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* Department of Rehabilitation Sciences, Program in Physical Therapy, Northern Arizona University, Flagstaff, AZ.
Department of Physiotherapy, University of Queensland, St. Lucia, Brisbane, Australia.
Doctor of Physical Therapy Program, Department of Rehabilitation Sciences, Program in Physical Therapy, Northern Arizona University, Flagstaff, AZ.
Corresponding author: Mark W. Cornwall, PT, PhD, CPed, Department of Physical Therapy and Athletic Training, Program in Physical Therapy, Northern Arizona University, PO Box 15105, Flagstaff, AZ 86011.
Abstract
Background: The Foot Posture Index (FPI) has been advocated as a simple and convenient tool to assess static foot posture in a clinical setting. Although published studies have indicated that the FPI has good intrarater reliability and moderate interrater reliability, these studies were conducted on a previous version of the tool that used eight criteria to score a patients foot posture. The revised tool has only six criteria (FPI-6). The purpose, therefore, of this study was to investigate the intrarater and interrater reliability of the revised version of the FPI.
Methods: Three different raters used the FPI-6 to twice evaluate 92 feet from 46 individuals.
Results: Intrarater reliability was high but interrater reliability was only moderate. In addition, using the raw score generated by the FPI-6 to classify feet into one of five categories did not improve agreement between raters.
Conclusions: The FPI-6 should be used with extreme caution and may actually have limited value, especially from a research perspective. (J Am Podiatr Med Assoc 98(1): 7–13, 2008)
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