Assessment of Measurement Properties of Clinical Tests for Foot Posture in Children and Adolescents: A Systematic Review

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Bibliographic Details
Title: Assessment of Measurement Properties of Clinical Tests for Foot Posture in Children and Adolescents: A Systematic Review
Language: English
Authors: Vanessa Gonçalves Coutinho de Oliveira (ORCID 0000-0002-3074-5316), Letícia Colombo de Oliveira (ORCID 0009-0003-7041-6503), Bruna Reclusa Martinez (ORCID 0000-0002-5746-2527), Thiago Melo Malheiros de Souza (ORCID 0000-0003-3382-4041), Nelson Carvas Junior (ORCID 0000-0003-2168-8927), Liu Chiao Yi (ORCID 0000-0003-0202-2337)
Source: Measurement in Physical Education and Exercise Science. 2025 29(3):282-293.
Availability: Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 12
Publication Date: 2025
Document Type: Journal Articles
Information Analyses
Reports - Research
Descriptors: Human Body, Human Posture, Children, Adolescents, Test Validity, Test Reliability, Physical Disabilities, Measurement
DOI: 10.1080/1091367X.2025.2457139
ISSN: 1091-367X
1532-7841
Abstract: The study aimed to analyze, synthesize, and investigate the measurement properties of clinical tests that assess foot posture in children and adolescents. The study included research published in scientific journals that analyzed the measurement properties of clinical tests, focusing on the validity, reliability, responsiveness, or specificity of tests for assessing foot posture in children and adolescents (ages 4 to 18 years). Studies involving children with lower limb surgery, neurological issues, or deformities, reviews, case studies, and abstracts were excluded. The search followed PRISMA guidelines on MEDLINE, EMBASE, PUBMED, CINAHL, SPORTDIscus. The methodological quality was assessed using the COSMIN and Brink and Louw tool, while the certainty of the evidence was evaluated using GRADE. Twelve studies were included in this systematic review, evaluating the following clinical tests: foot posture index-6, normalized truncated navicular height, Staheli index, plantar arch index, arch height index, navicular drop, resting and neutral calcaneal stance position, pediatric flat foot proforma, subjective perception of the height of the feet arch and Clarke angle. Current clinical tests predominantly prioritize the examination of intra- and inter-rater reliability. Conversely, validity has only been found in restricted studies, and responsiveness has not been assessed. No evidence supports high-quality measurement properties for clinical tests evaluating foot posture in children and adolescents.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1477720
Database: ERIC
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Description
Abstract:The study aimed to analyze, synthesize, and investigate the measurement properties of clinical tests that assess foot posture in children and adolescents. The study included research published in scientific journals that analyzed the measurement properties of clinical tests, focusing on the validity, reliability, responsiveness, or specificity of tests for assessing foot posture in children and adolescents (ages 4 to 18 years). Studies involving children with lower limb surgery, neurological issues, or deformities, reviews, case studies, and abstracts were excluded. The search followed PRISMA guidelines on MEDLINE, EMBASE, PUBMED, CINAHL, SPORTDIscus. The methodological quality was assessed using the COSMIN and Brink and Louw tool, while the certainty of the evidence was evaluated using GRADE. Twelve studies were included in this systematic review, evaluating the following clinical tests: foot posture index-6, normalized truncated navicular height, Staheli index, plantar arch index, arch height index, navicular drop, resting and neutral calcaneal stance position, pediatric flat foot proforma, subjective perception of the height of the feet arch and Clarke angle. Current clinical tests predominantly prioritize the examination of intra- and inter-rater reliability. Conversely, validity has only been found in restricted studies, and responsiveness has not been assessed. No evidence supports high-quality measurement properties for clinical tests evaluating foot posture in children and adolescents.
ISSN:1091-367X
1532-7841
DOI:10.1080/1091367X.2025.2457139