Chemperek Edyta, Zawadka Magdalena, Fábrega-Cuadros Raquel, Aibar-Almazán Agustín, Hita-Contreras Fidel, Gawda Piotr
Department of Physiotherapy, University Clinical Hospital, Lublin, Poland.
Interdisciplinary Scientific Group of Sports Medicine, Department of Sports Medicine, Medical University of Lublin, Poland.
Physiother Theory Pract. 2025 Aug;41(8):1545-1554. doi: 10.1080/09593985.2024.2447473. Epub 2025 Jan 3.
Understanding and assessing static and dynamic balance and their relationship with the function of the medial longitudinal arch of the foot is crucial for people with pronated feet.
This study aimed to assess the medial longitudinal arch height and postural balance in physically active females with pronated feet.
A case-control study. The participants were divided into two groups based on their Foot Posture Index (FPI) scores: females with bilateral foot pronation ( = 33) and the control group with normal feet ( = 30). A Navicular Drop Test (NDT) and Knee-to-Wall Test (KTW) were used to assess foot and ankle function. Static balance was assessed using the Stork Balance Test (SBT) and Tandem Stance (TS). Dynamic balance was assessed using the Y-Balance Test (Y-BT). Physical activity was assessed using the total score of the short version of the International Physical Activity Questionnaire.
There was a lack of differences in static balance between pronated and normal feet groups in SBT and TS. The Y-BT anterior reaching depends on foot posture in favor of a pronated foot ( = .04). Correlation also showed a significant relationship between Y-BT components and NDT ( = 0.33, = .01) and between KTW and NDT ( = 0.30, = .02).
These results may suggest that foot pronation can be associated with dynamic balance in some directions. However, given that most comparisons did not show significant differences, the relationship between foot posture and functional assessment remains unclear.
对于扁平足人群而言，了解和评估静态及动态平衡以及它们与足内侧纵弓功能的关系至关重要。
本研究旨在评估有扁平足的体育活动女性的足内侧纵弓高度和姿势平衡。
一项病例对照研究。参与者根据足姿势指数（FPI）得分分为两组：双侧扁平足女性（n = 33）和正常足对照组（n = 30）。采用舟骨下降试验（NDT）和靠墙试验（KTW）评估足和踝关节功能。使用鹳平衡试验（SBT）和串联站立试验（TS）评估静态平衡。使用Y平衡试验（Y-BT）评估动态平衡。使用国际体力活动问卷简版的总分评估体力活动。
在SBT和TS中，扁平足组与正常足组在静态平衡方面没有差异。Y-BT前伸取决于足姿势，有利于扁平足（P = 0.04）。相关性分析还显示，Y-BT各分量与NDT之间存在显著关系（r = 0.33，P = 0.01），KTW与NDT之间也存在显著关系（r = 0.30，P = 0.02）。
这些结果可能表明，扁平足在某些方向上可能与动态平衡有关。然而，鉴于大多数比较未显示出显著差异，足姿势与功能评估之间的关系仍不明确。
