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Archive > Year 2008, Number 3

The Relationship Between Forefoot, Midfoot And Rearfoot Static Alignment In Painfree And Painful Heel In Athletes


Authors

Gupta Shuchi, Guru Nanak Dev University
Maman Paul, Guru Nanak Dev University
Sandhu Jaspal, Guru Nanak Dev University

Abstract

There have been conflicting reports with regard to the degree to which the structure of foot may influence its function. The influence of forefoot structure on weight-bearing midfoot and rearfoot positions has not been extensively investigated. Podiatric physicians have long employed biomechanical principles in the treatment of patients with plantar heel pain. However, there is no consensus in the podiatric literature in terms of a uniform treatment approach. The aim of the present study was to determine whether and to what degree a relationship exists between the forefoot angle and weight-bearing midfoot and rearfoot positions. 102 male and female athletes - 51 without plantar heel pain (AWoPHP) and 51 with plantar heel pain (AWiPHP) - in the age group of 13-26 years were randomly selected. Subjects with a history of heel pain due to plantar fasciitis for at least 6 months were included in the study. A statistically significant relationship was found between the forefoot angle and the relaxed rearfoot angle(r = 0.66, p<0.01 in AWoPHP, r = 0.69, p<0.01 in AWiPHP), between the forefoot angle and the navicular drop (r = 0.68, p<0.01 in AWoPHP, r = 0.73, p<0.01 in AWiPHP) as well as between the navicular drop and the relaxed rearfoot angle (r = 0.85, p<0.01 in AWoPHP, r = 0.88, p<0.01 in AWiPHP).

Keywords

biomechanics, foot position, plantar heel pain, pronation, subtalar joint

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References

  1. Astrom, M., & Arvindson, T. (1995). Alignment and joint motion in the normal foot. J Orthop Sports Phys Ther., 22(5): 216-222.
  2. Beckett, M. E., Massie, D. L., Bowers, K. D., & Stoll, D. A. (1992). Incidence of hyperpronation in the ACL injured knee: a clinical perspective. J Athlet Train., 27: 58.
  3. Brody, D. M. (1982). Techniques in the evaluation and treatment of the injured runner. Othop Clin North Am., 13: 541.
  4. Bush, A. J., Cooper, J., Donatelli, R. A., Ekedahl, S. R., McPoil, T. G., Wilkes, J. S., & Wooden, M. J. (1999). Relationship between static and dynamic foot postures in professional baseball players. J Orthop Sports Phys Ther., 29(6): 316-330.
  5. Christensen, K. D. (1986). The ankle foot: Connective tissue reactions. Dubuque: Foot Levelers College Division.
  6. Donatelli, R., Brown, G. P., Catlin, P. A., & Wooden, M. J. (1995). The effect of two types of foot orthoses on rearfoot mechanics. J Orthop Sports Phys Ther., 21: 258-267.
  7. Garbalosa, J. C., Mc Clure, M. H., Cotlin, P. A., & Wooden, M. (1994). The frontal plane relationship of the forefoot to the rearfoot in an asymptomatic population. J Orthop Sports Phys Ther., 74: 149-158.
  8. Johanson, M. A., Donatelli, R., Wooden, M. J., & Andrew, P. D. (1994). Effects of three different posting methods on controlling abnormal subtalar pronation. Phys Ther., 74: 149-158.
  9. Kamath, S. U. (2007). Plantar fasciitis: Diagnosis and treatment. Orthopaedics Today. IX (1): 18-20.
  10. Kirsten, R. B., & Irene, D. (2005). The relationship between forefoot, midfoot, and rearfoot static alignment in pain–free individuals. J Orthop Sports Phys Ther., 35(9): 559-566.
  11. Lange, B., Chipchase, L., & Evans, A. (2004). The effect of low–dye taping on plantar pressures, during gait, in subjects with navicular drop exceeding 10mm. J Orthop Sports Phys Ther., 34: 201-209.
  12. Mc Poil, T. G., & Brocato, R. S. (1985). The foot and ankle: Biomechanical evaluation and treatment. In Gould JA, Davies GJ (Eds). Orthopaedic and Sports Physical Therapy (p. 313-341). St. Louis, MO: CV Mosby Co.
  13. Mc Poil, T. G., & Cornwall, M. W. (1996). The relationship between static lower extremity measurements and rearfoot motion during walking. J Sports Orthop Phys Ther., 24(5): 309-314.
  14. Mc Poil, T. G., & Cornwall, M. W. (1999). Relative movement of the navicular bone during normal walking. Foot Ankle Int., 20: 507-512.
  15. Menz, H. B. (2004). Two feet, or one person? Problems associated with statistical analysis of paired data in foot and ankle medicine. The Foot, 14: 2-5.
  16. Menz, H. B. (1998). Alternative techniques for the clinical assessment of foot pronation. J Am Podiatr Med Assoc., 88: 119-129.
  17. Mueller, M. J., Host, J. V., & Norton, B. J. (1993). Navicular drop as a composite measure of excessive pronation. J Am Podiatry Assoc., 83(4): 198-202.
  18. Pandey, S. (1995). Biomechanics of foot. In Kulkarni, G. S. (Eds). Textbook of Orthopaedics and Trauma (p. 3083-84). New Delhi: Jaypee Brothers Medical Publishers Ltd.
  19. Riddle, D. L., Pulisic, M., & Sparrow, K. (2004). Impact of demographic and impairment related variables on disability associated with plantar fasciitis. Foot Ankle Int., 25(5): 311-317.
  20. Sarralian, S. K. (1993). Anatomy of the foot and ankle (Sec. Ed.). Philadelphia: JB Lippincott.
  21. Schuster, R. O. (1972). Podiatry and the foot of the athlete. J Am Podiatry Assoc., 62(12): 465-468.
  22. Sell, K. E., Verity, T. M., Worrell, T. W., Pease, B. J., & Wigglesworth, J. (1994). Two measurement techniques for assessing subtalar joint position: a reliability study. J Orthop Sports Phys Ther., 19: 162-167.
  23. Sherman, K. P. (1990). The foot in sport. Br J Spots Med., 33: 6-13.
  24. Smith, J., Szczerba, J. E., Arnold, B. L., Martin, D. E., & Perrin, D. H. (1997). Role of hyperpronation as a possible risk factor for anterior cruciate ligament injuries. J Athl Train., 32: 25-28.
  25. Sommer, H. M., & Vallentyne, S. W. (1995). Effect of foot posture on the incidence of medial tibial stress syndrome. Med Sci Sports Exerc., 27: 800-804.
  26. Subotnick, S. I. (1985). The biomechanics of running; Implications for the prevention of foot injuries. J Sports Med., 2: 144-153.
  27. Warren, B. L. (1984). Anatomical factors associated with predicting plantar fasciitis in long distance runners. Med Sci Sports Exerc., 16: 60-63.