Foot Profile Score

NewsBot · Apr 3, 2019

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Validation of the Foot Profile Score
JenniferMcCahillabJulieStebbinsaAndrewLewisaRobinPrescottdJaapHarlaarbcTimTheologisa
Gait & Posture; 3 April 2019

HIGHLIGHTS
•Foot Profile Score (FPS) correlates well with a clinical foot deformity scale.
•All 6 variables of the FPS help predict the clinical foot deformity scale.
•FPS gives additional information to the Gait Profile Score.
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NewsBot · Apr 20, 2022

Responsiveness of the Foot Profile Score in children with hemiplegia
JenniferMcCahill et al
Gait & Posture 19 April 2022

HIGHLIGHTS
•An MCID of no more than 2.4 degrees was calculated
•76% of 37 children had their change in FPS greater than the MCID post foot surgery
•The FPS is sufficiently responsive in a clinical population
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Background
The Foot Profile Score (FPS) is a single score that summarises foot posture and dynamic foot motion during the gait cycle based on the kinematic data of the Oxford Foot Model. The FPS enables clinicians and researchers to quantify foot abnormalities during gait, to monitor change in foot/ankle motion over time, and to measure the outcome of intervention. With the creation of a new outcome measure, it is important to test its responsiveness in a clinical population for whom it may be sensitive to change.

Aim
To evaluate the responsiveness of the FPS in a clinical population following isolated foot and ankle surgery.

Methods
Using previous work completed to validate the FPS, we defined the minimal clinically important difference (MCID) for the FPS. Using this MCID, we applied it to a clinical population of 37 children with cerebral palsy, spastic hemiplegia, comparing their FPS before and after foot and ankle surgery. A regression analysis looked at potential relationships between the change in FPS and their pre-operative FPS, age at surgery, and time since surgery.

Results
An MCID of 2.4 degrees was calculated through regression analysis. The mean change from the pre-operative FPS to the post-operative FPS was 4.6 (SD 3.7 with a range from -0.1 to 13.4). Twenty-eight children (76%) had a change in their FPS greater than the MCID. A regression analyses only showed a clear regression between pre-operative FPS and change in FPS (R2 = 0.58 p<0.01).
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