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Children with flat feet have weaker toe grip strength than those having a normal arch
Authors:Yuto Tashiro  Takahiko Fukumoto  Daisuke Uritani  Daisuke Matsumoto  Shu Nishiguchi  Naoto Fukutani  Daiki Adachi  Takayuki Hotta  Saori Morino  Hidehiko Shirooka  Yuma Nozaki  Hinako Hirata  Moe Yamaguchi  Tomoki Aoyama
Affiliation:1) Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University: 53 Kawahara-cho Shogoin, Sakyo-ku, Kyoto 606-8507, Japan;2) Department of Physical Therapy, Faculty of Health Science, Kio University, Japan;3) Research Fellow of The Japan Society for the Promotion of Science, Japan
Abstract:[Purpose] This study investigated the relationship between toe grip strength and footposture in children. [Subjects and Methods] A total of 619 children participated in thisstudy. The foot posture of the participants was measured using a foot printer and toe gripstrength was measured using a toe grip dynamometer. Children were classified into 3groups; flatfoot, normal, and high arch, according to Staheli’s arch index. Thedifferences in demographic data and toe grip strength among each foot posture group wereanalyzed by analysis of variance. Additionally, toe grip strength differences wereanalyzed by analysis of covariance, adjusted to body mass index, age, and gender.[Results] The number of participants classified as flatfoot, normal, and high arch were110 (17.8%), 468 (75.6%), and 41 (6.6%), respectively. The toe grip strength of flatfootchildren was significantly lower than in normal children, as shown by both analysis ofvariance and analysis of covariance. [Conclusion] A significant difference was detected intoe grip strength between the low arch and normal foot groups. Therefore, it is suggestedthat training to increase toe grip strength during childhood may prevent the formation offlat feet or help in the development of arch.Key words: Flatfoot, Toe grip strength, Children
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