a paucity of well-founded, scientific knowledge about this common condition. The paediatric flat foot is a controversial topic. Although flat foot in childhood is a common diagnosis and well established clinical term, there is a lack of a reliable and reproducible tool for the assessment of this condition. The significance of "flat feet" continues to debated within the general community, medical and allied health fields, as it has for decades. Findings indicate that the simplified p-FFP is a reproducible instrument for the clinical assessment of flat foot in mid-childhood. The p-FFP is a reliable instrument for the assessment and resulting treatment actions for children with flat feet. Removal of the unreliable items has produced a shorter more relevant instrument designated the paediatric flat foot proforma (p-FFP). ![]() ResultsĪpproximately half of the items of the FFP showed less-than-desirable inter-rater reliability, arbitrarily set at the conventional 0.7 level (intra-class correlations). A same subject, repeated measure research design was used for this study which examined the reliability of the FFP in 31 children aged seven to 10 years, as rated by three examiners. ![]() Subjects who scored ≥ 6 on the FPI-6 for both feet became the study's flat foot sample. Methodsįrom a study population of 140 children aged seven to 10 years, a sample with flat feet was identified by screening with the Foot posture index (FPI-6). The intra and inter-rater/measurer reliability of the FFP has been investigated in this study. The recently developed paediatric flatfoot clinical-care pathway (FFP) has provided an evidence based approach to diagnosis and management. Concern about a child's flat foot posture is a common reason for frequent clinical consultations for an array of health care and medical professionals. ![]()
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