Document Detail

Consistency of visual assessments of arch height among clinicians.
MedLine Citation:
PMID:  7951957     Owner:  NLM     Status:  MEDLINE    
Flat feet and high-arched feet have been cited as risk factors for musculoskeletal injury and functional problems among runners and other active individuals, although there are no established quantitative definitions or measures for assessing either condition. As part of a larger study, four-plane photographs were made of the weight-bearing right foot of 246 young male Army trainees. These photographs were independently evaluated by six clinicians and rated on a scale of clearly flat-footed (category 1) to clearly high arched (category 5). There was much interclinician variability in the assessments, even for extremes of foot type. The probability of a clinician assessing a foot as clearly flat, given that another clinician had rated the foot as clearly flat, ranged from 0.32 to 0.79, with a median probability of 0.57, while for clearly high-arched feet, probabilities ranged from 0.0 to 1.00, with a median of 0.17. These findings demonstrate the need for objective standards and quantitative methods of evaluating foot morphology.
D N Cowan; J R Robinson; B H Jones; D W Polly; B H Berrey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  15     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-12-01     Completed Date:  1994-12-01     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  213-7     Citation Subset:  IM    
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MeSH Terms
Flatfoot / pathology*
Foot / anatomy & histology*
Forefoot, Human / anatomy & histology
Heel / anatomy & histology
Metatarsophalangeal Joint / anatomy & histology
Military Personnel
Observer Variation
Photography / instrumentation,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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