Rearfoot alignment and medial longitudinal arch configurations of runners with symptoms and histories of plantar fasciitis

Ribeiro, Ana Paula; Trombini-Souza, Francis; Tessutti, Vitor Daniel; Lima, Fernanda Rodrigues; Sacco, Isabel de Camargo Neves; João, Sílvia Maria Amado

doi:10.1590/s1807-59322011000600018

Cited by 46 publications

(72 citation statements)

References 48 publications

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“…Significant findings for foot posture in non-athletic groups include a more pronated foot posture (Foot Posture Index, MD 1.3 (95% CI 0.42 to 2.18)), a lower sagittal plane calcaneal pitch on X-ray (MD −4.55° (95% CI −5.62 to −3.48)) and reduced sagittal arch angle change between NWB and WB (indicating greater arch stiffness) on X-ray 26 48 58. No significant associations were found for other types of measurements regarding foot posture 8 28 30 31 37 38 40 57. Static measures of leg alignment beyond the significant findings of Di Caprio yielded non-significant associations with a measure of ‘Q angle’ and lower limb length discrepancy 28…”

Section: Resultsmentioning

confidence: 93%

“…Measurements of static foot posture and lower limb alignment were reported in 11 studies 8 26 28 30 31 37 38 40 48 57 58. Significant findings for foot posture in non-athletic groups include a more pronated foot posture (Foot Posture Index, MD 1.3 (95% CI 0.42 to 2.18)), a lower sagittal plane calcaneal pitch on X-ray (MD −4.55° (95% CI −5.62 to −3.48)) and reduced sagittal arch angle change between NWB and WB (indicating greater arch stiffness) on X-ray 26 48 58.…”

Section: Resultsmentioning

confidence: 99%

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Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors

et al. 2015

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We found a consistent clinical association between higher BMI and plantar fasciopathy. This association may differ between athletic and non-athletic subgroups. While consistent evidence supports a range of bone and soft tissue abnormalities, there is lack of evidence for the dogma of clinical and mechanical measures of foot and ankle function. Clinicians can use this information in shared decision-making.

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Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors

et al. 2015

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“…Of these studies, Paiva de Castro et al 72 rately, Burns et al 12 incorporated both case-control (retrospective) and prospective study designs, and McManus et al 56 reported the results of their 2-year prospective study separately for each year. Eleven studies either utilized more than 1 method to categorize foot type 12,46,53 or assessed the foot using continuous scales, 5,7,12,26,38,52,63,79,81 and 4 studies reported on more than 1 lower extremity injury using either a dichotomous outcome 24,38,41 or a continuous scale. 34 In the meta-analysis, to account for all genders, feet (right/left), study designs, low back and lower extremity injuries, and methods of foot-type classification/ assessment reported in the included studies, the outcome of each analysis was entered separately as a unique study.…”

Section: Meta-analysismentioning

confidence: 99%

Association Between Foot Type and Lower Extremity Injuries: Systematic Literature Review With Meta-analysis

Tong

Kong²

2013

J Orthop Sports Phys Ther

122

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T he human foot is often classified into 3 structural categories: high, normal, and low arch, based on its anatomical alignment 89 and the height of the medial longitudinal arch. 27 Classification in these 3 categories is typically based on cutoff values determined from the distribution of data (standard deviations 65,93,102 or percentiles 15,16 ) from measurements taken on a large population. The interest in such classification is the belief that nonneutral foot morphology, such as a high or low arch (flatfoot), may lead to less than optimal foot function and be associated with the development of lower extremity and low back injuries. 23,28,29,59 A review of the literature provides conflicting evidence on the potential relationship between foot type and lower extremity injuries. Although a number of published reports have found no relationships between nonneutral foot types and lower extremity injuries, 40,94,96,99 the authors of a recent systematic review concluded that both high-and low-arch foot types were associated with runningrelated injuries. 14 The results of this systematic review, 14 which did not include a meta-analysis and effect-size estimates, contrast those of a few qualitative reviews that failed to demonstrate a relationship between foot type and future lower extremity injuries. 4,8,20,70 This lack of consensus in the literature could be attributed, in part, to the variation in the operational definition of foot type among investigators. 4,70 A large variety of methods have been developed to classify the foot based on structure and alignment. These T T OBJECTIVES:To investigate the association between nonneutral foot types (high arch and flatfoot) and lower extremity and low back injuries, and to identify the most appropriate methods to use for foot classification. T T METHODS:A search of 5 electronic databases (PubMed, Embase, CINAHL, SPORTDiscus, and ProQuest Dissertations and Theses), Google Scholar, and the reference lists of included studies was conducted to identify relevant articles. The review included comparative cross-sectional, casecontrol, and prospective studies that reported qualitative/quantitative associations between foot types and lower extremity and back injuries. Quality of the selected studies was evaluated, and data synthesis for the level of association between foot types and injuries was conducted. A randomeffects model was used to pool odds ratio (OR) and standardized mean difference (SMD) results for meta-analysis. T T RESULTS:Twenty-nine studies were included for meta-analysis. A significant association between nonneutral foot types and lower extremity injuries was determined (OR = 1.23; 95% confidence interval [CI]: 1.11, 1.37; P<.001). Foot posture index (OR = 2.58; 95% CI: 1.33, 5.02; P<.01) and visual/ physical examination (OR = 1.17; 95% CI: 1.06, 1.28; P<.01) were 2 assessment methods using distinct foot-type categories that showed a significant association with lower extremity injuries.

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“…These prior studies are typically limited by the assessment of a small number of foot disorders and have often focused on specific sub-samples that may not reflect population norms [15,16]. The purpose of this study is to assess the relation between foot disorders, and foot posture and function in a population-based sample of adults.…”

Section: Introductionmentioning

confidence: 99%

Foot Disorders, Foot Posture, and Foot Function: The Framingham Foot Study

et al. 2013

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IntroductionFoot disorders are common among older adults and may lead to outcomes such as falls and functional limitation. However, the associations of foot posture and foot function to specific foot disorders at the population level remain poorly understood. The purpose of this study was to assess the relation between specific foot disorders, foot posture, and foot function.MethodsParticipants were from the population-based Framingham Foot Study. Quintiles of the modified arch index and center of pressure excursion index from plantar pressure scans were used to create foot posture and function subgroups. Adjusted odds ratios of having each specific disorder were calculated for foot posture and function subgroups relative to a referent 3 quintiles.ResultsPes planus foot posture was associated with increased odds of hammer toes and overlapping toes. Cavus foot posture was not associated with the foot disorders evaluated. Odds of having hallux valgus and overlapping toes were significantly increased in those with pronated foot function, while odds of hallux valgus and hallux rigidus were significantly decreased in those with supinated function.ConclusionsFoot posture and foot function were associated with the presence of specific foot disorders.

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Rearfoot alignment and medial longitudinal arch configurations of runners with symptoms and histories of plantar fasciitis

Cited by 46 publications

References 48 publications

Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors

Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors

Association Between Foot Type and Lower Extremity Injuries: Systematic Literature Review With Meta-analysis

Foot Disorders, Foot Posture, and Foot Function: The Framingham Foot Study

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