Finn E Johannsen, Julie P Rydahl, Anna S Jacobsen, Cecilie C H Brahe, Peter S Magnusson
{"title":"足部姿势和踝关节外翻是患跟腱病和足底筋膜炎的风险因素：病例对照研究","authors":"Finn E Johannsen, Julie P Rydahl, Anna S Jacobsen, Cecilie C H Brahe, Peter S Magnusson","doi":"10.1177/10711007241281289","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Plantar fasciitis (PF) and Achilles tendinopathy (AT) are common injuries that primarily affect people engaged in sport or occupational weightbearing activities. Identifying modifiable risk factors is important for the treatment and prevention of these injuries. The purpose of this study was to evaluate whether foot posture or ankle dorsiflexion are risk factors for developing AT or PF, and if there were any differences between PF and AT patients.</p><p><strong>Methods: </strong>This was a case-control study of 108 patients with PF and 114 patients with AT, compared to the same number of referred patients in 2 control groups never having had these injuries, matched for sex, age, body mass index (BMI), sport, and occupational weightbearing activities. Included patients were 20-65 years with ultrasonographic-verified PF or midsubstance AT. Foot posture was assessed using Foot Posture Index (FPI) classifying the feet into 3 categories: FPI 0-5 normal foot, 6-12 hyperpronated, <0 hypopronated. Ankle dorsiflexion was measured with a goniometer in weightbearing with straight and bent knee.</p><p><strong>Results: </strong>Abnormal foot posture was associated with an increased risk for sustaining both AT (odds ratio [OR] 3.4-4.1) and PF (OR 3.2-3.8). Hyperpronation being the major reason for this association with ORs 5.4-5.5 compared with hypopronation with ORs 2.6-2.9. However, decreased dorsiflexion was not a risk factor: instead, there was an increased ankle dorsiflexion in patients with AT or PF compared with their control groups. Comparison between PF and AT patients demonstrated that PF affected mostly women, and AT mostly men, PF patients were 2.4 years (CI 0.2-4.5) younger, and had 25% more occupational weightbearing than AT patients. However, no differences in BMI or weightbearing physical activity was demonstrated.</p><p><strong>Conclusion: </strong>Hypopronation and hyperpronation but not limited ankle dorsiflexion was associated with increased risk for AT or PF.</p>","PeriodicalId":94011,"journal":{"name":"Foot & ankle international","volume":" ","pages":"1380-1389"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Foot Posture and Ankle Dorsiflexion as Risk Factors for Developing Achilles Tendinopathy and Plantar Fasciitis: A Case-Control Study.\",\"authors\":\"Finn E Johannsen, Julie P Rydahl, Anna S Jacobsen, Cecilie C H Brahe, Peter S Magnusson\",\"doi\":\"10.1177/10711007241281289\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Plantar fasciitis (PF) and Achilles tendinopathy (AT) are common injuries that primarily affect people engaged in sport or occupational weightbearing activities. Identifying modifiable risk factors is important for the treatment and prevention of these injuries. The purpose of this study was to evaluate whether foot posture or ankle dorsiflexion are risk factors for developing AT or PF, and if there were any differences between PF and AT patients.</p><p><strong>Methods: </strong>This was a case-control study of 108 patients with PF and 114 patients with AT, compared to the same number of referred patients in 2 control groups never having had these injuries, matched for sex, age, body mass index (BMI), sport, and occupational weightbearing activities. Included patients were 20-65 years with ultrasonographic-verified PF or midsubstance AT. Foot posture was assessed using Foot Posture Index (FPI) classifying the feet into 3 categories: FPI 0-5 normal foot, 6-12 hyperpronated, <0 hypopronated. Ankle dorsiflexion was measured with a goniometer in weightbearing with straight and bent knee.</p><p><strong>Results: </strong>Abnormal foot posture was associated with an increased risk for sustaining both AT (odds ratio [OR] 3.4-4.1) and PF (OR 3.2-3.8). Hyperpronation being the major reason for this association with ORs 5.4-5.5 compared with hypopronation with ORs 2.6-2.9. However, decreased dorsiflexion was not a risk factor: instead, there was an increased ankle dorsiflexion in patients with AT or PF compared with their control groups. Comparison between PF and AT patients demonstrated that PF affected mostly women, and AT mostly men, PF patients were 2.4 years (CI 0.2-4.5) younger, and had 25% more occupational weightbearing than AT patients. However, no differences in BMI or weightbearing physical activity was demonstrated.</p><p><strong>Conclusion: </strong>Hypopronation and hyperpronation but not limited ankle dorsiflexion was associated with increased risk for AT or PF.</p>\",\"PeriodicalId\":94011,\"journal\":{\"name\":\"Foot & ankle international\",\"volume\":\" \",\"pages\":\"1380-1389\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot & ankle international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/10711007241281289\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/10/18 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot & ankle international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/10711007241281289","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/18 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景：足底筋膜炎（PF）和跟腱病（AT）是常见的损伤，主要影响从事运动或职业负重活动的人群。确定可改变的风险因素对于治疗和预防这些损伤非常重要。本研究的目的是评估足部姿势或踝关节外翻是否是罹患 AT 或 PF 的风险因素，以及 PF 和 AT 患者之间是否存在差异：这是一项病例对照研究，研究对象为 108 名 PF 患者和 114 名 AT 患者，与从未受过这些损伤的 2 个对照组中相同数量的转诊患者进行比较，两组患者的性别、年龄、体重指数（BMI）、运动和职业负重活动均匹配。被纳入研究的患者年龄在20-65岁之间，超声波检查证实患有前足畸形（PF）或中足畸形（AT）。足部姿势采用足部姿势指数（FPI）进行评估，将足部分为 3 类：FPI 0-5 为正常足，6-12 为内翻足：结果：足部姿势异常与发生AT（几率比[OR] 3.4-4.1）和PF（OR 3.2-3.8）的风险增加有关。造成这种关联的主要原因是足内翻过多（ORs 5.4-5.5），而足外翻过少（ORs 2.6-2.9）。然而，外翻减少并不是一个风险因素：相反，与对照组相比，AT 或 PF 患者的踝关节外翻增加。PF和AT患者的比较表明，PF患者多为女性，而AT患者多为男性，PF患者比AT患者年轻2.4岁（CI 0.2-4.5），职业负重比AT患者多25%。然而，体重指数（BMI）或负重体力活动并无差异：结论：踝关节外翻过多和内翻过少与罹患 AT 或 PF 的风险增加有关，但与踝关节外翻受限无关。
Foot Posture and Ankle Dorsiflexion as Risk Factors for Developing Achilles Tendinopathy and Plantar Fasciitis: A Case-Control Study.
Background: Plantar fasciitis (PF) and Achilles tendinopathy (AT) are common injuries that primarily affect people engaged in sport or occupational weightbearing activities. Identifying modifiable risk factors is important for the treatment and prevention of these injuries. The purpose of this study was to evaluate whether foot posture or ankle dorsiflexion are risk factors for developing AT or PF, and if there were any differences between PF and AT patients.
Methods: This was a case-control study of 108 patients with PF and 114 patients with AT, compared to the same number of referred patients in 2 control groups never having had these injuries, matched for sex, age, body mass index (BMI), sport, and occupational weightbearing activities. Included patients were 20-65 years with ultrasonographic-verified PF or midsubstance AT. Foot posture was assessed using Foot Posture Index (FPI) classifying the feet into 3 categories: FPI 0-5 normal foot, 6-12 hyperpronated, <0 hypopronated. Ankle dorsiflexion was measured with a goniometer in weightbearing with straight and bent knee.
Results: Abnormal foot posture was associated with an increased risk for sustaining both AT (odds ratio [OR] 3.4-4.1) and PF (OR 3.2-3.8). Hyperpronation being the major reason for this association with ORs 5.4-5.5 compared with hypopronation with ORs 2.6-2.9. However, decreased dorsiflexion was not a risk factor: instead, there was an increased ankle dorsiflexion in patients with AT or PF compared with their control groups. Comparison between PF and AT patients demonstrated that PF affected mostly women, and AT mostly men, PF patients were 2.4 years (CI 0.2-4.5) younger, and had 25% more occupational weightbearing than AT patients. However, no differences in BMI or weightbearing physical activity was demonstrated.
Conclusion: Hypopronation and hyperpronation but not limited ankle dorsiflexion was associated with increased risk for AT or PF.
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