{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:03:59Z","timestamp":1789556639763,"version":"build-2803163510"},"reference-count":21,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Objectives: To describe foot and global postural deviations in a mixed-age university-clinic sample and examine their associations with cephalometrically defined sagittal skeletal class and facial growth pattern. Methods: This cross-sectional study included 98 individuals aged 8\u201362 years; 76 participants (77.6%) were adults. Foot posture was assessed with the FPI-6 and plantar footprint, global posture by sagittal-plane visual analysis, and centre-of-pressure behaviour by instrumented gait in a subsample. Associations were tested using chi-square or Fisher\u2013Freeman\u2013Halton exact tests, Cram\u00e9r\u2019s V, and Bonferroni-adjusted p-values. Age- and sex-adjusted continuous modelling was not possible because complete data could not be reliably reconstructed. Results: Supination was the most frequent FPI-6 category (45.9%), and 30.8% showed ideal alignment. Sagittal skeletal class was not associated with any outcome (all p \u2265 0.341; all pBonf = 1.000). Facial pattern was associated with FPI-6 in the primary analysis (exact p = 0.007; V = 0.265), but not after Bonferroni correction (pBonf = 0.070). The five-category sensitivity analysis remained significant (exact p = 0.0016; pBonf = 0.016; V = 0.353), although intermediate groups were small. Conclusions: No detectable association was found between sagittal skeletal class and foot, postural, or gait variables. The facial-pattern finding remains exploratory, and the lack of age and sex adjustment limits inference.<\/jats:p>","DOI":"10.3390\/jcm15187186","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:09:17Z","timestamp":1789553357000},"page":"7186","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Craniofacial Morphology and Foot Posture: Prevalence of Foot and Postural Deviations and Their Association with Sagittal Skeletal Class in a Cross-Sectional Clinical Study"],"prefix":"10.3390","volume":"15","author":[{"given":"Santiago","family":"Beltr\u00e1n-Meg\u00edas","sequence":"first","affiliation":[{"name":"Dentistry Department, Medicine and Health Science Faculty, Catholic University of Valencia, 46001 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Carda-Navarro","sequence":"additional","affiliation":[{"name":"Dentistry Department, Medicine and Health Science Faculty, Catholic University of Valencia, 46001 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7360-2609","authenticated-orcid":false,"given":"Lidia","family":"Gal\u00e1n-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Dentistry Department, Medicine and Health Science Faculty, Catholic University of Valencia, 46001 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8864-3702","authenticated-orcid":false,"given":"Esther","family":"Garc\u00eda-Miralles","sequence":"additional","affiliation":[{"name":"Stomatology Department, University of Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8841-7975","authenticated-orcid":false,"given":"Clara","family":"Guinot-Barona","sequence":"additional","affiliation":[{"name":"Dentistry Department, Medicine and Health Science Faculty, Catholic University of Valencia, 46001 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-0547","authenticated-orcid":false,"given":"Laura","family":"Marqu\u00e9s-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Dentistry Department, Medicine and Health Science Faculty, Catholic University of Valencia, 46001 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Iborra Plaja","sequence":"additional","affiliation":[{"name":"Dentistry Department, Medicine and Health Science Faculty, Catholic University of Valencia, 46001 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0054-1005","authenticated-orcid":false,"given":"Juan Ignacio","family":"Aura-Tormos","sequence":"additional","affiliation":[{"name":"Stomatology Department, University of Valencia, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"ii7","DOI":"10.1093\/ageing\/afl077","article-title":"Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls?","volume":"35","author":"Horak","year":"2006","journal-title":"Age Ageing"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1590\/S1807-59322009000100011","article-title":"The relationship between the stomatognathic system and body posture","volume":"64","author":"Cuccia","year":"2009","journal-title":"Clinics"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/S0022-3913(96)90176-6","article-title":"Occlusion and center of foot pressure variation: Is there a relationship?","volume":"76","author":"Ferrario","year":"1996","journal-title":"J. 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