Hadoush Hikmat, Qabook Zaineh, Kanan Saddam F, Almasri Nihad A
Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences at Jordan University of Science and Technology, Jordan.
Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences at Jordan University of Science and Technology, Jordan.
J Bodyw Mov Ther. 2025 Jun;42:424-430. doi: 10.1016/j.jbmt.2025.01.004. Epub 2025 Jan 15.
To assess potential differences in foot arch structure between the left and right feet and how this is connected to physical fitness and BMI in school-age children.
437 children (6-16 years) participated and were divided into group 1 (n = 188, aged 6-9 yrs), and group 2 (n = 249, aged 10-16 yrs). Bilateral foot arches' absolute values were obtained using a digital pressure platform, and arches' types based on the Chippaux-Smirak-Index (CSI) (high, normal, flat arches) were identified. Physical fitness levels using the modified Zuchora test's total score and categorization level, and the BMI were determined for all children.
Abnormal foot arches were more common in the non-dominant left foot compared to the dominant right foot, with a higher occurrence of high arches than flat feet in both groups. The foot arch CSI-mean values were significantly asymmetrical, with the left foot showing higher values (0.23 ± 0.17) than the right foot (0.22 ± 0.16) (p = 0.004). Group 2 showed a notable direct relationship between children's BMI and the CSI-absolute values of both left (p = 0.009) and right (p = 0.030) foot arches. While group 1 showed a strong link between children's BMI and left-foot CSI-absolute values (p = 0.028), there was no such correlation with right-foot CSI-absolute values (p = 0.055). Nonetheless, there was no significant correlation found between the left/right foot arches CSI-absolute values and either the children's gender or their overall physical fitness scores in both groups.
It is recommended to pay closer attention to the health impacts associated with the non-dominant foot and high arches as the left foot is more susceptible to abnormal arches, with high arches being more prevalent than flat arches.
评估学龄儿童左右脚足弓结构的潜在差异，以及这与身体健康和体重指数（BMI）之间的联系。
437名儿童（6至16岁）参与研究，并被分为第1组（n = 188，6至9岁）和第2组（n = 249，10至16岁）。使用数字压力平台获取双侧足弓的绝对值，并根据奇波-斯米拉指数（CSI）（高弓、正常弓、扁平弓）确定足弓类型。测定所有儿童使用改良祖乔拉测试的总分和分类水平所反映的身体健康水平以及BMI。
与优势右脚相比，非优势左脚的异常足弓更为常见，两组中高弓的发生率均高于扁平足。足弓CSI平均值存在显著不对称，左脚值（0.23±0.17）高于右脚（0.22±0.16）（p = 0.004）。第2组显示儿童BMI与左右脚足弓的CSI绝对值之间存在显著的直接关系（左脚，p = 0.009；右脚，p = 0.030）。虽然第1组显示儿童BMI与左脚CSI绝对值之间有很强的关联（p = 0.028），但与右脚CSI绝对值无此相关性（p = 0.055）。尽管如此，两组中左右脚足弓CSI绝对值与儿童性别或总体身体健康得分之间均未发现显著相关性。
建议密切关注非优势脚和高弓足对健康的影响，因为左脚更容易出现异常足弓，且高弓足比扁平足更普遍。
