Fatores de risco modificáveis para fasciíte plantar em pacientes não atletas e proposta de um novo sistema de avaliação objetiva – RKISP

Abstract

Resumo Objetivo Determinar os fatores de risco modificáveis associados à gravidade da fasciíte plantar e formular um sistema objetivo de pontuação para indexação da doença na população não atlética. Métodos Estudo observacional prospectivo. A principal medida de desfecho foi a associação de um fator de risco modificável, mensurada pelo valor de R (coeficiente de Pearson) e pelo nível de significância de p < 0,05. Resultados Em uma amostra de 50 pacientes, o índice de massa corporal (IMC) e calçados com amortecimento inadequado foram associados de maneira significativa à dor na fasciíte plantar. Todos os demais fatores de risco eram não modificáveis ou não apresentaram associação significativa. Conclusão Com base nos dados à disposição e sua interpretação, um índice, denominado Índice de Ranjeet-Kunal de Pontuação da Fasciíte Plantar (RKISP, em inglês) , foi formulado e utilizado com sucesso não apenas na classificação da fasciíte plantar, mas também na determinação do prognóstico de seu tratamento conservativo, auxiliando a escolha da modalidade terapêutica.

Prevalence and Association of Risk Factors for Plantar Fasciitis Among Nurses in Government Tertiary Care Hospitals of Peshawar

“…Future research should consider a longitudinal design to establish causal relationships and explore the long-term impact of ergonomic interventions on reducing plantar fasciitis prevalence. Additionally, expanding the study to include male nurses and other healthcare professionals could provide a more comprehensive understanding of the condition's occupational risk factors (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

“…In summary, while our study found no significant prevalence of plantar fasciitis among nurses based on the scoring scale, there was a notable association with the use of high-heeled shoes, indicating a potential risk factor. These findings underscore the importance of ergonomic considerations in nursing footwear to mitigate the risk of plantar fasciitis and enhance the overall well-being of nursing professionals (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

“…The study's findings contribute to understanding the prevalence and risk factors of plantar fasciitis among nurses, highlighting the impact of occupational hazards such as prolonged standing and high heel usage on the condition. These insights can inform the development of preventive measures and ergonomic interventions to reduce the incidence of plantar fasciitis among healthcare professionals (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Long-term clinical results of autologous Platelet Rich Plasma (PRP) in recalcitrant plantar fasciitis

“…1 Plantar fasciitis (PF) affects 15% of all patients complaining of plantar heel pain, according to the morning. [2][3][4] Overweight individuals, people who stand for long periods at work, and persons whose occupations need them to walk on uneven surfaces are more prone to it. 2,4,5 Conservative therapy, such as stretching exercises for the Achilles tendon and plantar fascia, cushioned insoles or orthotics to correct biomechanical causes, night splints, movement adjustment, and the use of basic analgesics, may resolve symptoms in the majority of instances.…”

“…[2][3][4] Overweight individuals, people who stand for long periods at work, and persons whose occupations need them to walk on uneven surfaces are more prone to it. 2,4,5 Conservative therapy, such as stretching exercises for the Achilles tendon and plantar fascia, cushioned insoles or orthotics to correct biomechanical causes, night splints, movement adjustment, and the use of basic analgesics, may resolve symptoms in the majority of instances. 1,3 Approximately 10% of patients do not respond to conservative therapy and must undergo invasive therapy.…”