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rmance. BACKGROUND Flatfoot is characterized as a lower longitudinal arch and is a common foot deformity in older adults. Foot intrinsic muscle dysfunction has been considered as one of the factors for a lower medial longitudinal arch. The objective of this study was to investigate the association of the navicular drop with the thickness of foot intrinsic muscles in older adults. RESEARCH QUESTION Which intrinsic muscle contributes most to support the medial longitudinal arch in older adults? METHODS We studied 88 community-dwelling old