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"Antero-medial load shift" in unilateral plantar heel pain - A cross-sectional exploratory study.
Balaji, Gopisankar; Jagadevan, Mohanakrishnan; Mohanakrishnan, Bhanumathy; Murugesan, Salaja; Palaniappan, Pasupathy.
Afiliación
  • Balaji G; Department of Orthopaedic Surgery, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India. Electronic address: drgopi9596@gmail.com.
  • Jagadevan M; Department of Orthopaedic Surgery, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India.
  • Mohanakrishnan B; Department of Orthopaedic Surgery, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India.
  • Murugesan S; Department of Orthopaedic Surgery, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India.
  • Palaniappan P; Department of Orthopaedic Surgery, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry, India.
J Bodyw Mov Ther ; 37: 151-155, 2024 01.
Article en En | MEDLINE | ID: mdl-38432798
ABSTRACT
BACKGROUND AND

PURPOSE:

Plantar foot pressure provides an insightful data in the ankle and foot complex which may aid in the detection of underlying pathology. Since individuals with unilateral plantar heel pain (PHP) tend to develop compensatory loading strategies, this study aimed to observe the foot loading pattern compared to the asymptomatic side and its relationship with the morphological variations in individuals with unilateral PHP.

METHODS:

It was a prospective cross-sectional study done on 17 participants with unilateral PHP. The calcaneal inclination and calcaneal first metatarsal angles were measured using lateral weight-bearing radiographs for both symptomatic and asymptomatic feet. Static and dynamic plantar foot pressures for both sides were obtained using a "Portable baropodometry platform 0, 5 m Entry Level footscan®.

RESULTS:

On the symptomatic side, the pressure in the lateral heel was reduced by 65% in static and 67% in dynamic measurements, while in the medial heel, it was reduced by 16 % in static and 47 % in dynamic measurements compared to that of the asymptomatic side. There was a transfer of pressure from the hind foot to the forefoot by 44 % in static and 46 % in dynamic measurements resulting in anterior load shift. It was also observed that the prevalence of PHP was higher in the normal arched foot (59%).

CONCLUSION:

Based on the observations, compared to the asymptomatic side, patients with unilateral plantar heel pain exhibited an anteromedial load shift (AMLS) in their plantar pressures. PHP was reported higher in the foot with normal morphology. LEVEL OF EVIDENCE Level 4.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Talón / Pie Límite: Humans Idioma: En Revista: J Bodyw Mov Ther Asunto de la revista: MEDICINA FISICA / TERAPEUTICA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Talón / Pie Límite: Humans Idioma: En Revista: J Bodyw Mov Ther Asunto de la revista: MEDICINA FISICA / TERAPEUTICA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos