Related Experiment Video
Updated: Jun 19, 2026
Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
Video based analysis of dynamic midfoot function and its relationship with Foot Posture Index scores
R G Nielsen1, M S Rathleff, C M Moelgaard
1Orthopedic Division, North Denmark Region, Aalborg Hospital, Part of Aarhus University Hospital, Denmark. ragn@rn.dk
Introduction:
Various studies have demonstrated significant as well as non-significant relationships between static evaluation of foot posture and injury likelihood. Therefore, the relationship of static and dynamic measures needs to be established as in clinical settings time consuming dynamic methods are often not feasible.
Purpose:
Assess reliability of a new method to quantify midfoot movement and validate the use of Foot Posture Index (FPI) classification as predictor of dynamic foot function during walking.
Method:
Foot type was classified using FPI in 280 randomly selected adult participants (mean age 43.4 years). A Video Sequence Analysis (VSA) system was used to quantify midfoot kinematics during walking. Navicula drop (DeltaNH) and minimal navicula height (NHL) were compared with FPI.
Results:
The Intraclass Correlation Coefficients (ICC) for DeltaNH and NHL ranged from 0.65 to 0.95 with a coefficient of repeatability of 1.4 mm for DeltaNH and 4.5 mm for NHL. System precision was estimated at 0.99 mm for DeltaNH and 3.18 mm for NHL. DeltaNH was significantly positively correlated with FPI scores while NHL decreased with increasing FPI. However, the FPI model predicted only 13.2% of the variation in DeltaNH and 45% of the variation in NHL during walking (p<0.001).
Conclusion:
The VSA was proven as a reliable and precise method to quantify midfoot kinematics. FPI scores and individual components of the FPI show strong statistical relationships to dynamic measures but individual predictions remain questionable. Dynamic midfoot measures are recommended for clinical foot assessments.
