{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T15:52:53Z","timestamp":1772034773966,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T00:00:00Z","timestamp":1746835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Previous studies have investigated flattened foot arches associated with joint hypermobility using the Beighton scale. The absence of lower limb items below the knee in the Beighton scale questions the relevance of this relationship. Addressing this query, a new validated test has been used to assess joint hypermobility, the Foot and Ankle Flexibility Index (FAFI). Utilising the FAFI, the intention was then to relate it against known reliable morphofunctional foot and ankle tests, and also a validated paediatric physical activity test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 205 healthy children, aged 5 to 10\u2009years, participated in this cross\u2010sectional study, which included the Lunge Test, Rest Calcaneal Stance Position (RCSP), Foot Posture Index (FPI) and 6\u2009Minute Walking Test (6MWT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant correlations were found between FAFI and the test variables: RCSP (<jats:italic>r<\/jats:italic>\u2009=\u20090.334), Age (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.254), FPI (<jats:italic>r<\/jats:italic>\u2009=\u20090.252), and 6MWT (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.240). The multivariable linear regression of the hypermobility component according to FAFI presented an <jats:italic>R<\/jats:italic>\n<jats:sup>2<\/jats:sup> value of 24.9%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study suggests that younger children and those with greater foot and ankle hypermobility have a more pronated foot stance, a greater range of ankle dorsiflexion, and a decreased walking speed\/distance. Given the public health implications of unnecessary attention to many paediatric flatfeet presentations, these findings increase clinical clarity, using the new and validated FAFI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.70084","type":"journal-article","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T09:55:58Z","timestamp":1746870958000},"page":"1095-1101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Relationship Between Foot Posture, Validated Foot and Ankle Tests, and Hypermobility in Paediatric Population: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9027-7860","authenticated-orcid":false,"given":"Carlos","family":"Martinez\u2010Sebastian","sequence":"first","affiliation":[{"name":"Nursing and Podiatry Universidad de Malaga Facultad de Ciencias de la Salud  Malaga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5527-1161","authenticated-orcid":false,"given":"Angela M. F.","family":"Evans","sequence":"additional","affiliation":[{"name":"Discipline of Podiatry, School of Allied Health, Human Services and Sport La Trobe University  Melbourne Victoria Australia"},{"name":"Faculty of Medicine and Health Sciences University of Barcelona  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9349-7751","authenticated-orcid":false,"given":"Laura","family":"Ramos\u2010Petersen","sequence":"additional","affiliation":[{"name":"Nursing and Podiatry Universidad de Malaga Facultad de Ciencias de la Salud  Malaga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4965-5721","authenticated-orcid":false,"given":"Cristina","family":"Molina\u2010Garcia","sequence":"additional","affiliation":[{"name":"Department of Podiatry Universidad Cat\u00f3lica San Antonio de Murcia, Campus de los Jeronimos  Murcia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7839-4789","authenticated-orcid":false,"given":"\u00c1lvaro","family":"G\u00f3mez\u2010Carri\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Podiatry Seville University  Seville Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4558-3548","authenticated-orcid":false,"given":"Gabriel","family":"Gijon\u2010Nogueron","sequence":"additional","affiliation":[{"name":"Nursing and Podiatry Universidad de Malaga Facultad de Ciencias de la Salud  Malaga Spain"},{"name":"IBIMA University of M\u00e1laga  Malaga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315\u201077\u20101\u20102"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00296\u2010006\u20100128\u20101"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00431\u2010009\u20101122\u2010X"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2004.09.013"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.FOOT.2018.05.002"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/PEDS.2005\u20102126"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2017\/26566.10059"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757\u20101146\u20104\u201012"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010016\u20100156\u20103"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757\u20101146\u20101\u20106"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.CPPEDS.2020.100884"},{"issue":"4","key":"e_1_2_13_13_1","first-page":"345","article-title":"The Mechanics of the Foot: I. 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