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Titre : | Validity and diagnostic accuracy of foot posture Index-6 using radiographic findings as the gold standard to determine paediatric flexible flatfoot between ages of 618 years: A cross-sectional study (2020) |
Auteurs : | Fatma Hegazy ; Emad A. Aboelnasr ; Yasser Salem ; Ashraf Zaghloul |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 46, April 2020) |
Article en page(s) : | p. 1-6 |
Note générale : | doi:10.1016/j.msksp.2020.102107 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adolescent ; Diagnostic ; Enfant (6-12 ans) ; Etudes de validation ; Pied plat ; Rayon x |
Mots-clés: | Foot Posture Index (FP1-6) |
Résumé : |
Background:
Diagnosis of flexible flatfoot is usually based upon radiographic or clinical measures. Radiographic measures pose a potential risk of radiation exposure especially in Paediatric population. Clinicians need a valid, accurate, easily used, noninvasive and cost effective measure to evaluate static foot posture clinically. Although, foot posture index-6 (FPI-6) are commonly used in clinical practice, its validity and diagnostic accuracy in evaluation of paediatric flexible flatfoot have not been fully proven yet. Objectives: To investigate validity and diagnostic accuracy of FPI-6 to determine Paediatric flexible flatfoot between ages of 618 years using radiographic findings as the gold standard measure. Study design: Cross-sectional study. Methods: A cross-sectional study conducted on 612 participants (1224 feet) with flexible flatfoot aged 618 years (mean age ± standard deviation of 12.36 ± 3.39 years). The results of FPI-6 were compared to the gold standard radiographic measures and displayed on the receiver operating characteristic curve. Intra-rater reliability, sensitivity, specificity, predictive values and likelihood ratios were calculated. Posttest probability was calculated from Fagan nomogram. Results: FPI-6 demonstrate high intra-rater reliability (ICC = 0.96) with p value Conclusion: FPI-6 is valid with moderate diagnostic accuracy to determine paediatric flexible flatfoot between ages of 618 years. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781219304850 |