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Determinants of footwear difficulties in people with plantar heel pain

Overview of attention for article published in Journal of Foot and Ankle Research, August 2015
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Title
Determinants of footwear difficulties in people with plantar heel pain
Published in
Journal of Foot and Ankle Research, August 2015
DOI 10.1186/s13047-015-0102-9
Pubmed ID
Authors

Justin Sullivan, Evangelos Pappas, Roger Adams, Jack Crosbie, Joshua Burns

Abstract

Plantar heel pain is a common foot disorder aggravated by weight-bearing activity. Despite considerable focus on therapeutic interventions such as orthoses, there has been limited investigation of footwear-related issues in people with plantar heel pain. The aim of this study was to investigate whether people with plantar heel pain experience footwear-related difficulties compared to asymptomatic individuals, as well as identifying factors associated with footwear comfort, fit and choice. The footwear domain of the Foot Health Status Questionnaire (FHSQ) was assessed in 192 people with plantar heel pain and 69 asymptomatic controls. The plantar heel pain group was also assessed on a variety of measures including: foot posture, foot strength and flexibility, pedobarography and pain level. A univariate analysis of covariance, with age as the covariate, was used to compare the heel pain and control groups on the FHSQ footwear domain score. A multiple regression model was then constructed to investigate factors associated with footwear scores among participants with plantar heel pain. When compared to asymptomatic participants, people with plantar heel pain reported lower FHSQ footwear domain scores (mean difference -24.4; p < 0.001; 95 % CI: -32.0 to -17.0). In the participants with heel pain, footwear scores were associated with maximum force beneath the postero-lateral heel during barefoot walking, toe flexor strength and gender. People with plantar heel pain experience difficulty with footwear comfort, fit and choice. Reduced heel loading during barefoot walking, toe flexor weakness and female gender are all independently associated with reports of footwear difficulties in people with heel pain. Increased focus, in both clinical and research settings, is needed to address footwear-related issues in people with plantar heel pain.

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The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 75 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 19%
Student > Bachelor 14 19%
Student > Doctoral Student 6 8%
Student > Ph. D. Student 5 7%
Lecturer 4 5%
Other 14 19%
Unknown 18 24%
Readers by discipline Count As %
Nursing and Health Professions 18 24%
Medicine and Dentistry 16 21%
Engineering 7 9%
Sports and Recreations 4 5%
Psychology 2 3%
Other 8 11%
Unknown 20 27%