Thirty four epidemiological papers pertaining to the development of the paediatric foot were graphically compared. The Epidemiological Appraisal Instrument (EAI) was used to assess the risk of bias of the included studies. The PRISMA protocol was applied to compare all data currently published describing the typical development of the paediatric foot. The objective of this systematic review is to define the postural characteristics of the 'typically' developing paediatric foot. Furthermore, whilst feet are observed to decrease in flatness with increasing age, it is not known how flat they should be at each age increment. Whilst the child's foot is expected to be flat, there is currently no consensus as to how flat this foot should be. All typically developing children are born with flexible flat feet, progressively developing a medial longitudinal arch during the first decade of their lives.
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