Clinical and Functional Characteristics of People With Chronic and Recent‐Onset Plantar Heel Pain

Wiley - Tập 9 Số 11 - Trang 1128-1134 - 2017
Allegra Allegra, Justin Justin, Evangelos Evangelos, Roger Roger, Joshua Joshua

Tóm tắt

AbstractBackgroundPlantar heel pain is a common condition that reduces health‐related quality of life. Recovery usually occurs within 12 months; however, up to 20% of people remain symptomatic beyond this time frame. The level of pain and function in this chronic heel pain group is not well described.ObjectiveTo identify clinical and functional characteristics associated with chronic plantar heel pain compared with heel pain of recent onset.DesignCross‐sectional study.SettingUniversity research laboratory and private physiotherapy clinic.ParticipantsA total of 71 people with plantar heel pain for longer than 12 months and 64 people with plantar heel pain for less than 6 months were recruited from the general public.MethodsFunctional characteristics of participants in both heel pain groups were assessed with a variety of clinical measures and the Foot Health Status Questionnaire. Clinical measures included body mass index, foot and ankle muscle strength using hand‐held dynamometry, as well as ankle and first metatarsophalangeal joint range of motion. The Foot Health Status Questionnaire was used to collect self‐reported measures of foot pain severity, foot function and physical activity.Main Outcome MeasurementsUnivariate analyses of variance were performed to detect differences between the 2 groups for each of the variables measured.ResultsThe chronic heel pain group exhibited reduced ankle dorsiflexor and toe flexor strength yet better self‐reported foot function. There was no difference between groups for body mass index, ankle and first metatarsophalangeal joint range of motion, inversion strength, eversion strength, calf endurance, self‐reported foot pain, and physical activity.ConclusionsChronic plantar heel pain is associated with selective weakness of foot and ankle muscle groups but less affected foot function compared with heel pain of recent onset. Those with chronic symptoms may moderate or make adaptations to their daily activities, or simply accept their condition, enabling more effective coping. Strength deficits, although possibly a cause or consequence of chronic symptoms, suggest a need to include resistance exercise in the management of plantar heel pain.Level of EvidenceIV

Tài liệu tham khảo

10.2519/jospt.2014.0303 Cole C., 2005, Plantar fasciitis: Evidence‐based review of diagnosis and therapy, Am Fam Physician, 72, 2237 Tong K.B., 2010, Economic burden of plantar fasciitis treatment in the United States, Am J Orthop (Belle Mead NJ), 39, 227 10.1177/107110070402500505 10.2519/jospt.2008.0302 10.1053/j.jfas.2010.01.001 10.1016/j.fas.2014.03.003 10.1177/1071100714551021 10.2519/jospt.2003.33.8.468 10.1056/NEJMcp032745 10.7547/0970068 Landorf KB. Plantar heel pain and plantar fasciitis. BMJ Clin Evid 2015;Nov 25:2015. pii:1111. League A.C., 2008, Current concepts review: plantar fasciitis, Foot Ankle Int, 29, 358, 10.3113/FAI.2008.0358 10.1177/107110079801901203 10.1177/107110079401500303 10.7547/0980283 10.1016/S0004-9514(14)60377-9 10.1016/j.jsams.2007.06.009 10.1177/107110070502600708 10.1053/apmr.2002.32743 10.1159/000264655 10.1007/s00167-003-0441-0 10.7547/87507315-88-9-419 10.1002/acr.22380 10.1589/jpts.28.781 10.7547/87507315-91-2-74 Cohen J., 1988, Statistical power analysis for the behavioral sciences Katoh Y., 1983, Biomechanical analysis of foot function during gait and clinical applications, Clin Orthop Relat R, 177, 23, 10.1097/00003086-198307000-00005 10.1016/j.pmrj.2015.09.011 10.3113/FAI.2012.0693 10.7547/13-122.1 10.1016/S0304-3959(97)00146-2 10.1016/S0304-3959(03)00202-1 10.1016/j.pain.2005.08.015
Thông tin
Thông tin xuất bản

Wiley

Tập 9 Số 11

1128-1134

Thông tin tác giả