Biomechanical and functional performance differences in individuals with and without pes planus: A systematic review and modified GRADE evidence synthesis protocol
Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine
Background Pes planus (flat foot) is characterized by a reduction of the medial longitudinal arch and alterations in foot biomechanics that may influence gait, balance, and functional performance. However, existing evidence regarding its biomechanical and functional consequences remains inconsistent. This systematic review aims to examine differences in biomechanics and functional performance among individuals with pes planus and those with normal arches. Methods This review will include individuals of any age, sex, diagnosed with pes planus using validated criteria, compared with individuals with normal foot arches. Observational and experimental studies reporting biomechanical or functional outcomes will be included. Primary outcomes will comprise biomechanical measures, including kinematic, kinetic, spatiotemporal, plantar pressure, and muscle activity measures. Secondary outcomes will include, but not be limited to, functional performance measures such as balance and agility. A systematic search will be conducted across PubMed, Scopus, Web of Science, SPORTDiscus, EMBASE, and CINAHL, supplemented by grey literature searches in ProQuest, OpenGrey, and Google Scholar. Two independent reviewers will perform study selection, data extraction, and quality assessment using the Downs and Black index. Effect sizes will be reported as standardized mean differences or odds ratios with 95% confidence intervals, and the certainty of evidence will be evaluated using a modified GRADE ap
Abstract
Background Pes planus (flat foot) is characterized by a reduction of the medial longitudinal arch and alterations in foot biomechanics that may influence gait, balance, and functional performance. However, existing evidence regarding its biomechanical and functional consequences remains inconsistent. This systematic review aims to examine differences in biomechanics and functional performance among individuals with pes planus and those with normal arches. Methods This review will include individuals of any age, sex, diagnosed with pes planus using validated criteria, compared with individuals with normal foot arches. Observational and experimental studies reporting biomechanical or functional outcomes will be included. Primary outcomes will comprise biomechanical measures, including kinematic, kinetic, spatiotemporal, plantar pressure, and muscle activity measures. Secondary outcomes will include, but not be limited to, functional performance measures such as balance and agility. A systematic search will be conducted across PubMed, Scopus, Web of Science, SPORTDiscus, EMBASE, and CINAHL, supplemented by grey literature searches in ProQuest, OpenGrey, and Google Scholar. Two independent reviewers will perform study selection, data extraction, and quality assessment using the Downs and Black index. Effect sizes will be reported as standardized mean differences or odds ratios with 95% confidence intervals, and the certainty of evidence will be evaluated using a modified GRADE approach. Systematic review registration number CRD420261331845. abs0001 Graphical abstract Image, graphical abstract http://www.w3.org/1999/xlink celink0001 float portrait ga1.webp fig0001 anchor portrait graphical abs0002