The effect of sports shoes on flat foot

Keywords: Branch, sports, flat foot, pes planus, sports shoes


Objective: This study was conducted to determine the effects of participation in sports on the structural deformities of the foot. Methods: A total of 2013 athletes (1301 males, 712 females) who had regularly participated in sports for a minimum of three years were included in the study. Screening of the sole was performed using a podoscope as it is a reliable and practical device. The structure of the sole was evaluated with the highly valid Staheli index. Results: A significant relationship was detected between the ages of the athletes, years in sport, branch of sports variables and the prevalence of flat foot. However, no significant relationship was found between the athletes’ gender and the prevalence of flat foot. Conclusion: It is thought that the training regimes, the floor on which the sports is performed and the shoes used in sports had effects on flat foot deformity. Based on our results, we assert that redesigning the competition shoes and using sports shoes with arch support during warm-ups, running and other sportive and educational drills outside the routine activities of the sports branch may be beneficial for foot health.


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Author Biographies

M.F. Korkmaz, Istanbul Medeniyet University; Istanbul, Turkey
M. Acak, Inonu University; Malatya, Turkey
S. Duz, Inonu University; Malatya, Turkey


1. Mauch M, Grau S, Krauss I, Maiwald C, Horstmann T. Foot morphology of normal, underweight and overweight children. Int J Obes (Lond). 2008; 32: 1068- 75.

2. Murphy DF, Connolly DA, Beynnon BD. Risk factors for lower extremity injury: a review of the literature. Br J Sports Med. 2003; 37: 13- 29.

3. Bolgla LA, Malone TR. Plantar fasciitis and the windlass mechanism: a biomechanical link to clinical practice. J Athl Train. 2004; 39: 77-82.

4. Rose GK, Welton EA, Marshall T. The diagnosis of flat foot in the child. J Bone Joint Surg Br. 1985; 67: 71- 8.

5. Staheli LT. Evaluation of planovalgus foot deformities with special reference to the natural history. J Am Podiatr Med Assoc. 1987; 77: 2- 6.

6. Rao UB, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 2300 children. J Bone Joint Surg Br. 1992; 74: 525- 7.

7. Giallonardo LM. Clinical evaluation of foot and ankle dysfunction. Phys Ther. 1988; 68: 1850- 6.

8. Kanatli U, Yetkin H, Bolukbasi S. Evaluation of the transverse metatarsal arch of the foot with gait analysis. Arch Orthop Trauma Surg. 2003; 123: 148- 50.

9. Inui K, Ikoma K, Imai K, Ohashi S, Maki M, Kido M, et al. Examination of the correlation between foot morphology measurements using pedography and radiographic measurements. J Foot Ankle Surg. 2017; 56: 298- 303.

10. Uzunca K, Taştekin N, Birtane M. Relationship of pain in adult-type pes planus with radiographic and pedobarographical parameters. [Article in Turkish] Romatizma. 2006; 21: 95-9.

11. Taş S, Ünlüer NÖ, Korkusuz F. Morphological and mechanical properties of plantar fascia and intrinsic foot muscles in individuals with and without flat foot. J Orthop Surg (Hong Kong) 2018;26:230949901880248.

12. Rodriguez N, Volpe RG. Clinical diagnosis and assessment of the pediatric pes planovalgus deformity. Clin Podiatr Med Surg. 2010; 27: 43-58.

13. McPoil TG, Vicenzino B, Cornwall MW, Collins N. Can foot anthropometric measurements predict dynamic plantar surface contact area? J Foot Ankle Res. 2009; 2: 28.

14. Yalçın E, Kurtaran A, Akyüz M. Pes Planus: Diagnosis, Etiology and Management. [Article in Turkish] Turkiye Klinikleri J Med Sci. 2008; 28: 743-53.

15. Guido JA Jr, Werner SL. Lower-extremity ground reaction forces in collegiate baseball pitchers. J Strength Cond Res. 2012; 26: 1782-5.

16. Hong Y, Wang SJ, Lam WK, Cheung JT. Kinetics of badminton lunges in four directions. J Appl Biomech. 2014; 30: 113-8.

17. Kaufman KR, Brodine SK, Shaffer RA, Johnson CW, Cullison TR. The effect of foot structure and range of motion on musculoskeletal overuse injuries. Am J Sports Med. 1999; 27: 585-93.

18. Queen RM, Mall NA, Nunley JA, Chuckpaiwong B. Differences in plantar loading between flat and normal feet during different athletic tasks. Gait Posture. 2009; 29: 582-6.

19. Queen RM, Haynes BB, Hardaker WM, Garrett WE Jr. Forefoot loading during 3 athletic tasks. Am J Sports Med. 2007; 35: 630-6.

20. Sallis RE, Jones K, Sunshine S, Smith G, Simon L. Comparing sports injuries in men and women. Int J Sports Med. 2001; 22: 420-3.

21. Ferber R, Davis IM, Williams DS 3rd. Gender differences in lower extremity mechanics during running. Clin Biomech (Bristol, Avon). 2003; 18: 350-7.

22. Razeghi M, Batt ME. Foot type classification: a critical review of current methods. Gait Posture. 2002; 15: 282-91.

23. Lee MS, Vanore JV, Thomas JL, Catanzariti AR, Kogler G, Kravitz SR, et al. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg. 2005; 44: 78-113.

24. Crisan S, Zaharia VD, Curta C, Irimia ED. Computer Assisted Optical Podoscope for Orthostatic Measurements. In: Vlad S, Ciupa RV, editors. IFMBE Proceedings: International Conference on Advancements of Medicine and Health Care through Technology. Berlin: Springer; 2011. P. 226-9.

25. Staheli LT, Chew DE, Corbett M. The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg Am. 1987; 69: 426-8.

26. Scott G, Menz HB, Newcombe L. Age-related differences in foot structure and function. Gait Posture. 2007; 26: 68-75.

27. Aydog ST, Tetik O, Demirel HA, Doral MN. Differences in sole arch indices in various sports. Br J Sports Med. 2005; 39: e5.

28. Wojtys EM, Ashton-Miller JA, Huston LJ, Moga PJ. The association between athletic training time and the sagittal curvature of the immature spine. Am J Sports Med. 2000; 28: 490-8.

29. Nurzynska D, Di Meglio F, Castaldo C, Latino F, Romano V, Miraglia R, et al. Flatfoot in children: anatomy of decision making. Ital J Anat Embryol. 2012; 117: 98-106.

30. Echarri JJ, Forriol F. The development in foot print morphology in 1851 Congolese children from urban and rural areas, and the relationship between this and wearing shoes. J Pediatr Orthop B. 2003; 12: 141-6.

31. Kuo Y, Liu YSF. The foot posture index between elite athletic and sedentary college students. Kinesiology. 2017; 49: 202-7.

32. Redmond AC, Crane YZ, Menz HB. Normative values for the Foot Posture Index. J Foot Ankle Res. 2008; 1: 6.

33. Ezema CI, Abaraogu UO, Okafor GO. Flat foot and associated factors among primary school children: A cross-sectional study. Hong Kong Physiother J. 2014; 32: 13-20.

34. Klingele J, Hoppeler H, Biedert R. Statistical deviations in high-performance athletes. [Article in German] Schweiz Z Sportmed. 1993; 41: 55-62.

35. Matsuda S, Demura S, Kasuga K, Sugiura H. Reliability and Sex Differences in the Foot Pressure Load Balance Test and Its Relationship to Physical Characteristics in Preschool Children. Advances in Physical Education. 2012; 2: 44-8.

36. Zifchock RA, Davis I, Hillstrom H, Song J. The effect of gender, age, and lateral dominance on arch height and arch stiffness. Foot Ankle Int. 2006; 27: 367-72.

37. Frey C. Foot health and shoewear for women. Clin Orthop Relat Res. 2000; 372: 32-44.

38. Hashimoto M, Cheng H, Hirohashi K. Evaluation of the function of the human foot in two different conditions using radiography. J Phys Ther Sci. 2004; 16: 57-64.

39. Sachithanandam V, Joseph B. The influence of footwear on the prevalence of flat foot. A survey of 1846 skeletally mature persons. J Bone Joint Surg Br. 1995; 77: 254-7.

40. Kohls-Gatzoulis J, Angel J, Singh D. Tibialis posterior dysfunction as a cause of flatfeet in elderly patients. Foot. 2004; 14: 207-9.

41. Gould N. Evaluation of hyperpronation and pes planus in adults. Clin Orthop Relat Res. 1983; 181: 37-45.

42. Zatsiorsky VM. Biodynamics of leg movements in swimming. In: Zatsiorsky VM, editor. Biomechanics in Sports: Performance Enhancement and Injury Prevention. 1st ed. Massachusetts: Blackwell Science Inc; 2000. P. 224-5.
How to Cite
Korkmaz M, Acak M, Duz S. The effect of sports shoes on flat foot. Pedagogy of Physical Culture and Sports. 2020;24(2):64-1.