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Purposes : This study aimed to assess flat foot in university athletes and to study the association between flat foot and associated factors including age, gender, body mass index (BMI), physical activity level, and kind of sport.
Methods : The research was a crosssectional study design. Seventy-six participants Naresuan university athletes, aged 18-25 years participated this study. They were volleyball, futsal, basketball, karataedo, taekwondo, takraw, and athlete players. Physical activity level was collected by using global physical activity questionnaire (GPAQ). A flat foot was assessed using a footprint. Both of width parameters were calculated as Chippaux- Smirak index (CSI). The outcomes were analyzed using descriptive statistics, Bivariate correlation (Pearson product’s moment correlation coefficient) and multiple regression were used for regression analysis.
Results : The results showed that there were twenty athletes (26.32%) with flat foot, 13 males (17.11%) and 7 females (9.21%). The flat foot occurred in almost sports activities namely, volleyball (n=7), basketball (n=6), karataedo (n=4), futsal (n=2), and taekwondo (n=1). BMI of all athletes were in normal range, except for karataedo athletes. Most athletes reported high physical activities level pearson correlation analysis revealed that, gender was positively associated with flat foot (r = .663, P<.05), while BMI (r = -.310, P<.05) was negatively associated with flat foot. However, there were no association between flat foot and age, physical activity level, and kinds of sport.
Conclusion : The findings showed that there was more prevatent of flat foot condition in male than in female in Naresuan university athletes. Sports and physical activities associated with running and walking produced a greater mechanical loading of ankle joint, which in turn may lead to injury in athletes. Therefore, the prevention of flat foot and promotion of good foot care is important for university athletes with flat foot.
Aenumulapalli, A., Kulkarni, M.M., and Gandotra, A.R. (2017). Prevalence of flexible flat foot in adults: across-sectional study. Journal of Clinical and Diagnostic Research, 11, 17-20.
Agel, J., Palmieri-Smith, R. M., Dick, R., Wojtys, E. M., and Marshall, S. W. (2007). Descriptive epidemiology of collegiate women’s volleyball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. Journal of Athletic Training, 42(2), 295.
Chadchavalpanichaya, N. (2005). Most common foot problems and solutions by Pedorthic. Rehabilitation Medicine, 15(2), 60-69.
Chang, J-H., Wang, S-H., Kuo, C-L., Shen, H.C., Hong, Y-W., and Lin, L-C. (2010). Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and age. European Journal of Pediatrics, 169, 447–452.
Ezema, C.I., Abaraogu, U.O., and Okafor, G.O. (2014). Flat foot and associated factors among primary school children: A crosssectional study. Hong Kong Physiotherapy Journal, 32, 13–20
Jorrakate, C., Kongsuk, J., Wannaon, S., Kontha, S., and Sungpasee, S. (2014). Comparisons of ability to control static and dynamic standing balances in male individuals with and without flat foot aged between 18-25 years. The Journal of Physical Therapy, 36(3), 79-88.
McCormick J.J., and Johnson J.E. (2012). Medial column procedures in the correction of adult acquired flatfoot deformity. Foot Ankle Clinics;17: 283-98.
Nikolaidou, M.E., and Boudolos, K.D. (2006). A Footprint for the rational classification of foot types in young schoolchildren. The Foot, 16, 82-90.
Pfeiffer, M., Kotz, R., Ledl, T., Hauser, G., and Sluga, M. (2006). Prevalence of flat foot in preschool-aged children. Pediatrics, 118(2), 634-639.
Research and Development Section, Bureau of Sport Science, Department of Physical Education. (2013). Foot characteristics with athletes. Bangkok: Agricultural Cooperative Assembly of Thailand Co., Ltd.
Sadeghi-Demneh, E., Jafarian, F., Melvin, J. M., Azadinia, F., Shamsi, F., and Jafarpishe, M. (2015). Flatfoot in school-age children: prevalence and associated factors. Foot & Ankle Specialist, 8(3), 186-193.
Suksom, D. (2018). Exercise for health. Bangkok. Chulalongkorn University. Tantaopas, W., Jitchanvichai, J., Laisiriroengrai, T., Jenjai, N., Julphakee, T., Theera-Umpon, N., et al. (2018). Prevalence and associated factors of flatfoot in third-year medical students at Chiang Mai University. Chulalongkorn Medical Journal, 62(3), 627-637.
Tenenbaum, S., Hershkovich, O., Gordon, B., Bruck, N., Thein, R., Derazne, E., andAfek, A. (2013). Flexible pes planus in adolescents: body mass index, body height, and gender-an epidemiological study. Foot & Ankle International, 34(6), 811-817.
Tománková. K., Pridalová K., and Gába, A. (2015). The impact of obesity on foot morphology in women aged 48 years or older. Acta Gymnica, 45(2), 69-75.
Utsahachant, N., Kingman, S., Songsri, K., and Adsarangkool Na Aryuthaya, N. (2020). A Comparison of Pronated and Normal Foot Postures on Static and Dynamic Postural Stability. The Public Health Journal of Burapha University, 15(1), 36-48.
Vannajak, P. T., and Vannajak, K. (2018). Association between flat foot and knee pain. Burapha Journal of Medicine, 5(1), 104-112.
Vannajak, P. T., Vannajak, K., and Boonsri C. (2017). The Correlations between Foot Posture and Preferential Foot in Handball Players. The 1st National Conference Research and Innovation Knowledge Transformation Towards Thailand 4.0, School of Health Science, Mae Fah Luang University.
Vannajak, P.T., Vannajak, K., Somwarn, K., Panjaparanurak, A., and Chantharungsi, A. (2018). The Effect of Rigid Tape and ElasticTape on Navicular Height and Gait in People with Flexible Flat Feet. Srinagarind Medical Journal, 33(1), 56-63.
Vergara-Amador, E., Serrano, R.F., Correa, J.R., Molano, A.C., and Guevara, O.A. (2012). Prevalence of flatfoot in school between 3 and 10 years. Study of two different populations geographically and socially. Colombia M dica, 43(2), 141-146.
WHO Expert consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet, 363, 157-163.
Yamane, T. (1973). Statistics: An Introductory Analysis. 3 rd ed. NY: Harper and Row Publication.
Zhao, X., Gu, Y., Yu, J., Ma, Y., and Zhou, Z. (2020). The influence of gender, age, and body mass index on arch height and arch stiffness. The Journal of Foot and Ankle Surgery, 59(2), 298-302.