Association between the Foot Posture Index and running related injuries: A case-control study

Pérez-Morcillo, Aitor; Gómez-Bernal, Antonio; Gil-Guillén, Vicente; Alfaro-Santafé, Javier; Alfaro-Santafé, José Víctor; Quesada, José A.; López-Pineda, Adriana; Orozco-Beltrán, Domingo; Carratalá‐Munuera, Concepción

doi:10.1016/j.clinbiomech.2018.12.019

Cited by 22 publications

(18 citation statements)

References 32 publications

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“…37 Finally, we did not exactly control how much participants were running during the course of the study, but self-report running time (ASFO group = 109 ± 19 vs SFO group = 107 ± 18) and running distance (ASFO group = 14.3 ± 3.2 vs SFO group = 13.6 ± 3.5 km) at the beginning of the study were similar in both groups. In addition, the running surface type might be associated with injury 38 but both groups run in similar terrains.…”

Section: Discussionmentioning

confidence: 99%

Foot Orthoses Enhance the Effectiveness of Exercise, Shockwave, and Ice Therapy in the Management of Medial Tibial Stress Syndrome

Naderi

Bagheri²,

Ahoor³

et al. 2021

Clinical Journal of Sport Medicine

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Objective:Our aim was to assess the effects of adding arch-support foot-orthoses (ASFO) to a multimodal therapeutic intervention on the perception of pain and improvement of recovery from medial tibial stress syndrome (MTSS) in recreational runners.Design:A prospective randomized controlled trial.Setting:Sport training and medical centers.Participants:Fifty female recreational runners with MTSS were randomized into 2 groups.Interventions:Runners either received ASFO or sham flat noncontoured orthoses. Both groups received a multimodal therapeutic intervention, including ice massage, ankle muscle exercises, and extracorporeal shockwave therapy.Main Outcome Measures:Pain during bone pressure using a numerical Likert scale (0-10), MTSS severity using an MTSS scale, perceived treatment effect using the global rating of change scale, and quality of life using the short Form-36 questionnaire were determined at week 6, 12, and 18.Results:Pain intensity and MTSS severity were lower, and the perceived treatment effect and physical function were better in the ASFO than in the sham flat noncontoured orthoses group at week 6 and week 12. Cohen's dz effect size for between-group differences showed a medium difference. However, arch-support foot-orthoses did not add to the benefits of multimodal therapeutic intervention on pain, MTSS severity and perceived treatment effect at week 18.Conclusions:Adding ASFO to a therapeutic intervention leads to an earlier diminishment of pain and MTSS severity, and improved PF and perceived therapeutic effects.

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Section: Discussionmentioning

confidence: 99%

Foot Orthoses Enhance the Effectiveness of Exercise, Shockwave, and Ice Therapy in the Management of Medial Tibial Stress Syndrome

Naderi

Bagheri²,

Ahoor³

et al. 2021

Clinical Journal of Sport Medicine

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“…While many factors may contribute to pathology and injury, the presence of abnormal foot alignment can negatively affect lower extremity biomechanics and be associated with injuries. [2][3][4][5][6][7][8] Abnormal pronation is typically defined by excessive calcaneal eversion, plantarflexion and adduction of the talus, collapse of the medial longitudinal arch, and abduction of the forefoot on the hindfoot. Abnormal pronation has been associated with increased foot mobility, collapse of the transverse arch, and compensatory knee and hip medial rotation.…”

Section: Biomechanical Considerationsmentioning

confidence: 99%

“…Likewise, assessment of hindfoot and forefoot ROM should include evaluating subtalar, calcaneocuboid, and talonavicular joint mobility. Because foot alignment is commonly associated with forefoot pathology, [2][3][4][5][6][7][8] the Foot Posture Index-6 (FPI-6) can be used to assess static weight bearing alignment in the sagittal, frontal, and transverse planes and classify foot type as being normal, abnormally pronated, or abnormally supinated (Table 1). 47 A total score of 0 to +4 on the FPI-6 indicates a normal foot posture Manually reposition the laterally displaced sesamoids.…”

Section: Evaluation and Treatment Techniquesmentioning

confidence: 99%

Forefoot Injuries in Athletes: Integration of the Movement System

Carroll

Paulseth²,

Martin

2022

International Journal of Sports Physical Therapy

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Despite the prevalence of forefoot related problems in athletes, there are few comprehensive summaries on examination and intervention strategies for those with forefoot related symptoms. While many factors may contribute to pathology and injury, the presence of abnormal foot alignment can negatively affect lower extremity biomechanics and be associated with injuries. Physical therapists may use the characteristics associated abnormal pronation or abnormal supination to describe the movement system disorder and serve as a guide for evaluating and managing athletes with forefoot pathologies. Athletes with an abnormal pronation movement system diagnosis typically demonstrate foot hypermobility, have decreased strength of the tibialis posterior muscle, and present with a medially rotated lower extremity position. Athletes with abnormal supination movement system diagnosis typically demonstrate foot hypomobility, decreased strength of the fibularis muscles, and a laterally rotated lower extremity position. Interventions of manual therapy, taping, strengthening exercises, and neuromuscular reeducation can be directed at the identified impairments and abnormal movements. The purpose of this clinical commentary is to integrate a movement system approach in pathoanatomical, evaluation, and intervention considerations for athletes with common forefoot pathologies, including stress fractures, metatarsalgia, neuroma, turf toe, and sesamoiditis. By applying a prioritized, objective problem list and movement system diagnosis, emphasis is shifted from a pathoanatomical diagnosis-based treatment plan to a more impairment and movement focused treatment.

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“…About 80% of runners reporting PF had either pes planus or pes cavus. Previous studies also highlighted the importance of foot arch for RRIs (Kaufman et al, 1999;Pérez-Morcillo et al, 2019;Williams et al, 2001). A recent study showed that pes planus and cavus are associated with 20 to 77 times higher odds of RRIs than normal feet, respectively (Pérez-Morcillo et al, 2019).…”

Section: Foot Arch Typementioning

confidence: 99%

“…Previous studies also highlighted the importance of foot arch for RRIs (Kaufman et al, 1999;Pérez-Morcillo et al, 2019;Williams et al, 2001). A recent study showed that pes planus and cavus are associated with 20 to 77 times higher odds of RRIs than normal feet, respectively (Pérez-Morcillo et al, 2019). A systematic review reported that pes planus and cavus are associated with lower limb injuries (Tong and Kong, 2013).…”

Section: Foot Arch Typementioning

confidence: 99%

Factors Associated With Lower Limb Injuries in Recreational Runners: A Cross-Sectional Survey Including Mental Aspects and Sleep Quality

Mousavi¹,

Hijmans²,

Minoonejad³

et al. 2021

jsportscimed

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Knowledge about prevalence and etiology of running-related injuries (RRIs) is important to design effective RRI prevention programs. Mental aspects and sleep quality seem to be important potential risk factors, yet their association with RRIs needs to be elucidated. The aims of this study are to investigate the epidemiology of RRIs in recreational runners and the association of mental aspects, sleep, and other potential factors with RRIs. An internet-based questionnaire was sent to recreational runners recruited through social media, asking for personal and training characteristics, mental aspects (obsessive passion, motivation to exercise), sleep quality, perceived health, quality of life, foot arch type, and RRIs over the past six months. Data were analyzed descriptively and using logistic regression. Self-reported data from 804 questionnaires were analyzed. Twenty-five potential risk factors for RRIs were investigated. 54% of runners reported at least one RRI. The knee was the most-affected location (45%), followed by the lower leg (19%). Patellofemoral pain syndrome was the most-reported injury (20%), followed by medial tibial stress syndrome (17%). Obsessive passionate attitude (odds ratio (OR):1.35; 95% confidence interval (CI):1.18-1.54), motivation to exercise (OR:1.09; CI:1.03-1.15), and sleep quality (OR:1.23; CI:1.15-1.31) were associated with RRIs, as were perceived health (OR:0.96; CI:0.94-0.97), running over 20 km/week (OR:1.58; CI:1.04-2.42), overweight (OR:2.17; CI:1.41-3.34), pes planus (OR:1.80; CI:1.12-2.88), hard-surface running (OR:1.37; CI:1.17-1.59), running company (OR:1.65; CI:1.16-2.35), and following a training program (OR:1.51; CI:1.09-2.10). These factors together explained 30% of the variance in RRIs. A separate regression analysis showed that mental aspects and sleep quality explain 15% of the variance in RRIs. The association of mental aspects and sleep quality with RRIs adds new insights into the multifactorial etiology of RRIs. We therefore recommend that besides common risk factors for RRI, mental aspects and sleep be incorporated into the advice on prevention and management of RRIs.

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Association between the Foot Posture Index and running related injuries: A case-control study

Cited by 22 publications

References 32 publications

Foot Orthoses Enhance the Effectiveness of Exercise, Shockwave, and Ice Therapy in the Management of Medial Tibial Stress Syndrome

Foot Orthoses Enhance the Effectiveness of Exercise, Shockwave, and Ice Therapy in the Management of Medial Tibial Stress Syndrome

Forefoot Injuries in Athletes: Integration of the Movement System

Factors Associated With Lower Limb Injuries in Recreational Runners: A Cross-Sectional Survey Including Mental Aspects and Sleep Quality

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