Journal of Foot and Ankle Research最新文献

{"title":"Incidence of Adult Acquired Flatfoot Deformity Referred to Specialist Care in Sweden.","authors":"Ida Osbeck, Maria Cöster, Isam Atroshi","doi":"10.1002/jfa2.70042","DOIUrl":"10.1002/jfa2.70042","url":null,"abstract":"<p><strong>Introduction: </strong>Adult acquired flatfoot deformity (AAFD) is a disabling condition that may require complex surgical treatment. Little is known about the incidence of AAFD in the general population and specifically of AAFD requiring specialist care. We aimed to describe the incidence of AAFD referred to specialist care in the Swedish general population.</p><p><strong>Methods: </strong>We conducted a nation-wide epidemiological register study to estimate the incidence of referred AAFD in the general population. We retrieved data from the Swedish National Patient Register. All individuals aged 16 years or older, with a first-time diagnosis of AAFD (ICD-10 code M214) between 2007 and 2018 were identified. Total incidences, change over time, and gender-specific and age-specific incidences per 100,000 person-years were calculated using population size data from Statistics Sweden. Incidences were compared using the Poisson test.</p><p><strong>Results: </strong>The incidence rate of referred AAFD in the general population was 23.0 (95% CI 22.7-23.3) per 100,000 person-years. The incidence rate in women was 30.4 (95% CI 29.9-30.8) and in men was 15.4 (95% CI 15.1-15.8). The highest incidence rates were found in the age Group 61-75 years. The incidence rates varied significantly across the 21 regions in Sweden. The age-standardized and sex-standardized incidence rates ranged from 8.3 (95% CI 7.2-9.4) to 69.1 (95% CI 62.4-75.8).</p><p><strong>Conclusion: </strong>AAFD requiring referral to specialist care is common in the general population. Women had nearly twice the incidence of AAFD compared to men. Large unexplained regional variations in the incidence rates exist.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70042"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-dimensional differences in plantar surface shape captured by methods used for custom accommodative insole design.","authors":"Kimberly A Nickerson, Christina Carranza, Scott Telfer, William R Ledoux, Brittney C Muir","doi":"10.1002/jfa2.70034","DOIUrl":"10.1002/jfa2.70034","url":null,"abstract":"<p><strong>Background: </strong>The patient-specific shape of custom accommodative insoles for individuals with diabetes provides full foot-to-insole contact, offloading areas with high plantar pressures and reducing ulceration risk. To design the insole surface, plantar surface shape is captured, traditionally with a foam crush box impression or more recently with 3D scans of the foot. Beyond discrete measurements of the foot, the overall plantar surface shapes obtained from these different methods have yet to be compared, however, differences in the shapes captured by these methods may affect the insole's surface geometry design and subsequent performance.</p><p><strong>Methods: </strong>Plantar surface shapes of 12 individuals with diabetes were captured using a foam crush box, flatbed 3D foot scanner, and handheld 3D scanner. Foot length, width, arch height, and arch volume were measured from each shape-capture method and compared. Mesh-to-mesh distances between the foam crush box mesh and the direct scanning method meshes for each subject were calculated.</p><p><strong>Results: </strong>Foot length and width measured from the foam crush box scan were greater than the foot length measured from the flatbed scan and handheld scan. The flatbed scan also measured a length and width greater than the handheld scan. Arch heights and volumes from the flatbed scan were less than the heights calculated from the foam crush box and handheld scan. Mesh-to-mesh distances for the flatbed scan and areas of the foot not in contact with the scanner were inferior to the corresponding areas in the foam crush box impression. For the handheld scan, the lateral hindfoot and midfoot were superior, and the medial forefoot was inferior to the foam crush box impression.</p><p><strong>Conclusions: </strong>Different clinical methods used to capture foot shapes for the design of accommodative insoles may result in different plantar surface shape outputs and therefore impact custom accommodative insole design.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70034"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between clinical and MRI-detected imaging findings for people with midfoot pain, a cross-sectional study.","authors":"Jill Halstead, Carmen Martín-Hervás, Elizabeth M A Hensor, Anne-Maree Keenan, Philip G Conaghan, Dennis McGonagle, John B Arnold, Jennifer Jones, Anthony C Redmond","doi":"10.1002/jfa2.70019","DOIUrl":"10.1002/jfa2.70019","url":null,"abstract":"<p><strong>Background: </strong>Midfoot pain is common but poorly understood, with radiographs often indicating no anomalies. This study aimed to describe bone, joint and soft tissue changes and to explore associations between MRI-detected abnormalities and clinical symptoms (pain and disability) in a group of adults with midfoot pain, but who were radiographically negative for osteoarthritis.</p><p><strong>Methods: </strong>Community-based participants with midfoot pain underwent an MRI scan of one foot and scored semi-quantitatively using the Foot OsteoArthritis MRI Score (FOAMRIS). Foot pain and disability were recorded using visual analog scales (VAS) and the Modified-Manchester Foot Pain Disability Index (MMFPDI). Associations were assessed for continuous data using Spearman's Rho, and for categorical data, a Wilcoxon signed rank test. Linear regression was used to explore the association between participant-reported measures and MRI abnormalities, adjusted for age, sex and BMI.</p><p><strong>Results: </strong>Sixty-one participants (70% female, mean age 48.5 years, median BMI 28.6 kg/m²) were included. Median VAS pain was 31/100 mm (IQR 21-47) and median disability was 30/48 (IQR 26-36). There was a moderate association between midfoot pain severity and the number of joints exhibiting joint space narrowing; adjusted results suggested 31% (95% confidence interval 3%-68%) worse VAS pain with each additional affected joint. Greater numbers of joints with cysts were associated with worse VAS pain [14% (0%-31%)] and disability [1.1 units (0-2.2)]. Effusion/synovitis was associated with MMFPDI pain. No other MRI abnormalities were associated with sex, body mass and foot pain/disability measures. Bone marrow lesions, joint space narrowing, cysts and osteophytes occurred more frequently with age. MRI abnormalities were common, particularly in the talo-navicular joint, first and second cuneo-metatarsal joints. Those with dorsal foot pain had more multi-joint involvement, bone marrow lesions, joint space narrowing and cysts and for those with pain on midfoot movement, bone marrow lesions and cysts were reported.</p><p><strong>Conclusions: </strong>In people with midfoot pain, MRI-detected features of osteoarthritis and soft-tissue abnormalities were found, clustered in the medial and intermediate cuneiform joints. These features were more common with age but not associated with pain or disability measures. Younger people with dorsal midfoot pain exhibited early signs of bone and joint features of osteoarthritis and we recommend further imaging studies to determine the clinical and diagnostic significance.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70019"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical dissection influences emotions of podiatry students.","authors":"Alicia Mohedano-Moriano, Carmen Romo-Barrientos, Alicia Flores-Cuadrado, Isabel Ubeda-Bañon, Jaime Gonzalez-Gonzalez, Maria Teresa Gil Ruiz, Daniel Saiz-Sanchez, Veronica Astillero-Lopez, Felix Marcos-Tejedor, Alino Martinez-Marcos, Antonio Viñuela, Juan Jose Criado-Alvarez","doi":"10.1002/jfa2.70027","DOIUrl":"10.1002/jfa2.70027","url":null,"abstract":"<p><strong>Background: </strong>Dissection and examination of prosected cadavers is a tool for teaching anatomy. However, this experience can provoke anxiety and stress among students. This study aims to understand the attitudes, reactions, fears, and anxiety states of podiatry students before their first dissection in addition to evaluate its usefulness as an educational tool for academic training in anatomy.</p><p><strong>Methods: </strong>A cross-sectional study was carried out before and after the dissection room visit of first-year podiatry students. They were given several questionnaires: State-Trait Anxiety Inventory questionnaires (STAI-state anxiety and STAI-trait anxiety) and two anonymous questionnaires.</p><p><strong>Results: </strong>Levels of total emotional anxiety (STAI-state anxiety) decreased significantly (p < 0.05) from 16.9 points before practice to 10.9 points after practice. In terms of gender, significant differences (p < 0.05) were observed in anxiety levels before and after practice. However, female students had significantly (p < 0.05) higher pre-practice levels of STAI-state anxiety than male students.</p><p><strong>Conclusions: </strong>Although 100% of students (3.98 ± 0.149, over 4) expressed satisfaction with the practical's dissection and considered that these contributed significantly to the consolidation of their anatomical knowledge, the experience generated emotional responses that need to be addressed. Higher levels of anxiety were observed among female students, highlighting the need to implement effective coping mechanisms to mitigate emotional reactions, with special emphasis on this population.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70027"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Can Podiatrists and Other Health Care Professionals Support the Detection of Atrial Fibrillation?","authors":"Jane E A Lewis, Joanna Tozer, Trudie Lobban, Andrea Evans, Matthew Banner, Lawrence Ambrose","doi":"10.1002/jfa2.70043","DOIUrl":"10.1002/jfa2.70043","url":null,"abstract":"<p><p>Atrial fibrillation (AF) is a global health crisis affecting 33.5 million people, with costs projected to reach £75 billion by 2035. A significant concern is that 43-48% of cases are asymptomatic, increasing the risk of stroke and heart failure. While general population screening lacks strong support, targeted screening shows promise in reducing stroke occurrence and healthcare costs. Podiatrists, who frequently treat adults of advancing age, are uniquely positioned to detect AF in high-risk, asymptomatic individuals. This commentary advocates for opportunistic AF screening by podiatrists and other healthcare professionals, offering guidance for implementation. Early detection through defined referral pathways is crucial for timely diagnosis and management, potentially reducing AF-related strokes that can lead to early mortality. Further high-quality podiatry-led studies are recommended to build on this commentary paper.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70043"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of plantar pressure differences in the contralateral limb when using offloading modalities for diabetic foot ulcerations.","authors":"Ian Rong Yi Ngui, Jane Bowden, Sara L Jones, Rebecca Daebeler, Ryan S Causby","doi":"10.1002/jfa2.70028","DOIUrl":"10.1002/jfa2.70028","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the effect of various offloading devices commonly used for the management of diabetic foot ulcerations on peak plantar pressure and pressure-time integral of the contralateral limb.</p><p><strong>Methods: </strong>A quantitative, randomised and within-subject repeated measures study was conducted in an outpatient gait laboratory. Outpatients with unilateral diabetic foot ulcers and adequate perfusion to the lower limb without an intrinsic limb-length discrepancy who were able to walk were recruited for the study. They were also required to understand English. An in-shoe pressure sensor was placed in the participants' everyday shoes between their feet and insoles. Participants were asked to walk at their own speed and cadences with three stances recorded. Their peak and mean plantar pressures were recorded. This was repeated with four different offloading conditions: Darco APB™ All Purpose Boot, Darco APB™ All Purpose Boot with wool felt adhered to the bottom of the foot, DH Offloading Walker® and DH Offloading Walker® with Even-Up™ on the contralateral foot.</p><p><strong>Results: </strong>The total sample comprised 22 adults (3 females and 19 males) aged between 34 and 78 years old (mean age, 57.6 ± 9.9 years). The results indicated that none of the regions of the foot showed a statistically significant difference in peak plantar pressure and pressure-time integral between the control condition and other offloading modalities, or between modalities.</p><p><strong>Conclusion: </strong>The use of offloading modalities for diabetic foot ulcers does not significantly affect peak plantar pressure or pressure-time integral measures on the contralateral limb. However, this should be considered with caution, as this population will possess the same risk factors in both the affected and the contralateral foot.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"18 1","pages":"e70028"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating pre-registration podiatry students approaches to identifying dermatology conditions in different skin tones: A mixed methods protocol.","authors":"Simon Otter, Deborah Whitham, Gianluca Melotto, Lauren Mann, Yaa Agyare, Joanne Gozo-Reyes, Faye Funnell, Alex Sykes, Penny Dale","doi":"10.1002/jfa2.70015","DOIUrl":"10.1002/jfa2.70015","url":null,"abstract":"<p><strong>Background: </strong>Health inequalities are a well-known and widespread phenomenon throughout health care settings. In particular, people of color experience higher rates of delayed and/or misdiagnosis contributing to poorer outcomes and an increased mortality risk. Research suggests that health care professionals find it more difficult to correctly diagnose dermatological conditions in the non-White patient demographic. Although podiatrists routinely examine and assess skin lesions, there is a paucity of research exploring their accuracy or confidence in recognizing skin pathologies. This study aims to investigate podiatry student's ability, confidence, approaches, and perceptions in diagnosing dermatology pathologies in different skin tones. A mixed methods exploratory sequential design is proposed. In stage one, podiatry students from different higher education institutions will be invited to complete a pictorial survey. We have designed a survey comprising six validated images of inflammatory skin pathology (either eczema or psoriasis) in three different skin tone categories, standardized using the Fitzpatrick scale. Data from the survey in stage one will then be utilized to inform the next stage of the research. In stage two, respondents who completed the initial survey will be invited to participate in focus groups to explore their perceptions surrounding diagnostic approaches, confidence, and perceptions of skin conditions in different skin tone. A process of thematic analysis will be employed to identify emergent themes from these data.</p><p><strong>Methods: </strong>A mixed methods exploratory sequential design is proposed. In stage one, podiatry students from different higher education institutions will be invited to complete a pictorial survey. We have designed a survey comprising six validated images of inflammatory skin pathology (either eczema or psoriasis) in three different skin tone categories, standardized using the Fitzpatrick scale. Data from the survey in stage one will then be utilized to inform the next stage of the research. In stage two, respondents who completed the initial survey will be invited to participate in focus groups to explore their perceptions surrounding diagnostic approaches, confidence, and perceptions of skin conditions in different skin tone. A process of thematic analysis will be employed to identify emergent themes from these data.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70015"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the development of recurrent and contralateral Charcot neuroarthropathy in individuals with diabetes mellitus: A scoping review.","authors":"Keet Yeng Cheong, Shan M Bergin, Shannon E Munteanu, Byron M Perrin, Karl B Landorf","doi":"10.1002/jfa2.70016","DOIUrl":"10.1002/jfa2.70016","url":null,"abstract":"<p><strong>Introduction: </strong>Charcot neuroarthropathy (CN) can result in fractures and dislocations of the foot and ankle in individuals with diabetes and neuropathy, leading to ulceration, amputation and a poor quality of life. Additional episodes of acute CN can lead to extended periods of physical and psychosocial distress. The aim of this scoping review was to identify and synthesise the evidence relating to factors associated with the development of recurrent and contralateral Charcot neuroarthropathy (CN) in individuals with diabetes.</p><p><strong>Methods: </strong>A systematic search of four electronic databases was conducted from inception to February 06, 2023. All relevant study designs, except single case studies, that had been published in full in peer-reviewed journals were included. Studies were excluded if they were not published in English and did not provide data on individuals with diabetes.</p><p><strong>Results: </strong>The search identified two studies that investigated factors associated with the development of recurrent CN, but none that related to the development of contralateral CN. Ten factors were investigated for association with recurrent CN development: age, body mass index, diabetes type and duration, glycated haemoglobin, anatomical site affected, duration of offloading applied to treat the primary CN episode, use of pharmacological intervention, severity of neuropathy, and skin temperature. However, no significant associations were reported.</p><p><strong>Conclusions: </strong>There is an alarming lack of evidence-based findings in this research area to guide practice. Clearly, more research in the form of rigorous prospective studies is urgently required to identify risk factors for the development of recurrent and contralateral CN in individuals with diabetes.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70016"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The composition and mode of delivery of diabetes-related footcare education provided by podiatrists in Australia and Aotearoa (New Zealand): A systematic review.","authors":"Maasooma Al Husaini, Angela Searle, Vivienne Chuter","doi":"10.1002/jfa2.70009","DOIUrl":"10.1002/jfa2.70009","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes-related foot disease (DFD) is a significant and costly complication of diabetes in Australia and Aotearoa New Zealand (NZ). Diabetes footcare education is considered a cornerstone of DFD prevention and management, with podiatrists playing a key role in education provision. This systematic review evaluated the nature and composition of diabetes footcare education provided by podiatrists to people living with diabetes in Australia and NZ.</p><p><strong>Methods: </strong>Medline, EBSCO, Megafile Ultimate and Cochrane library databases were conducted from inception until January 31, 2024 to identify studies reporting on the mode of delivery and composition, including frequency, of diabetes footcare education provided to people with diabetes by podiatrists in Australia and NZ.</p><p><strong>Results: </strong>From a total of 226 abstracts screened, 4 studies with 878 participants were included. Three studies were from Australia and 1 from NZ. Studies included podiatrists in both private and public health sectors and used cross-sectional web-based surveys or observation. Components of diabetes footcare education included education on neuropathy and vascular foot health, footwear and general foot health/hygiene. This education was provided by podiatrists from both countries routinely. Verbal education was the most frequently used method of delivery. There was no significant difference between content, mode of delivery and frequency of diabetes footcare education between private and public practitioners in either country. No studies reported on culturally responsive content or education delivery methods.</p><p><strong>Conclusion: </strong>There are little available data on the composition or mode of delivery of diabetes footcare education provided by podiatrists in Australia and NZ to people living with diabetes. A range of footcare education is provided, most frequently verbally. Further qualitative research is required to conclusively establish the composition and delivery methods used for diabetes footcare education provided by podiatrists. In addition, the provision of culturally responsive diabetes footcare education and availability of related culturally responsive supporting resources is yet to be established.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70009"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain.","authors":"Halime Gulle, Dylan Morrissey, Abdulhamit Tayfur, Dilber Karagozoglu Coskunsu, Stuart Miller, Aleksandra V Birn-Jeffery, Trevor Prior","doi":"10.1002/jfa2.70022","DOIUrl":"10.1002/jfa2.70022","url":null,"abstract":"<p><strong>Background: </strong>Plantar Heel Pain (PHP) can be a debilitating musculoskeletal condition from which only 50% recover within a year due to poor understanding of the mechanisms explaining severity and predicting outcomes specific to PHP.</p><p><strong>Objective: </strong>To explore associations between biopsychosocial variables and the severity of people with PHP. Secondly, to determine what combination of self-reported factors distinguishes people with PHP from other foot pain (OFP).</p><p><strong>Methods: </strong>We collected data from 235 participants, including 135 (%57) PHP (age 44 ± 12 years, 66% female) and 99 OFP (%43) (age 38 ± 11 years, 57% female) using 5 demographic, 13 biomedical, 8 psychological, 3 social and 8 activity-related factors. These were tested in linear and logistic regression models.</p><p><strong>Results: </strong>Quality of life (QoL) (β = 0.35; p < 0.001), education (β = -0.22; p = 0.003), gender (β = -0.20; p = 0.007), morning pain duration (β = -0.18; p = 0.01) and disease duration (β = -0.15; p = 0.040) were significantly associated with severity of PHP. The second model, without QoL, showed that having sensitisation (β = -0.18; p = 0.002) and a higher level of morning pain (β = -0.20; p = 0.01) are associated with severity. The logistic regression results revealed that people with PHP tend to have a systemic disease (OR = 3.34; 1.53-7.76), express more kinesiophobia (OR = 1.02; 1.01-1.14), are less likely to have previous injuries (OR = 0.40; 0.19-0.81), worse morning pain (OR = 1.02; 1.01-1.03) and standing pain (OR = 2.60; 1.39-4.87) compared to people with OFP.</p><p><strong>Conclusions: </strong>People with PHP have higher associated levels of a range of psychological, social and activity related factors than people with OFP. The findings highlight the importance of considering psychosocial assessments alongside physical examination.</p>","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":"17 4","pages":"e70022"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}