ArticleJournal of clinical medicine2023
Really Asymptomatic? Health-Related Quality of Life and Objective Clinical Foot Characteristics among 5-10-Year-Old Children with a Flexible FlatFoot.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Prevalence and functional impact of flexible flatfoot in school-aged children: a cross-sectional clinical and postural assessment.Journal of orthopaedic surgery and research · 2025Article
- Clinical and radiological outcomes of Evan's osteotomy in young patients with flexible flatfoot deformity: a retrospective investigation.BMC musculoskeletal disorders · 2025Article
- The Relationship Between Foot Posture, Validated Foot and Ankle Tests, and Hypermobility in Paediatric Population: A Cross-Sectional Study.Journal of paediatrics and child health · 2025Article
- Article
- Prevalence and modifiable risk factors for pediatric flatfoot among schoolchildren in Kunming and Kandahar: a cross-sectional study.Frontiers in pediatrics · 2025Article
- Differential effects of intrinsic- versus extrinsic-first corrective exercise programs on morphometric outcomes and navicular drop in pediatric flatfoot.Scientific reports · 2024Article
- Pediatric Flatfoot: Is There a Need for Surgical Referral?Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The potential effects of asymptomatic flexible flatfoot (FF) on children's health-related quality of life (QoL) and objective clinical foot characteristics have been poorly investigated in the literature. Therefore, this study aimed to analyse these indicators, comparing the children with asymptomatic FF and a control group.
methodsIn total, 351 children were enrolled in this cross-sectional study-160 children with asymptomatic FF and 191 controls (children with normal feet). The children and their parents completed the Paediatric Quality of Life Inventory (PedsQL
resultsChildren with asymptomatic FF had a significantly lower QoL (overall and all four dimensions). The parents' assessment of the QoL of their children with asymptomatic FF in most cases was lower compared to their children's self-reported QoL. Moreover, almost all clinical foot measures also had significantly worse profiles among asymptomatic FF cases compared to the controls. This was observed with the Foot Posture Index-6 (FPI-6), the navicular drop (ND) test, the Chippaux-Smirak Index (CSI), Staheli's Index (SI), the Beighton scale, and radiological angles (except the talo-first metatarsal angle).
conclusionThe findings suggest that asymptomatic FF not always reflects a normal foot development. This condition is related to decreased health-related quality of life, so the 5-10-year-old children's and their parents' complaints should be considered more closely in identification, treatment, and monitoring plans.
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