Journal of the American Podiatric Medical Association最新文献

{"title":"Morphological Characteristics of the Intrinsic Foot Muscles in Individuals With Flat Foot: A Systematic Review and Meta-Analysis.","authors":"Serkan Taş, Ece Ekici, Ümit Yüzbaşioğlu, Asena Ayça Özdemir","doi":"10.7547/24-094","DOIUrl":"https://doi.org/10.7547/24-094","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this meta-analysis was to discern the changes in morphological characteristics of the intrinsic foot muscles, including changes in the cross-sectional area (CSA) and thickness of the abductor hallucis (AbH), flexor hallucis brevis (FHB), flexor digitorum brevis (FDB), and abductor digiti minimi (AbDM) in individuals with flat foot (FF).</p><p><strong>Methods: </strong>We conducted our literature search in the PubMed, Web of Science, and Scopus electronic databases. We included English-language case-control and cross-sectional studies comparing the morphological features of the intrinsic foot muscles in adults with and without FF. The methodological quality of the five studies that met the inclusion criteria was assessed with an adapted version of the Newcastle-Ottawa Scale for cross-sectional studies. The mean difference (MD) with corresponding 95% confidence intervals (CIs) was used to quantify the effects between adults with and without FF.</p><p><strong>Results: </strong>The study included five studies, one of which was classified as high quality, while the remaining studies were classified as moderate quality. The CSA of the FHB (MD = -0.41, 95% CI = -0.61, -0.22; p < 0.001, I2:59%) and AbDM (MD = -0.21, 95% CI = -0.32, -0.11; p< 0.001; I2=1%) and the thickness of the AbDM (MD = -1.43, 95% CI = -1.81, -1.05; p< 0.001; I2=1%) were lower in individuals with FF than in the control group. However, the CSA of the AbH and FDB, and the thickness of the AbH, FHB, and FDB exhibited no significant differences between the FF and control groups.</p><p><strong>Conclusion: </strong>The results of our study indicate that individuals with FF exhibited significant atrophy of the FHB and AbDM muscles. However, the morphology of the AbH and FDB muscles did not appear to influence foot posture, based on the five studies that were considered.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-28"},"PeriodicalIF":0.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Ankle Fracture Outcomes with Short-Term Postoperative Immobilization.","authors":"Zaigang Dong, Wenze Liu, Kai Lei, Xiaole Xue, Biao Ning, Xuebin Zhang","doi":"10.7547/24-128","DOIUrl":"10.7547/24-128","url":null,"abstract":"<p><strong>Background: </strong>To investigate the effect of short-term cast immobilization on the prognosis of ankle fractures.</p><p><strong>Methods: </strong>A total of 60 patients who underwent ankle fracture surgery in our hospital from September 2021 to September 2022 were included and divided into cast immobilization group (n=30) and control group (n=30). Both groups were given open reduction and internal fixation. After operation, the immobilization group used plaster cast bandage to fix the ankle joint of the affected side in the functional position for 2 weeks; the control group did not receive cast immobilization and was only bandaged with routine wound dressings. The visual analog scale (VAS) score, ankle joint range of motion (ROM), lower extremity deep venous thrombosis rate, and ankle joint function score were followed up in the two groups.</p><p><strong>Results: </strong>All patients were followed up for 6 months. The VAS score of cast immobilization group were lower than control group at postoperative 1, 3 and 7 days (P<0.05). At postoperative 1, 2 and 3 months, the dorsiflexion ROM of the ankle joint in cast immobilization group was larger than control group (P<0.05). The ankle plantarflexion ROM at postoperative 1 and 2 months were larger than the control group (P<0.05). The AOFAS of cast immobilization group was larger than the control group at postoperative 3 months (P=0.002). The postoperative deep venous thrombosis rate was 1/30 (3.3%) in cast immobilization group and 3/30 (10%) in the control group (P=0.605).</p><p><strong>Conclusions: </strong>Short-term cast immobilization after ankle fracture surgery can significantly reduce postoperative pain in the early stage, without increasing the recovery and the incidence of deep venous thrombosis.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-24"},"PeriodicalIF":0.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Foot-Ankle Condition On Physical Performance in Cerebral Palsy With Spastic Equinus Deformity.","authors":"İsmail Uysal, Fatih Özden, Özgür Nadiye Karaman, Ahmet İmerci","doi":"10.7547/23-088","DOIUrl":"https://doi.org/10.7547/23-088","url":null,"abstract":"<p><strong>Background: </strong>The severity of foot disability in children with cerebral palsy (CP) should be examined with both objective and subjective assessment tools. This cross-sectional study investigated the effect of foot-ankle function on physical performance in CP with spastic equinus deformity.</p><p><strong>Methods: </strong>A cross-sectional prospective study was performed on 61 children with cerebral palsy. Participants were evaluated by Gross Motor Function Classification System (GMFCS), Oxford Ankle Foot Questionnaire for Children (OxAFQ-C), Timed Up and Go Test (TUG), Single Leg Stance Test (SLST), 3-Meter Backward Walking Test (3MBWT) and Functional Reach Test (FRT).</p><p><strong>Results: </strong>The mean age of the children with CP (28 female, 33 male) included in the study was 11.3±4.4 years. Individuals with higher ankle-foot function had better TUG, 3MBWT, and SLST performances (p<0.005). OxAFQ-C physical scale was moderately correlated with TUG (r=-0.474) and SLST (right extremity-eyes open) (r=0.386) (p<0.01). In addition, there was a low significant correlation between 3MBWT, SLST (right extremity-eyes closed), SLST (left extremity-eyes open), and SLST (left extremity-eyes closed) with OxAFQ-C physical scale (p<0.05). OxAFQ-C school and play scale had a moderate to weak correlation coefficient (r=0.257-0.430) with all physical performance tests (p<0.05). In addition, there were moderate and low correlations between OxAFQ-C emotional scale with TUG (r=-0.495) and 3MBWT (r=-0.298), respectively.</p><p><strong>Conclusion: </strong>The results showed that foot-ankle performance influenced physical performance on time-based physical tasks but not better performance-based physical conditions. It was concluded that foot-ankle condition was most strongly associated with sit-to-stand and walking performance.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-24"},"PeriodicalIF":0.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-Related Musculoskeletal Disorders Among Podiatrists in Singapore.","authors":"Mei Ling Tan, Marabelle Heng, Patrick Thye San Ker, John Wah Lim","doi":"10.7547/23-217","DOIUrl":"https://doi.org/10.7547/23-217","url":null,"abstract":"<p><strong>Background: </strong>Work-related musculoskeletal disorders have become a leading occupational health problem in healthcare professionals. This study aims to bring attention to a growing problem by reporting the prevalence, risk factors and workplace interventions related to workrelated musculoskeletal disorders in Singapore podiatrists.</p><p><strong>Methods: </strong>All podiatrists in Singapore were eligible to participate. A self-administered survey which included questions from the Standard Nordic Questionnaire was used to understand their work practice and musculoskeletal symptoms. Data on workplace interventions for prevention were also collected.</p><p><strong>Results: </strong>A 50% response rate was achieved (n=50). 72% attributed their musculoskeletal pain to work, of which 40% had pain affecting activities of daily living and almost half recorded consequent absenteeism. The neck, wrist/ hand and the lower back were most frequently affected. For one-third, pain onset occurred early in professional practice. Ergonomic factors were the predominant cause. Females (OR 6.7; CI 1.0-42.8) and self-reported poor posture during clinical work (OR 6.7; CI 1.0-45.1) were possible risk factors. Trends of higher BMI, long hours of continuous clinical work and higher mental stress at work were also observed. Only 26% reported workplace interventions. Work organisation and ergonomic interventions were thought to be most effective.</p><p><strong>Conclusions: </strong>Work-related musculoskeletal disorders is a significant health problem in podiatrists, causes disability and impacts work through absenteeism. Occupational health practitioners should raise awareness of work-related risks and engage the profession to identify mitigating strategies.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-26"},"PeriodicalIF":0.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of the Hardness of Insoles on the Abductor Hallucis Muscle in Baxter's Entrapment A Cross-Over Randomized Study.","authors":"Vanesa Pinto-Franco, Marta Elena Losa-Iglesias, Israel Casado-Hernández, Emmanuel Navarro-Flores, Daniel López-López, Eva María Martínez-Jiménez, Eduardo Pérez-Boal, José Luis Muñoz-Sánchez, Ricardo Becerro-de-Bengoa-Vallejo","doi":"10.7547/23-241","DOIUrl":"https://doi.org/10.7547/23-241","url":null,"abstract":"<p><strong>Background: </strong>The etiology and diagnosis of heel pain are complex and multifactorial, and it has been reported that Baxter's entrapment is responsible for up to 20% of foot disorders. The most conservative treatment of Baxter's entrapment has been the use of custom insoles. Electromyography was considered an effective test to assess muscle activity. The aim of this study was to test the use of insoles of different hardness on muscle activity of the abductor hallucis muscle in subjects with entrapment of the lateral branch of the external plantar nerve.</p><p><strong>Methods: </strong>18 subjects (7 women and 11 men) diagnosed with nerve entrapment of the first branch of the lateral plantar nerve were recruited. Muscle activity of the adductor hallucis muscle was analyzed with insoles of different hardness in static and dynamic situations using electromyographic evaluation.</p><p><strong>Results: </strong>The statistical analysis did not show statistically significant differences in the muscle activity of the abductor hallucis muscle in the static position, with and without plantar orthoses (p>0.05), in contrast, in dynamic situations statistically significant differences were found between groups (p<0.01).</p><p><strong>Conclusions: </strong>The use of a hard insole decreases the maximum peak muscular activity of the abductor hallucis muscle in subjects with Baxter's nerve entrapment in walking conditions.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-22"},"PeriodicalIF":0.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Foot Anthropometric Measurements on Pain and Functional Disability of Pregnant and Non-Pregnant Women.","authors":"Rabia Koca, Müşerref Ebru Şen, Mehmet Yılmazer","doi":"10.7547/22-202","DOIUrl":"https://doi.org/10.7547/22-202","url":null,"abstract":"<p><strong>Background: </strong>Weight gain during pregnancy, loosening of the foot ligaments with the release of relaxin hormone, anthropometric and biomechanical changes can be seen in the foot with the growing fetus. It was aimed to determine whether these changes that occur during pregnancy cause painful musculoskeletal problems by altering the proximal structures of the lower extremities and the structure of the spine.</p><p><strong>Methods: </strong>Within the scope of this study, 210 women, half of whom are 3rd trimester of pregnancy (in the 28-40 weeks), aged between 18 and 40, with similar demographic characteristics are evaluated through measuring their navicular drops, hallux valgus angles, foot widths, foot lengths and tibial-calcaneal angles of both feet. Foot Function Index for foot-ankle, Kujala Patellofemoral Score for knee, Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for hip, Oswestry Disability Index for waist and Modified Neck Disability Index for neck were used to determine pain and functional limitation.</p><p><strong>Results: </strong>In this study, pain and functional disability in the waist, hip, knee, foot-ankle joints, navicular drops, hallux valgus angles and tibial-calcaneal angles were found to be significantly higher in pregnant women compared to the control group (P=0.00). It was observed that pain and dysfunction in all joints increased as navicular drop increased in both pregnant and nonpregnant women. In addition, it was determined that the increase in other anthropometric measurements in both groups caused pain and functional disability in most of the women, especially in the foot and ankle joints. However, the cause of joint pain and functional deficiencies was not related to pregnancy.</p><p><strong>Conclusions: </strong>It was observed that foot deformities and proximal region complaints were significantly higher in pregnant women, and foot deformities caused more foot-ankle pain and disability in both the study and control groups. No difference was observed in pregnant women with the control group.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-26"},"PeriodicalIF":0.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility for Utilization of Assessment for Lack of Protective Sensation as Part of a Foot Screening for Persons with Intellectual Disabilities.","authors":"Montana Von Musser, Hannah McCulley, David Jenkins","doi":"10.7547/24-112","DOIUrl":"https://doi.org/10.7547/24-112","url":null,"abstract":"<p><strong>Background: </strong>Persons with intellectual disability have a significantly higher prevalence of diabetes than the general population. Special Olympics Fit Feet, a major screening process for evaluating foot health in persons with intellectual disability, has not included an assessment for the risk of diabetic foot ulcers thus far. A probable reason for this may be that clinicians in the past have felt that persons with intellectual disability were not capable of understanding how to complete the Semmes-Weinstein test for lack of protective sensation. A study was designed to assess whether the Special Olympics athletes could complete the Semmes-Weinstein test for lack of protective sensation.</p><p><strong>Methods: </strong>31 Special Olympics athletes with intellectual disability participating in a Fit Feet foot screening underwent a Semmes-Weinstein test for lack of protective sensation (LOPS). An assessment was completed using predetermined criteria to establish whether the subject understood what was required and could satisfactorily complete the test. Likewise, it was also determined if the Special Olympics athletes believed they understood the test.</p><p><strong>Results: </strong>Study findings determined that approximately 67% of the athletes in the study were able to successfully complete the test and 90% of the Special Olympics athletes reported they completely understood the test. These results do not apply to the intellectual disability population at large.</p><p><strong>Conclusion: </strong>A significant percentage of the test population appeared able to successfully undergo the Semmes-Weinstein test for lack of protective sensation (LOPS). Therefore, it is recommended that any foot screening process for Special Olympics athletes should include an assessment for loss of protective sensation including use of monofilament testing.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-23"},"PeriodicalIF":0.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intra-Foot Coordination and Its Variability During Walking in Males With and Without Chronic Ankle Instability.","authors":"Takahiro Watanabe, Tomoya Takabayashi, Takanori Kikumoto, Yudai Kikuchi, Masayoshi Kubo","doi":"10.7547/23-203","DOIUrl":"https://doi.org/10.7547/23-203","url":null,"abstract":"<p><strong>Background: </strong>Investigating the kinematics of copers, who are individuals with no recurrent ankle sprains, is necessary to prevent the development of chronic ankle instability (CAI). Since the \"giving way\" of the ankle joint (episodes of excessive inversion of the rearfoot, which do not result in an acute lateral ankle sprain) usually occurs during walking, investigating the intra-foot coordination during walking is necessary. This study aims to identify intra-foot coordination and its variability in copers while walking.</p><p><strong>Methods: </strong>The study included 12 copers, 13 CAIs, and 10 controls. The participants were required to walk on a treadmill at a fixed speed of 1.3 m/s. Using the modified vector coding technique, the coupling angle between the intra-foot joints, representing inter-joint coordination, was calculated and categorized into four coordination patterns. The coupling angle standard deviation represented the coordination variability during the stance phase.</p><p><strong>Results: </strong>The coordination between the rearfoot and midfoot in the frontal plane showed a significantly lower proportion of anti-phase with proximal dominance in the coper group than in the CAI and control groups during mid-stance (p < .05). Regarding coordination between the midfoot and forefoot in the sagittal plane, the coper group also showed a significantly lower proportion of in-phase coordination with distal dominancy than the CAI group during mid-stance (p < .05). For coordination between the midfoot and forefoot in the frontal plane, the coper group also showed a significantly lower proportion of anti-phase with distal dominance than the CAI group during the late stance (p < .05).The coordination variability between the sagittal midfoot and forefoot in the coper group was significantly lower than that in the CAI group and similar to that in the control group during mid-stance (p < .050).</p><p><strong>Conclusions: </strong>These differences may explain why copers do not experience ankle sprain recurrence.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-31"},"PeriodicalIF":0.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Self-Perceived Awareness to Actual Awareness of the Podiatric Profession Among High School and College Students.","authors":"Ashlee Starr, Tiffany Duong, David W Jenkins, Charlotte Bolch, Jeffrey L Jensen","doi":"10.7547/23-172","DOIUrl":"https://doi.org/10.7547/23-172","url":null,"abstract":"<p><strong>Background: </strong>Over the past few years there has been a decrease in the number of applicants applying to podiatric medical school. It has been suggested that this may be due to unfamiliarity with the profession of podiatric medicine. The goal of this study is to shed light on the misconceptions and lack of awareness of podiatric medicine so that the profession can better bridge the gap in knowledge with a resultant strategy to better increase recruiting efforts. It is hypothesized that high school and college students will overestimate their awareness of podiatry and that a significant percentage of students will have a low actual awareness of the profession. It is presumed that this shortfall will be greater in high school students.</p><p><strong>Methods: </strong>An eight question self-completion survey was created using RedCap that analyzed self-perceived and actual awareness of the podiatric profession. 318 students, 171 high school and 147 college, attending school within the state of Arizona completed the survey to test their actual and perceived knowledge of podiatry.</p><p><strong>Results: </strong>A total of 294 survey responses met the inclusion criteria and were used in the final evaluation of data. 57.1% of high school students and 47.9% of college students described their knowledge of podiatry as \"poor\". Each of the five true/false questions were answered incorrectly over 50% of the time. Overall, there was a statistically significant association between student's perceived knowledge of podiatry (good and higher, fair or poor) compared to their actual knowledge of podiatry.</p><p><strong>Conclusion: </strong>Evidence supports that many high school and undergraduate students are unaware of the podiatric profession. Furthermore, there are many misconceptions that are believed about the profession that could be causing a decline in applicants over the last few years.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-20"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation Between Plantar Fascia Thickness and Other Variables in Women Diagnosed with Plantar Fasciopathy.","authors":"Ruben Montes-Salas, Ramon Mahillo-Durán, Alvaro Gomez-Carrion, Estela Gomez-Aguilar, Gabriel Camunas-Nieves, Jose Manuel Castillo-Lopez","doi":"10.7547/24-099","DOIUrl":"https://doi.org/10.7547/24-099","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to explore the relationship between plantar fascia (PF) thickness and various factors including pain, function, anthropometric parameters, and other variables in women diagnosed with plantar fasciopathy.</p><p><strong>Methods: </strong>A total of 37 feet from female patients were randomly selected for this investigation. Utilizing ultrasound, the thickness of the PF was meticulously measured. Subsequently, the correlation between PF thickness and several factors such as pain intensity, functional impairment, height, age, weight, biconvexity of the plantar fascia, duration of the disease, recurrence of plantar fasciopathy, and daily activity levels were analyzed.</p><p><strong>Results: </strong>The findings of this study unveiled a significant positive correlation between PF thickness and several parameters. Specifically, there was a notable correlation with pain intensity, where increased thickness corresponded to heightened pain levels. Additionally, PF thickness exhibited positive associations with height, age, and weight, indicating that these anthropometric factors may influence PF thickness. Moreover, the biconvexity of the plantar fascia, disease duration, and recurrence of plantar fasciopathy showed correlations with PF thickness, suggesting potential implications for disease progression and management. Furthermore, the study identified a relationship between PF thickness and daily activity levels, underscoring the impact of physical exertion on PF health. Notably, the presence of hyperemia in the plantar fascia, as determined by power Doppler ultrasound, also showed a correlation with PF thickness, highlighting potential vascular implications in plantar fasciopathy.</p><p><strong>Conclusion: </strong>In conclusion, this study provides valuable insights into the multifaceted relationship between PF thickness and various clinical parameters in women with plantar fasciopathy. Understanding these correlations may aid in the development of more targeted and effective management strategies for this debilitating condition.</p>","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":"1-17"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}