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Conservative treatments for plantar fasciitis have different levels of effectiveness, so it is necessary to personalize the therapeutic modality that improves the patients’ symptoms. Methods: A double-blinded randomized clinical trial was designed to evaluate the short-term efficacy of a physical treatment in chronic plantar fasciitis, namely iontophoresis, compared with radial shockwave therapy. Heel pain, health status using the EuroQol-5D questionnaire, and fascia thickness measured with ultrasound were evaluated. In total, 127 patients were randomly selected for group A and treated with iontophoresis therapy (lidocaine 0.4% and dexamethasone 0.5%), or for group B, in which they were treated with radial shockwave therapy (EWST). Measurements were taken at baseline and at follow-up during the 5 weeks of the study. Results: Statistically significant differences were observed to the shockwave therapy group in respect to the final fascia thickness, and the VAS scale (p = 0.001). The differences between groups A and B showed that the shockwave group follow-up after 3 weeks experienced complete pain remission (1.0 ± 0.9; 95%CI 0.8–1.2) and after the 6-week follow-up, complete pain remission of plantar fasciitis was observed for both therapies. Patients had a better perception of the use of EWST at the end of the treatment, although in both groups it was satisfactory (p = 0.001). Conclusions: The results of this study showed a shorter-term effectiveness of shockwave treatment compared with the use of iontophoresis. However, both techniques were effective in satisfactorily reducing pain in this short period.

(1) Background: This study focusses on establishing the relationship between quality of movement (based on the functional movement screen, or FMS) and foot posture (based on the foot posture index, or FPI-6). We hypothesised that a poor FMS test score may be derived from the foot position in the space measured by FPI-6. (2) Methods: a quasi-experimental and cross-sectional study was designed to analyse foot posture in 30 healthy football players, using the foot posture index and the functional movement screen. (3) Results: No significant relationships were found between movement quality and foot posture. Poor movement quality is present in more than half of all foot positions, supination, pronation, and neutral. Good quality seems to be more associated with a neutral foot position (23.3%) and supinated (16.6%) than a pronated foot position (6.6%). (4) Conclusions: this study found no relationship between the two tests; therefore, we cannot demonstrate that foot posture is relevant in the quality of the movement of the football players studied.

(1) Background: This study focusses on establishing the relationship between quality of movement (based on the functional movement screen, or FMS) and foot posture (based on the foot posture index, or FPI-6). We hypothesised that a poor FMS test score may be derived from the foot position in the space measured by FPI-6. (2) Methods: a quasi-experimental and cross-sectional study was designed to analyse foot posture in 30 healthy football players, using the foot posture index and the functional movement screen. (3) Results: No significant relationships were found between movement quality and foot posture. Poor movement quality is present in more than half of all foot positions, supination, pronation, and neutral. Good quality seems to be more associated with a neutral foot position (23.3%) and supinated (16.6%) than a pronated foot position (6.6%). (4) Conclusions: this study found no relationship between the two tests; therefore, we cannot demonstrate that foot posture is relevant in the quality of the movement of the football players studied.

El presente estudio pretende analizar cómo se modifican las características del equilibrio corporal estática mediante una plataforma de fuerzas en sujetos según su índice de postura del pie (IPP), clasificada según el método Foot Posture Index o FPI (neutros, pronados y supinados) antes y después de ser sometidos a una situación de fatiga muscular. Para ello se determinó el índice de postura del pie (FPI) en una muestra de 100 sujetos, adultos sanos, clasificándolos mediante esta herramienta en tres grupos (pies neutros, pronados y supinados). Tras la clasificación, se sometió a cada sujeto a una batería de pruebas de equilibrio (Romberg ojos abiertos, ojos cerrados, en tándem con el pie derecho delante y tándem con el pie izquierdo delante) antes y después de una prueba de saltos continuos para provocar una situación de fatiga muscular y valorar así los cambios producidos en las variables del equilibrio. Dicha prueba de fatiga muscular fue efectuada sobre una plataforma de fuerzas que facilitaba la variable índice de fatigabilidad, con la que se aseguraba que el sujeto había entrado en situación de fatiga. Posteriormente se realizaron los análisis estadísticos pertinentes, tanto a nivel de datos lineales (ítems de FPI y FPI total) como con herramientas de dinámicas no lineales (entropía muestral). Se observaron cambios significativos en la postura del pie en los tres grupos tras una situación de estrés muscular, todos ellos encaminados a una tendencia a la pronación global. En los pies neutros y pronados se ven afectados todos los ítems, así como el FPI total; mientras en los pies supinados se modifican los ítems de la cabeza del astrágalo y la curvatura supra e infra maleolar de ambos pies, así como la prominencia astrágaloescafoidea del pie derecho. Queda patente que el equilibrio se ve influenciado tanto por el tipo de pie, así como por el estrés muscular. Analizando los datos mediante la entropía muestral (SampEn), queda justificado concluir que el pie neutro e

Objective To analyze the impact of the foot health and health behavior and the characteristics of outdoor footwear among minority ethnic groups. Design and measures A cross-sectional study design using the Foot Health Status Questionnaire: foot pain, foot function, shoe, general foot health, general health, physical activity, social capacity, and vigor. Outcomes included the self-reported type of outdoor footwear and clinical characteristics by sex were collected in 2019–2020. Sample A total of 78 Roma participants self-identified as members of this ethnic minority and 72 participants non-Roma were assessed (n = 150). Results The lower score values was recorded in the footwear and general foot health domains in Roma population. General population obtained higher scores in general health domains. The most common outdoor footwear types were running shoes and walking shoes in non-Roma population, versus flip flops and slippers in Roma population. Clinical characteristics did not show any statistically significant differences (p < .05). Conclusion Roma people wear flip flops and slippers and non-Roma people running shoes and walking shoes. These findings reveal cultural differences that make it easier for the Roma population to experience a greater burden of foot health problems. General foot health and foot pain dimensions show statistically significant differences among ethnicity.

Background Foot health of the Roma population is a challenge for the health professionals where this minority is significant, as is the case in Spain. At present, little is known about foot health of the Roma population and their knowledge would promote the training of these professionals at the community level. Foot pain is common and a reason for consulting podiatry services. The purpose of this study was to determine foot health among the Roma population according to the Foot Health Status Questionnaire. Method An observational, cross-sectional and quantitative study conducted at the Roma population living in Spain in 2018. Self-reported data and the Foot Health Status Questionnaire were recorded. Examining the general health and foot health (foot pain, foot function, footwear and general health) and general (general health, social capacity, physical activity and vigour). This questionnaire is recommended as a valid and reliable patient-reported outcome. The obtained scores were compared. Results A sample made up of 624 men and women from the Roma population took part in this study. 45% were Roma men and 55% Roma women. In the first section of the FHSQ, a lower score of values was recorded in the footwear domain (62.5) and in the general foot health domain (60). Gypsy women obtained lower scores in all the domains. In the second section, lower scores were obtained in the vigour (56) domain and in the general health (60) domain. A large effect size (r-Rosenthal) was found by gender in the footwear domain (0.334) and in the vigour domain (0.195). Roma women showed higher values in cardiac disorders, serious illnesses, doctor visits and foot problems. 67.8% reported that they had never been assisted by a podiatrist. Conclusions The studied Roma population has foot health problems, and these are more pronounced among women. They show lower values in the footwear and vigour domains. More professional training is required for health workers in this field to avoid cultu

Introducción: La polineuropatía amiloidótica familiar por transtiretina, también conocida como enfermedad de Corino Andrade, es una amiloidosis hereditaria autosómica dominante producida por mutaciones en el gen de la proteína transtiretina. La clínica inicial más frecuente es un síndrome sensitivomotor clásico, las molestias comienzan en los pies y las piernas y luego se extienden a los brazos, el tronco y los nervios del cráneo. En Espa˜ na, se han descrito focos endémicos en Mallorca y en Valverde del Camino (Huelva). El objetivo del presente estudio es observar los trastornos podológicos más frecuentes que sufren los individuos de este estudio en base a la neuropatía que padecen, así como evaluar el papel del podólogo en esta enfermedad. Pacientes y métodos: Se realizó un trabajo de campo preliminar a un grupo de 12 sujetos afecta dos por polineuropatía amiloidótica familiar por transtiretina naturales de Valverde del Camino (Huelva). Se aplicó un protocolo de exploración podológica y se valoraron diferentes aspectos relacionados con dicha enfermedad. Resultados: EL 82% de los primeros síntomas de la enfermedad que percibió nuestro grupo de estudio fue en los pies. Los resultados más relevantes mostraron que la sensibilidad térmica, táctil, dolorosa, vibratoria y presora en los pies estaba alterada. El reflejo aquileo estaba ausente en un gran porcentaje de individuos, así como disminuida la flexión dorsal del tobillo. Discusión: La variabilidad clínica de la enfermedad indica la pertinencia de un abordaje mul tidisciplinar, en el cual el podólogo puede ser determinante en la detección precoz y el tratamiento de las distintas afecciones., Introduction: Transthyretin family amyloid polyneuropathy also known as Corino Andrade’s disease is an autosomal dominant inherited amyloidosis produced by mutations in the Transthy retin protein gene. The most frequent initial clinical symptom is a classic motor sensory syndrome, which starts in the feet and legs and then extends to the arms, trunk and ner ves of the skull In Spain, endemic foci have been described in Mallorca and in Valverde del Camino (Huelva). The objective of the present study is to observe the most frequent podiatric disorders that suffer the individuals of this study based on the neuropathy that they suffer, as well as, to evaluate the role of the podiatrist in this condition. Patients and methods:Preliminary fieldwork was carried out on a group of 12 individuals affec ted by natural transthyretin family amyloid polyneuropathy from Valverde del Camino (Huelva). A podiatric examination protocol was applied and evaluated different aspects related to this disease. A podological examination protocol was applied and different aspects related to this disease were evaluated. Results: 82% of the first symptoms of the disease perceived by our study group were in the feet. The most relevant results showed that the thermal, tactile, painful, vibratory and pres sure sensations in the feet were altered. Achilles reflex was absent in a large percentage of individuals, as well as decreased dorsiflexion. Discussion: The clinical variability of the disease indicates the relevance of a multidisciplinary approach, in which podiatrists can be key in the early detection and treatment of this condition.