Back to Search
Start Over
Chronic Plantar Heel Pain Is Principally Associated With Waist Girth (Systemic) and Pain (Central) Factors, Not Foot Factors: A Case-Control Study.
- Source :
- Journal of Orthopaedic & Sports Physical Therapy; Sep2021, Vol. 51 Issue 9, p449-458, 10p
- Publication Year :
- 2021
-
Abstract
- * OBJECTIVE: To determine the independent associations of potential clinical, symptom, physical activity, and psychological factors with chronic plantar heel pain. * DESIGN: Case-control. * METHODS: We investigated associations by comparing 220 participants with chronic (more than 3 months in duration) plantar heel pain to 100 age- and sex-matched controls, who were recruited randomly from the electoral roll. Exposures measured were waist girth, body mass index, body composition, clinical measures of foot and leg function, physical activity via accelerometry, systemdepression and pain catastrophizing, symptoms of prolonged morning stiffness anywhere in the body, and multisite pain. Data were analyzed using multivariable conditional logistic regression. * RESULTS: Waist girth (centimeters) (odds ratio [OR] = 1.06; 95% confidence interval ICI]: 1.03, 1.09), ankle plantar flexor strength (kilograms) (OR - 0.98; 95% Cl: 0.97,0.99), pain at multiple sites (pain at 1 other site : OR = 2.76 ; 95 % Cl : 1. 29, 591; pain at 4 or more other sites: OR = 10.45; 95% Cl: 3.66, 29.81), and pain catastrophizing status (none, some, or catastrophizer) (some: OR = 2.91: 95% Cl: 1.33, 6.37: catastrophizer OR = 6.79; 95% Cl: 1.91,24.11) were independently associated with chronic plantar heel pair. There were univariable but not independent associations with morning stiffness, first metatarsophalangeal joint extension range of motion, depression, and body mass index. There were no significant associations with physical activity or body composition (bioelectrical impedance analysis) * CONCLUSION: Waist girth, ankle plantar flexor strength, multisite pain, and pain catasheel trophizing, but not foot-specific factors, were independently associated with chronic plantar heel pain. Of these 4 factors, 3 (waist girth, multisite pain, and pain catastrophizing) were central or systemic associations. [ABSTRACT FROM AUTHOR]
- Subjects :
- LEG physiology
CHRONIC pain
BODY composition
STATISTICS
CONFIDENCE intervals
PHOTON absorptiometry
AGE distribution
MULTIPLE regression analysis
CASE-control method
RISK assessment
PHYSICAL activity
COMPARATIVE studies
SEX distribution
ACCELEROMETRY
PSYCHOLOGICAL tests
WAIST circumference
FOOT
MENTAL depression
BIOELECTRIC impedance
STATISTICAL hypothesis testing
INTRACLASS correlation
QUESTIONNAIRES
DESCRIPTIVE statistics
HEEL pain
STATISTICAL sampling
BODY mass index
PAIN catastrophizing
ODDS ratio
STATISTICAL correlation
LOGISTIC regression analysis
DATA analysis software
ADIPOSE tissues
LONGITUDINAL method
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 01906011
- Volume :
- 51
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Journal of Orthopaedic & Sports Physical Therapy
- Publication Type :
- Academic Journal
- Accession number :
- 152542982
- Full Text :
- https://doi.org/10.2519/jospt.2021.10018