Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study
<p>Abstract</p> <p>Background</p> <p>Chronic plantar heel pain (CPHP) is one of the most common musculoskeletal disorders of the foot, yet its aetiology is poorly understood. The purpose of this study was to examine the association between CPHP and a number of commonly...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2007-05-01
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| Series: | BMC Musculoskeletal Disorders |
| Online Access: | http://www.biomedcentral.com/1471-2474/8/41 |
| _version_ | 1818757780042940416 |
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| author | Young Mark A Cook Jill L Irving Damien B Menz Hylton B |
| author_facet | Young Mark A Cook Jill L Irving Damien B Menz Hylton B |
| author_sort | Young Mark A |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Chronic plantar heel pain (CPHP) is one of the most common musculoskeletal disorders of the foot, yet its aetiology is poorly understood. The purpose of this study was to examine the association between CPHP and a number of commonly hypothesised causative factors.</p> <p>Methods</p> <p>Eighty participants with CPHP (33 males, 47 females, mean age 52.3 years, S.D. 11.7) were matched by age (± 2 years) and sex to 80 control participants (33 males, 47 females, mean age 51.9 years, S.D. 11.8). The two groups were then compared on body mass index (BMI), foot posture as measured by the Foot Posture Index (FPI), ankle dorsiflexion range of motion (ROM) as measured by the Dorsiflexion Lunge Test, occupational lower limb stress using the Occupational Rating Scale and calf endurance using the Standing Heel Rise Test.</p> <p>Results</p> <p>Univariate analysis demonstrated that the CPHP group had significantly greater BMI (29.8 ± 5.4 kg/m<sup>2 </sup>vs. 27.5 ± 4.9 kg/m<sup>2</sup>; <it>P </it>< 0.01), a more pronated foot posture (FPI score 2.4 ± 3.3 vs. 1.1 ± 2.3; <it>P </it>< 0.01) and greater ankle dorsiflexion ROM (45.1 ± 7.1° vs. 40.5 ± 6.6°; <it>P </it>< 0.01) than the control group. No difference was identified between the groups for calf endurance or time spent sitting, standing, walking on uneven ground, squatting, climbing or lifting. Multivariate logistic regression revealed that those with CPHP were more likely to be obese (BMI ≥ 30 kg/m<sup>2</sup>) (OR 2.9, 95% CI 1.4 – 6.1, <it>P </it>< 0.01) and to have a pronated foot posture (FPI ≥ 4) (OR 3.7, 95% CI 1.6 – 8.7, <it>P </it>< 0.01).</p> <p>Conclusion</p> <p>Obesity and pronated foot posture are associated with CPHP and may be risk factors for the development of the condition. Decreased ankle dorsiflexion, calf endurance and occupational lower limb stress may not play a role in CPHP.</p> |
| first_indexed | 2024-12-18T06:16:22Z |
| format | Article |
| id | doaj.art-8d77616f8b9b4784a939c26fbb9b881d |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-18T06:16:22Z |
| publishDate | 2007-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-8d77616f8b9b4784a939c26fbb9b881d2022-12-21T21:18:15ZengBMCBMC Musculoskeletal Disorders1471-24742007-05-01814110.1186/1471-2474-8-41Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control studyYoung Mark ACook Jill LIrving Damien BMenz Hylton B<p>Abstract</p> <p>Background</p> <p>Chronic plantar heel pain (CPHP) is one of the most common musculoskeletal disorders of the foot, yet its aetiology is poorly understood. The purpose of this study was to examine the association between CPHP and a number of commonly hypothesised causative factors.</p> <p>Methods</p> <p>Eighty participants with CPHP (33 males, 47 females, mean age 52.3 years, S.D. 11.7) were matched by age (± 2 years) and sex to 80 control participants (33 males, 47 females, mean age 51.9 years, S.D. 11.8). The two groups were then compared on body mass index (BMI), foot posture as measured by the Foot Posture Index (FPI), ankle dorsiflexion range of motion (ROM) as measured by the Dorsiflexion Lunge Test, occupational lower limb stress using the Occupational Rating Scale and calf endurance using the Standing Heel Rise Test.</p> <p>Results</p> <p>Univariate analysis demonstrated that the CPHP group had significantly greater BMI (29.8 ± 5.4 kg/m<sup>2 </sup>vs. 27.5 ± 4.9 kg/m<sup>2</sup>; <it>P </it>< 0.01), a more pronated foot posture (FPI score 2.4 ± 3.3 vs. 1.1 ± 2.3; <it>P </it>< 0.01) and greater ankle dorsiflexion ROM (45.1 ± 7.1° vs. 40.5 ± 6.6°; <it>P </it>< 0.01) than the control group. No difference was identified between the groups for calf endurance or time spent sitting, standing, walking on uneven ground, squatting, climbing or lifting. Multivariate logistic regression revealed that those with CPHP were more likely to be obese (BMI ≥ 30 kg/m<sup>2</sup>) (OR 2.9, 95% CI 1.4 – 6.1, <it>P </it>< 0.01) and to have a pronated foot posture (FPI ≥ 4) (OR 3.7, 95% CI 1.6 – 8.7, <it>P </it>< 0.01).</p> <p>Conclusion</p> <p>Obesity and pronated foot posture are associated with CPHP and may be risk factors for the development of the condition. Decreased ankle dorsiflexion, calf endurance and occupational lower limb stress may not play a role in CPHP.</p>http://www.biomedcentral.com/1471-2474/8/41 |
| spellingShingle | Young Mark A Cook Jill L Irving Damien B Menz Hylton B Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study BMC Musculoskeletal Disorders |
| title | Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study |
| title_full | Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study |
| title_fullStr | Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study |
| title_full_unstemmed | Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study |
| title_short | Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study |
| title_sort | obesity and pronated foot type may increase the risk of chronic plantar heel pain a matched case control study |
| url | http://www.biomedcentral.com/1471-2474/8/41 |
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