{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T01:43:34Z","timestamp":1790991814478,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,1,4]],"date-time":"2013-01-04T00:00:00Z","timestamp":1357257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2014,3]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n In patients with\n D<\/jats:styled-content>\n own syndrome (\n DS<\/jats:styled-content>\n ) one of the most common abnormalities is flat foot which can interfere significantly with normal daily activities, such as gait. The aim of this study was to quantitatively assess the relationship between the flat foot and the gait alterations in\n DS<\/jats:styled-content>\n children.\n <\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n Twenty\u2010nine patients with\n DS<\/jats:styled-content>\n and 15 non\u2010affected subjects were assessed using 3\n D G<\/jats:styled-content>\n ait\n A<\/jats:styled-content>\n nalysis, using an optoelectronic system, force platforms and video recording. The degree of flat foot was assessed using the arch index and kinematic and kinetic parameters were identified and calculated from 3\n D G<\/jats:styled-content>\n ait\n A<\/jats:styled-content>\n nalysis for each study participant.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Data showed that ankle plantarflexion moment and ankle power during terminal stance were significant to differentiate the patients with and without flat feet: their peak values were significantly lower for the patients with flat foot. In addition, the research for correlation demonstrated that the higher the arch index value, the lower the peak of ankle moment and of the generated ankle power during terminal stance and the minimum of absorbed ankle power.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Children with flat foot displayed a less functional gait pattern in terms of ankle kinetics than children without flat foot, suggesting that the presence of flat foot may lead to a weaker efficient walking. Then, the increasing flat foot tended to result in lower push\u2010off ability, leading a less functional walking.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jir.12007","type":"journal-article","created":{"date-parts":[[2013,1,4]],"date-time":"2013-01-04T11:19:42Z","timestamp":1357298382000},"page":"269-276","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Relationship between flat foot condition and gait pattern alterations in children with\n D<\/scp>\n own syndrome"],"prefix":"10.1111","volume":"58","author":[{"given":"M.","family":"Galli","sequence":"first","affiliation":[{"name":"Bioengineering Department Politecnico di Milano Milano Italy"},{"name":"IRCCS \u2018San Raffaele Pisana\u2019, San Raffaele SpA Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Cimolin","sequence":"additional","affiliation":[{"name":"Bioengineering Department Politecnico di Milano Milano Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Pau","sequence":"additional","affiliation":[{"name":"Department of Mechanical, Chemical and Materials Engineering University of Cagliari Cagliari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Costici","sequence":"additional","affiliation":[{"name":"Ospedale Pediatrico Bambino Ges\u00f9 Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Albertini","sequence":"additional","affiliation":[{"name":"IRCCS \u2018San Raffaele Pisana\u2019, San Raffaele SpA Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2009.06.003"},{"key":"e_1_2_5_3_1","first-page":"256","article-title":"Organization of a simple two joint synergy in individuals with Down syndrome","volume":"101","author":"Aruin A. 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