Enhancing Physiotherapists’ Competence in Flat Foot Assessment Using the Foot Posture Index (FPI-6) at Muhammadiyah Hospital Palembang
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Abstract
Flat foot (pes planus) is a foot postural deformity characterized by the reduction or collapse of the medial longitudinal arch, which may lead to biomechanical disturbances, pain in the lower extremities, and decreased ability to perform daily activities. Accurate and standardized assessment is essential in physiotherapy practice to support proper diagnosis and appropriate intervention planning. However, preliminary observations at the Physiotherapy Unit of Muhammadiyah Hospital Palembang revealed that flat foot assessments had not yet been conducted optimally, with variations in the examination methods used.
This activity aimed to enhance the competence of physiotherapists in performing systematic and evidence-based flat foot assessments using the Foot Posture Index (FPI-6). The program was conducted in February 2026 at Muhammadiyah Hospital Palembang and involved physiotherapists as participants. The activity employed several methods, including educational sessions, scientific discussions, demonstrations, and hands-on practice in performing flat foot examinations using the Foot Posture Index (FPI-6) and the Navicular Drop Test. Evaluation was carried out through pre-test and post-test assessments to measure participants’ improvement in knowledge.
The evaluation results demonstrated an increase in participants’ knowledge from an average score of 62% in the pre-test to 87% in the post-test, representing a 25% improvement following the training. In addition, participants showed improved skills in assessing foot structure, determining Foot Posture Index scores, and interpreting examination results in a more systematic manner. The activity also produced educational materials in the form of a flat foot examination poster that can serve as a practical clinical guide within the hospital setting.
In conclusion, this training activity proved effective in improving physiotherapists’ competence in conducting standardized flat foot examinations. The enhancement of these competencies is expected to support improved quality of physiotherapy assessment and contribute positively to the quality of physiotherapy services for outpatient care
Article Details
Khidmah oleh http://khidmah.ikestmp.ac.id/index.php/khidmah disebarluaskan di bawah Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional.
References
Arain, Abdul, Michael C Harrington, and Andrew J Rosenbaum. 2024. “Progressive Collapsing Foot Deformity.” In Treasure Island (FL).
Banwell, Helen A, Maisie E Paris, Shylie Mackintosh, and Cylie M Williams. 2018. “Paediatric Flexible Flat Foot : How Are We Measuring It and Are We Getting It Right ? A Systematic Review.” : 1–13.
Bednarczyk, Ewa, Szymon Sikora, Aneta Kossobudzka-Górska, Krzysztof Jankowski, and Yunuhen Hernandez-Rodriguez. 2024. “Understanding Flat Feet: An in-Depth Analysis of Orthotic Solutions.” Journal of Orthopaedic Reports 3(1): 100250. doi:https://doi.org/10.1016/j.jorep.2023.100250.
Burns, Joshua, and Jack Crosbie. 2005. “Weight Bearing Ankle Dorsiflexion Range of Motion in Idiopathic Pes Cavus Compared to Normal and Pes Planus Feet.” The Foot 15(2): 91–94. doi:https://doi.org/10.1016/j.foot.2005.03.003.
Hakukawa, S, K Kaneda, Y Yamada, K Harato, R Sasaki, S Oki, S Kobayashi, et al. 2022. “THE ASSOSIATION BETWEEN PROGRESSION OF FLAT FOOT AND KNEE DEFORMITY IN PATIENTS WITH KNEE OSTEOARTHRITIS -A STUDY WITH THREE-DIMENSIONAL UPRIGHT COMPUTED TOMOGRAPHY-.” Osteoarthritis and Cartilage 30: S286–87. doi:10.1016/j.joca.2022.02.384.
Heru Irawan, Anastasya Shalsa Billa Sujadi, Aleyda Asy Syifa, Annisa Nazhifatus Syifa, Zaimur Rifqi, Anis Nabila Mairiza, Abdurrachman, Achmad Vandian Nur. 2024. “Deteksi Dini Pemeriksaan Dan Pengukuran Flatfoot Pada Murid Sekolah Dasar Di SDN 03 Sawangan Desa Sawangan Kecamatan Doro Kabupaten Pekalongan.” Jurnal Batik Universitas Muhammadiyah Pekajangan Pekalongan 4(1): 48–52.
Jiang, Hanhui, Qichang Mei, Yuan Wang, Junhao He, Enze Shao, Justin Fernandez, and Yaodong Gu. 2023. “Understanding Foot Conditions, Morphologies and Functions in Children: A Current Review.” Frontiers in Bioengineering and Biotechnology 11: 1192524. doi:10.3389/fbioe.2023.1192524.
Khan, Fayaz, Mohamed Faisal Chevidikunnan, Ejlal Abdullah BinMulayh, and Nada Saleh Al-lehidan. 2023. “Plantar Pressure Distribution in the Evaluation and Differentiation of Flatfeet.” Gait & Posture 101: 82–89. doi:https://doi.org/10.1016/j.gaitpost.2023.01.019.
Mutlu, Ebru Kaya, Tansu Birinci, Guzin Kaya Aytutuldu, Caner Mutlu, and Arzu Razak Ozdincler. “The Investigation of Foot Structure within Children Who Have Attention-Deficit Hyperactivity Disorder : A Case-Controlled Study.” : 24–30. doi:10.1097/BPB.0000000000000871.
Napolitano, Colleen, Susan Walsh, Lynette Mahoney, and John McCrea. 2000. “Risk Factors That May Adversely Modify The Natural History of The Pediatric Pronated Foot.” Clinics in Podiatric Medicine and Surgery 17(3): 397–417. doi:https://doi.org/10.1016/S0891-8422(23)01136-9.
Ojukwu, Chidiebele Petronilla, Emeka Godson Anyanwu, and Ginika Gladys Nwafor. 2017. “Correlation between Foot Arch Index and the Intensity of Foot, Knee, and Lower Back Pain among Pregnant Women in a South-Eastern Nigerian Community.” Medical principles and practice : international journal of the Kuwait University, Health Science Centre 26(5): 480–84. doi:10.1159/000481622.
Wang, Yi, Zehua Chen, Zugui Wu, Junyi Li, Congcong Li, Jiaman Yang, Weijian Chen, et al. 2023. “Reliability of Foot Posture Index ( FPI-6 ) for Evaluating Foot Posture in Patients with Knee Osteoarthritis.” (January): 1–8. doi:10.3389/fbioe.2023.1103644.
Yamashita, Tomoko, Kazuhiko Yamashita, Mitsuru Sato, Masashi Kawasumi, and Shingo Ata. 2022. “Analysis of Skeletal Characteristics of Flat Feet Using Three-Dimensional Foot Scanner and Digital Footprint.” BioMedical Engineering OnLine 21(1): 56. doi:10.1186/s12938-022-01021-7.