Foot posture, leg length discrepancy and low back pain – Their relationship and clinical management using foot orthoses – An overview

Kendall, Julie C.; Bird, Adam R; Azari, Michael F.

doi:10.1016/j.foot.2014.03.004

Cited by 68 publications

(43 citation statements)

References 70 publications

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“…Similarly, Golightly et al, in a study of 12 patients with low back pain and chronic LLD, found that the use of shoe lifts was associated with significant improvement in terms of general pain (p 5 0.0006), pain with standing (p 5 0.002), and disability (p 5 0.001) 44 . In addition to correcting leg length, foot orthoses can alter foot posture, causing changes in kinematics in both the pelvis and lower extremity as well as in pelvic and lower extremity muscle firing 45 . Nevertheless, the results from other recent studies have countered these conclusions, demonstrating our lack of understanding about the impact of LLD on low back pain.…”

Section: Lld and Low Back Painmentioning

confidence: 99%

Leg-Length Discrepancy, Functional Scoliosis, and Low Back Pain

Sheha¹,

Steinhaus²,

Kim³

et al. 2018

JBJS Rev

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» In the setting of leg-length discrepancy (LLD), functional scoliosis occurs when the lumbar spine compensates for pelvic obliquity to maintain shoulder balance. » Long-standing LLD may result in degenerative changes of the lumbar spine, altered gait mechanics, and low back pain. » Patients with LLD, low back pain, and functional scoliosis should undergo radiographic evaluation with the pelvis leveled using blocks placed under the shorter limb. When the LLD or symptoms are minimal, patients may benefit from a shoe lift. Patients with an LLD of .20 mm may be considered for operative intervention.

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Section: Lld and Low Back Painmentioning

confidence: 99%

Leg-Length Discrepancy, Functional Scoliosis, and Low Back Pain

Sheha¹,

Steinhaus²,

Kim³

et al. 2018

JBJS Rev

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show abstract

“…The often functional abnormalities associated with LLD are over-pronation of one foot or imbalances within the pelvis itself with a high correlation with injury on the short leg side. There is body of evidence link the foot over-pronation, with other musculoskeletal disorders as mechanical low back pain and knee osteoarthritis 12 through mechanisms based on either mechanical postural changes or alterations in muscular activity in the lumbar and pelvic muscles 13 . In 2015 a cross-sectional survey was conducted to estimate abnormal alignment characteristics among 249 rice farmers.…”

Section: Discussionmentioning

confidence: 99%

Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system

Mahmoud

Abundo

Basile

et al. 2019

Muscle Ligaments and Tendons J

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Background: In spite the instinct social&financial impact of Leg Length Discrepancy (LLD), controversial and conflicting results still exist regarding a reliable assessment/correction method. For proper management it's essential to discriminate between anatomical&functional Leg Length Discrepancy (FLLD). With the newly invented NPoS(New Postural Solution), under the umbrella of the collaboration of PRM Department, Tor Vergata University with Baro Postural Instruments srl, positive results were observed in both measur-ing&compensating the hemi-pelvic antero-medial rotation in FLLD through personalized bilateral heel raise using two NPoS components: Foot Image System (FIS) and Postural Optimizer System (POS). This led our research interest to test the validity of NPoS as a preliminary step before evaluating its implementations in postural disorders. Methods: After clinical evaluation, 4 subjects with FLLD have been assessed by NPoS. Over a period of 2 months, every subject was evaluated 12 times by two different operators, 48 measurements in total, results have been verified in correlation to BTS GaitLab results. Results: Intra-Operator&inter-operator variability analysis showed statistically insignificant differences, while inter-method variability between NPoS and BTS parameters expressed a linear correlation. Conclusion: Results suggest a significant validity of NPoS in assessment&correction of FLLD, with high degree of reproducibility with minimal operator dependency. This can be considered a base for promising clinical implications of NPoS as a reliable cost effective postural assessment/corrective tool. Level of evidence: V. KEY WORDS: hemi-pelvic rotation, lower limb inequality, new postural solution, personalized heel raise, postural assessment, functional leg length discrepancy, anatomic leg length discrepancy.

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Section: Functional Leg Length Discrepancy Between Theories and Reliamentioning

confidence: 99%

Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system

Mahmoud

Abundo

Basile

et al. 2017

MLTJ

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Foot posture, leg length discrepancy and low back pain – Their relationship and clinical management using foot orthoses – An overview

Cited by 68 publications

References 70 publications

Leg-Length Discrepancy, Functional Scoliosis, and Low Back Pain

Leg-Length Discrepancy, Functional Scoliosis, and Low Back Pain

Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system

Functional leg length discrepancy between theories and reliable instrumental assessment: a study about newly invented NPoS system

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