TY - JOUR
T1 - Musculoskeletal and activity-related factors associated with plantar heel pain
AU - Sullivan, Justin
AU - Burns, Joshua
AU - Adams, Roger
AU - Pappas, Evangelos
AU - Crosbie, Jack
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study was funded by the Podiatry Council of New South Wales, Australia.
Publisher Copyright:
© The Author(s) 2014.
PY - 2015/1/8
Y1 - 2015/1/8
N2 - Background: Despite the prevalence and impact of plantar heel pain, its etiology remains poorly understood, and there is no consensus regarding optimum management. The identification of musculoskeletal factors related to the presence of plantar heel pain could lead to the development of better targeted intervention strategies and potentially improve clinical outcomes. The aim of this study was to investigate relationships between a number of musculoskeletal and activity-related measures and plantar heel pain. Methods: In total, 202 people with plantar heel pain and 70 asymptomatic control participants were compared on a variety of musculoskeletal and activity-related measures, including body mass index (BMI), foot and ankle muscle strength, calf endurance, ankle and first metatarsophalangeal (MTP) joint range of motion, foot alignment, occupational standing time, exercise level, and generalized hypermobility. Following a comparison of groups for parity of age, analyses of covariance were performed to detect differences between the 2 groups for any of the variables measured. Results: The plantar heel pain group displayed a higher BMI, reduced ankle dorsiflexion range of motion, reduced ankle evertor and toe flexor strength, and an altered inversion/eversion strength ratio. There were no differences between groups for foot alignment, dorsiflexor or invertor strength, ankle inversion or eversion range of motion, first MTP joint extension range of motion, generalized hypermobility, occupational standing time, or exercise level. Conclusion: Plantar heel pain is associated with higher BMI and reductions in some foot and ankle strength and flexibility measures. Although these factors could be either causal or consequential, they are all potentially modifiable and could be targeted in the management of plantar heel pain.
AB - Background: Despite the prevalence and impact of plantar heel pain, its etiology remains poorly understood, and there is no consensus regarding optimum management. The identification of musculoskeletal factors related to the presence of plantar heel pain could lead to the development of better targeted intervention strategies and potentially improve clinical outcomes. The aim of this study was to investigate relationships between a number of musculoskeletal and activity-related measures and plantar heel pain. Methods: In total, 202 people with plantar heel pain and 70 asymptomatic control participants were compared on a variety of musculoskeletal and activity-related measures, including body mass index (BMI), foot and ankle muscle strength, calf endurance, ankle and first metatarsophalangeal (MTP) joint range of motion, foot alignment, occupational standing time, exercise level, and generalized hypermobility. Following a comparison of groups for parity of age, analyses of covariance were performed to detect differences between the 2 groups for any of the variables measured. Results: The plantar heel pain group displayed a higher BMI, reduced ankle dorsiflexion range of motion, reduced ankle evertor and toe flexor strength, and an altered inversion/eversion strength ratio. There were no differences between groups for foot alignment, dorsiflexor or invertor strength, ankle inversion or eversion range of motion, first MTP joint extension range of motion, generalized hypermobility, occupational standing time, or exercise level. Conclusion: Plantar heel pain is associated with higher BMI and reductions in some foot and ankle strength and flexibility measures. Although these factors could be either causal or consequential, they are all potentially modifiable and could be targeted in the management of plantar heel pain.
KW - flexibility
KW - foot alignment
KW - obesity
KW - Strength
KW - Body Mass Index
KW - Heel
KW - Humans
KW - Middle Aged
KW - Risk Factors
KW - Male
KW - Ankle Joint/physiology
KW - Pain/epidemiology
KW - Joint Instability/physiopathology
KW - Metatarsophalangeal Joint/physiology
KW - Range of Motion, Articular
KW - Female
KW - Toes/physiology
KW - Aged
KW - Muscle Strength
UR - http://www.scopus.com/inward/record.url?scp=84920482628&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/musculoskeletal-activityrelated-factors-associated-plantar-heel-pain
U2 - 10.1177/1071100714551021
DO - 10.1177/1071100714551021
M3 - Article
C2 - 25237175
AN - SCOPUS:84920482628
SN - 1071-1007
VL - 36
SP - 37
EP - 45
JO - Foot and Ankle International
JF - Foot and Ankle International
IS - 1
ER -