Evidence map›Paper›PMID 36477012›Full record

ArticleScientific reports2022

Reliability and validity of Foot Posture Index (FPI-6) for evaluating foot posture in participants with low back pain.

Jiaman Yang, Zhiwen Ou, Zhitao Mao, Yi Wang, Yiheng Zhong, Wei Dong, Zhen Shen, Zehua Chen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07764393 (Analysing The Effects of Different Foot Arch Heights on The Leg Muscle Tone and Balance in Young Adults.), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07764393 completednot on this mapstarted 2025, after this paper: background citation

Analysing The Effects of Different Foot Arch Heights on The Leg Muscle Tone and Balance in Young Adults.

Typeobservational_patient_registrySponsorIstinye UniversityRan2025 to 2026Enrolled60ConditionsPes Cavus, Pes Planus, Muscle Tone, Balance AssessmentArmsArch Height Index, Foot Posture Index, Single Leg Stance, Star Excrusion Blance Test (SEBT), Single-Leg Hop for Distance
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Biomechanical Adaptations in Foot Characteristics Among Elite Male Weightlifters: A Cross-Sectional Comparative Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jiaman Yang *The Fifth Clinical College of Guangzhou, University of Chinese Medicine, Guangzhou, China.
Zhiwen Ou *The Fifth Clinical College of Guangzhou, University of Chinese Medicine, Guangzhou, China.
Zhitao MaoThe Fifth Clinical College of Guangzhou, University of Chinese Medicine, Guangzhou, China.
Yi WangThe Fifth Clinical College of Guangzhou, University of Chinese Medicine, Guangzhou, China.
Yiheng ZhongThe Fifth Clinical College of Guangzhou, University of Chinese Medicine, Guangzhou, China.
Wei DongDepartment of Orthopaedics, Kunming Municipal Hospital of Traditional Chinese Medicine, The Third Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, China.
Zhen ShenDepartment of Orthopaedics, Kunming Municipal Hospital of Traditional Chinese Medicine, The Third Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, China. 863491423@qq.com.
Zehua ChenThe orthopedics hospital of traditional Chinese medicine Zhuzhou city, Zhuzhou, China. 630327511@qq.com.
Guangzhou University of Chinese Medicine · CNKunming Municipal Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have demonstrated that Foot Posture Index (FPI-6) is a valid and moderately reliable tool to evaluate foot posture. However, data about reliability and validity of FPI-6 in the assessment of foot posture in people with low back pain (LBP) is lacking. To investigate reliability and validity of FPI-6 in the assessment of foot posture in people with LBP. Thirty volunteers with LBP, aged 20-64 years, were recruited for the research and assessed by two raters. The data measured by different raters on the same day were used to calculate the inter-rater reliability. The data measured by the same rater on different dates were used to calculate the test-retest reliability. The reliability of FPI-6 was tested with intraclass correlation coefficient (ICC), and absolute reliability with standard error of measurement (SEM), minimal detectable change (MDC) and Bland-Altman analysis. The validity of FPI-6 was tested with Exploratory Factor Analysis (EFA) and Spearman's correlation coefficients. The FPI-6 indicated excellent inter-rater and test-retest reliability in the evaluation of foot posture in people with LBP (ICC = 0.97 and 0.95). The agreement for inter-rater and test-retest was excellent based on the SEM (SEM = 0.12) and MDC value (MDC = 0.33). Bland-Altman plots showed that there was no significant systematic bias for the agreement on the ground of low mean difference (< 1). The EFA suggested that the fit indices were considered acceptable according to the Kaiser-Meyer-Olkin (KMO) value (KMO = 0.620) and Bartlett's sphericity test (P < 0.01). There was a statistically significant positive correlation between each item and total score of FPI-6 because the Spearman's correlation coefficient of six items were all > 0.3 (P < 0.01). The inter-rater and test-retest reliability and validity of FPI-6 on people with LBP were proved reliable. It might be considered a reliable and valid adjunctive tool to detect possible changes of foot posture after interventions in patients with LBP.

Indexed as

Low Back PainHumansReproducibility of Results

Identifiers

PMID36477012
PMCPMC9729570
OpenAlexW4311574963

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.