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Original Article



Correlation of the functional scores with the beighton score, radiological measurements, and clinical assessment in patients diagnosed with flexible pes planus

Ahmet Sevencan, Osman Nuri Ozyalvac, Evren Akpinar, Yakup Alpay, Avni Ilhan Bayhan, Timur Yildirim.




Abstract

To evaluate the relationship between radiological and clinical evaluation instruments used in children with flexible pes planus (FPP) with quality of life and functional scores. The study group consisted of sixteen children with FPP (mean age: 9.8 1.1 years). The patients were examined in detail using static pedobarography with the Win-Track system. A physical examination was also undertaken using the Foot Posture Index-6 (FPI-6). The four angles were measured on foot radiographs. For functional evaluation, the Pediatric Outcomes Data Collection Instrument (PODCI) score was employed. A single experienced rehabilitation specialist performed Beighton scoring. No correlation was found between the FPI-6 clinical rating scale and Beighton scores, radiographic data, and pedobarographic evaluation. The PODCI and Beighton scores, on the other hand, had a negative connection (P=0.000, r=-0.781). The radiological, clinical, and pedobarographic values were not correlated with the PODCI functional score. In the management of patients with FPP, the commonly used FPI-6, radiographic and pedobarographic measurements were not correlated with the PODCI functional score. However, children with extensive joint laxity are more likely to have functional limitations. Therefore, it is important to evaluate children with FPP in terms of common joint laxity before treatment planning.

Key words: Pediatric orthopedics, flat feet, PODCI, generalized joint hypermobility, score






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