{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:03Z","timestamp":1783509303549,"version":"3.55.0"},"reference-count":38,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Abnormal foot anthropometry and posture of patients with Duchenne muscular dystrophy (DMD) can be considered as possible risk factors for performance and ambulation. We aimed to examine the effects of foot posture and anthropometric characteristics, which deteriorated from the early period, on the ambulation and performance of patients with DMD.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    The foot arch height, metatarsal width, subtalar pronation angle, and ankle limitation degree were evaluated to determine the foot anthropometric characteristics of the patients. The Foot Posture Index-6 was used to evaluate foot posture. Performance of the patients was determined by the 6-minute walk test (6MWT), the 10-meter walk test, and the ascend\/descend four standard steps test, and ambulation was determined by the North Star Ambulatory Assessment (NSAA). Spearman correlation coefficient was calculated to assess the relationship between foot anthropometric characteristics and posture and performance and ambulation.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    The sample consisted of 48 patients with DMD aged 5.5 to 12 years. Foot Posture Index-6 scores for both the right and left feet were associated with all the parameters except descending four steps. Left foot arch height was associated with 6MWT and NSAA, and left metatarsal width was associated with 6MWT. Ankle limitation degree of the right foot was associated with 6MWT, ascending\/descending four steps, and NSAA and of the left foot was associated with NSAA (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .05). There was no relationship between other parameters.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    These findings suggest that postural disorders in the foot and ankle may contribute to the decrease in performance and ambulation in patients with DMD.\n                  <\/jats:p>","DOI":"10.7547\/23-012","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T11:16:38Z","timestamp":1723720598000},"source":"Crossref","is-referenced-by-count":1,"title":["The Impact of Postural and Anthropometric Properties of the Foot and Ankle on the Physical Performance and Ambulation of Patients with Duchenne Muscular Dystrophy"],"prefix":"10.3390","volume":"115","author":[{"given":"G\u00fcll\u00fc","family":"Ayd\u0131n-Ya\u011fc\u0131o\u011flu","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, S\u00fcleyman Demirel University, Isparta, Turkey. Dr. Ayd\u0131n-Ya\u011fc\u0131o\u011flu is now with the Department of Orthotics and Prosthetics, G\u00fclhane Faculty of Health Sciences, University of Health Sciences, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Numan","family":"Bulut","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130pek","family":"Alemdaro\u011flu-G\u00fcrb\u00fcz","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6znur","family":"Tunca","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"J Paediatr Child Health","first-page":"759","article-title":"Duchenne muscular dystrophy","volume":"51","author":"Yiu EM","year":"2015","unstructured":"Yiu EM, Kornberg AJ: Duchenne muscular dystrophy. J Paediatr Child Health 51: 759, 2015."},{"key":"B2","series-title":"J Am Acad Orthop Surg","first-page":"138","article-title":"Duchenne muscular dystrophy","volume":"10","author":"Sussman M","year":"2002","unstructured":"Sussman M: Duchenne muscular dystrophy. J Am Acad Orthop Surg 10: 138, 2002."},{"key":"B3","series-title":"Pediatr Phys Ther","first-page":"275","article-title":"Serial casting for the management of ankle contracture in Duchenne muscular dystrophy","volume":"23","author":"Glanzman AM","year":"2011","unstructured":"Glanzman AM, Flickinger MJM, Dholakia KH, et al: Serial casting for the management of ankle contracture in Duchenne muscular dystrophy. Pediatr Phys Ther 23: 275, 2011."},{"key":"B4","series-title":"J Pediatr Orthop","first-page":"95","article-title":"Should foot surgery be performed for children with Duchenne muscular dystrophy?","volume":"25","author":"Leitch KK","year":"2005","unstructured":"Leitch KK, Raza N, Biggar D, et al: Should foot surgery be performed for children with Duchenne muscular dystrophy? J Pediatr Orthop 25: 95, 2005."},{"key":"B5","series-title":"Gait Posture","first-page":"342","article-title":"Gait patterns comparison of children with Duchenne muscular dystrophy to those of control subjects considering the effect of gait velocity","volume":"32","author":"Gaudreault N","year":"2010","unstructured":"Gaudreault N, Gravel D, Nadeau S, et al: Gait patterns comparison of children with Duchenne muscular dystrophy to those of control subjects considering the effect of gait velocity. Gait Posture 32: 342, 2010."},{"key":"B6","series-title":"Ir J Med Sci","first-page":"1883","article-title":"Examination of the relationship between foot-body posture and balance and gait in Duchenne muscular dystrophy","volume":"192","author":"Ayd\u0131n Ya\u011fc\u0131o\u011flu G","year":"2023","unstructured":"Ayd\u0131n Ya\u011fc\u0131o\u011flu G, Y\u0131lmaz \u00d6, Alemdaro\u011flu G\u00fcrb\u00fcz \u0130, et al: Examination of the relationship between foot-body posture and balance and gait in Duchenne muscular dystrophy. Ir J Med Sci 192: 1883, 2023."},{"key":"B7","series-title":"Clin Biomech","first-page":"102","article-title":"Beneficial effects of ankle\u2013foot orthosis daytime use on the gait of Duchenne muscular dystrophy patients","volume":"35","author":"de Souza MA","year":"2016","unstructured":"de Souza MA, Figueiredo MML, Aldaves RD, et al: Beneficial effects of ankle\u2013foot orthosis daytime use on the gait of Duchenne muscular dystrophy patients. Clin Biomech 35: 102, 2016."},{"key":"B8","series-title":"J Neuromuscul Dis","first-page":"641","article-title":"Orthopedic interventions for foot deformities in non-ambulant people with Duchenne muscular dystrophy: a retrospective study on indications, post-operative and long-term outcomes","volume":"9","author":"Houwen-van Opstal SLS","year":"2022","unstructured":"Houwen-van Opstal SLS, Timmer AC, Ten Ham AM, et al: Orthopedic interventions for foot deformities in non-ambulant people with Duchenne muscular dystrophy: a retrospective study on indications, post-operative and long-term outcomes. J Neuromuscul Dis 9: 641, 2022."},{"key":"B9","series-title":"JAMA","first-page":"89","article-title":"Management of progressive muscular dystrophy of childhood","volume":"184","author":"Vignos PJ","year":"1963","unstructured":"Vignos PJ, Spencer GE, Archibald KC: Management of progressive muscular dystrophy of childhood. JAMA 184: 89, 1963."},{"key":"B10","series-title":"Orthop Clin North Am","first-page":"541","article-title":"Techniques in the evaluation and treatment of the injured runner","volume":"13","author":"Brody DM","year":"1982","unstructured":"Brody DM: Techniques in the evaluation and treatment of the injured runner. Orthop Clin North Am 13: 541, 1982."},{"key":"B11","series-title":"Acta Orthop Traumatol Turc","first-page":"254","article-title":"Relationship of flatfoot and high arch with main anthropometric variables","volume":"43","author":"Atamt\u00fcrk D","year":"2009","unstructured":"Atamt\u00fcrk D: Relationship of flatfoot and high arch with main anthropometric variables. Acta Orthop Traumatol Turc 43: 254, 2009."},{"key":"B12","series-title":"J Chiropr Med","first-page":"108","article-title":"Dendrogram for anthropometric and biomechanical variables causing foot deformities by using hierarchical cluster analysis: a cross-sectional study","volume":"21","author":"\u00d6zt\u00fcrk B","year":"2022","unstructured":"\u00d6zt\u00fcrk B, \u00c7elik Y: Dendrogram for anthropometric and biomechanical variables causing foot deformities by using hierarchical cluster analysis: a cross-sectional study. J Chiropr Med 21: 108, 2022."},{"key":"B13","series-title":"Foot","first-page":"203","article-title":"The subtalar joint: biomechanics and functional representations in the literature","volume":"24","author":"Jastifer JR","year":"2014","unstructured":"Jastifer JR, Gustafson PA: The subtalar joint: biomechanics and functional representations in the literature. Foot 24: 203, 2014."},{"key":"B14","series-title":"Foot Ankle Spec","first-page":"112","article-title":"The relationship between forefoot and rearfoot static alignment in pain-free individuals with above-average forefoot varus angles","volume":"3","author":"Johanson MA","year":"2010","unstructured":"Johanson MA, Greenfeld L, Hung C, et al: The relationship between forefoot and rearfoot static alignment in pain-free individuals with above-average forefoot varus angles. Foot Ankle Spec 3: 112, 2010."},{"key":"B15","series-title":"Rev Bras Cineantropom Desempenho Hum","first-page":"316","article-title":"Change of pronation angle of the subtalar joint has influence on plantar pressure distribution","volume":"19","author":"Otacilio Libardoni dos Santos J","year":"2017","unstructured":"Otacilio Libardoni dos Santos J, Manfio EF, Carpes FP, et al: Change of pronation angle of the subtalar joint has influence on plantar pressure distribution. 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Clin Biomech 21: 89, 2006."},{"key":"B18","series-title":"Physiother Theory Pract","first-page":"1830","article-title":"Translation, validity, and reliability of the Foot Posture Index (FPI-6)\u2013Turkish version","volume":"40","author":"Aydin Ya\u011fcio\u011flu G","year":"2024","unstructured":"Aydin Ya\u011fcio\u011flu G, Karap\u0131nar M: Translation, validity, and reliability of the Foot Posture Index (FPI-6)\u2013Turkish version. Physiother Theory Pract 40: 1830, 2024."},{"key":"B19","series-title":"JAPMA","first-page":"564","article-title":"Reliability of ankle goniometric measurements: a literature review","volume":"95","author":"Martin RL","year":"2005","unstructured":"Martin RL, McPoil TG: Reliability of ankle goniometric measurements: a literature review. 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J Hum Sport nd Exerc 8: 788, 2013."},{"key":"B30","series-title":"Pediatrics","first-page":"e386","article-title":"Flat-footedness is not a disadvantage for athletic performance in children aged 11 to 15 years","volume":"123","author":"Tudor A","year":"2009","unstructured":"Tudor A, Ruzic L, Sestan B, et al: Flat-footedness is not a disadvantage for athletic performance in children aged 11 to 15 years. Pediatrics 123: e386, 2009."},{"key":"B31","series-title":"Foot Ankle","first-page":"244","article-title":"Foot fellows review: tibialis posterior: a review of anatomy and biomechanics in relation to support of the medial longitudinal arch","volume":"11","author":"Kaye RA","year":"1991","unstructured":"Kaye RA, Jahss MH: Foot fellows review: tibialis posterior: a review of anatomy and biomechanics in relation to support of the medial longitudinal arch. 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Eur J Paediatr Neurol 8: 145, 2004."},{"key":"B34","series-title":"Dev Med Child Neurol","first-page":"3","article-title":"The pathomechanics of gait in Duchenne muscular dystrophy","volume":"23","author":"Sutherland DH","year":"1981","unstructured":"Sutherland DH, Olshen R, Cooper L, et al: The pathomechanics of gait in Duchenne muscular dystrophy. Dev Med Child Neurol 23: 3, 1981."},{"key":"B35","series-title":"Scientifica","first-page":"8564020","article-title":"Plantar pressure distribution among older persons with different types of foot and its correlation with functional reach distance","volume":"2016","author":"Mohd Said A","year":"2016","unstructured":"Mohd Said A, Justine M, Manaf H: Plantar pressure distribution among older persons with different types of foot and its correlation with functional reach distance. 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