Reliability of novice and experienced physiotherapists using the normalized navicular height truncated and the foot posture index-6 for classifying static foot posture in adults.
Phornchanok Motantasut, Torkamol Hunsawong, Lugkana Mato and 1 others
PMID 31037016WHAT IT FOUND
After 3 hours of training, a novice physiotherapist classified static foot posture in 30 healthy young adults as consistently as an expert.
The NNHt and FPI-6 tests also gave stable results when the novice remeasured feet on the 8th day.
Key findings
01The expert and novice physiotherapists showed almost perfect agreement when classifying foot posture with NNHt and total FPI-6.
02The novice's repeated measurements on the 8th day showed excellent intra-rater reliability for NNHt and total FPI-6.
03Agreement for individual FPI-6 items was substantial to almost perfect.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 30 healthy asymptomatic young adults were tested, and 21 were female, so the results may not apply to males, children, older adults, or people with foot pain or pathology. The sample had few high-arched or extremely high-arched feet, so reliability for those categories is less certain. Only the right foot was measured, so the findings may not transfer to routine both-foot assessment. The novice received 3 hours of training and supervised practice on 30 other individuals; less training may not be reliable.
Declared interests
The authors declared no conflicts. The study was funded by Khon Kaen University's Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPHC01/2561).
The easy way to misread this
Do not conclude that any novice physiotherapist can reliably classify foot posture without training, or that these findings apply to patients with foot pain, older adults, or children; the study tested a novice after 3 hours of training and supervised practice in 30 healthy young adults, mostly female, and only the right foot.