NDLI: Plantar heel pain and foot loading during normal walking.

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Plantar heel pain and foot loading during normal walking.

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Plantar heel pain and foot loading during normal walking.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sullivan, Justin Burns, Joshua Adams, Roger Pappas, Evangelos Crosbie, Jack
Description	Author Affiliation: Sullivan J ( Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, 75 East Street, Lidcombe, NSW 2141, Australia. Electronic address: justin.sullivan@sydney.edu.au.); Burns J ( The Children's Hospital at Westmead, The University of Sydney, NSW, Australia.); Adams R ( Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, 75 East Street, Lidcombe, NSW 2141, Australia.); Pappas E ( Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, 75 East Street, Lidcombe, NSW 2141, Australia.); Crosbie J ( School of Science and Health, The University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia.)
Abstract	Plantar heel pain is aggravated by weight-bearing, yet limited evidence exists regarding how people with heel pain load their feet during walking. Knowledge of loading patterns in people with plantar heel pain would enhance the understanding of their foot function and assist in developing intervention strategies. Plantar pressure using the Emed-AT platform (Novel Gmbh, Germany) was collected from 198 people with plantar heel pain and 70 asymptomatic controls during normal walking. Maximum force, force-time integral, peak pressure, pressure-time integral and contact time were measured in four quadrants of the heel, the midfoot and the medial and lateral forefoot. The symptomatic group was sub-divided into equal low-pain and high-pain groups using the Foot Health Status Questionnaire pain score. Following age and body mass comparison, multivariate analyses of covariance were performed to compare the heel pain group to the controls, and the low-pain group to the high-pain group, for each loading variable. The heel pain group displayed lower maximum force beneath the heel, lower peak pressure beneath the postero-lateral heel and lower maximum force beneath the medial forefoot. Force-time integrals were lower beneath the posterior heel regions and higher at the lateral forefoot. People with heel pain also had longer midfoot and forefoot contact time. Higher pain level was associated with lower peak pressure and maximum force beneath regions of the heel. Compared to the controls, people with plantar heel pain demonstrated reduced heel loading and modified forefoot loading consistent with a strategy to offload the painful heel.
File Format	HTM / HTML
ISSN	09666362
Issue Number	2
Volume Number	41
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2015-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Research Support, Non-u.s. Gov't Discipline Orthopedics Heel Humans Middle Aged Male Pressure Journal Article Physiopathology Forefoot, Human Walking Pain Foot Diseases Female Physiology Diagnosis Pain Measurement Weight-bearing
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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