An examination of ankle joint position sense, postural control and associated neuromuscular deficits in patients with plantar fasciitis: a cross-sectional analysis with advanced biomechanical and psychosocial correlates

Journal of Orthopaedic Surgery and Research, Journal Year: 2025, Volume and Issue: 20(1)

Published: Jan. 19, 2025

Ankle joint position sense (AJPS) accuracy and postural control are crucial for maintaining balance stability, particularly in individuals with plantar fasciitis who may experience proprioceptive functional impairments. Understanding how psychosocial factors, such as pain catastrophizing, biomechanical measures, like muscle strength gait parameters related to proprioception control, can inform more effective treatment approaches. This study aimed (1) examine the relationship between AJPS factors—including lower limb strength, parameters—in d (2) analyze impact of including physical activity level, quality life, on this population. A total 126 participants (63 63 controls) were recruited. was assessed using a digital inclinometer across four movement directions (plantarflexion, dorsiflexion, inversion, eversion). Postural stability metrics (antero-posterior medio-lateral sway) measured computerized posturography, while flexors, dorsiflexors, inverters, evertors hand-held dynamometer. Gait (step length, cadence, stance time) captured via 3D motion capture. Pain activity, life evaluated validated questionnaires (PCS, IPAQ, FHSQ). Significant differences observed groups, patients showing higher error plantarflexion (mean difference = 1.22°, p < 0.001) dorsiflexion 1.31°, 0.001). catastrophizing significant predictor (β -0.05, negatively correlated accuracy, mediolateral sway (r -0.32, 0.037), had minimal effects. highlights deficits fasciitis, emphasizing importance addressing psychological well factors treatment. Integrating cognitive-behavioral strategies enhance outcomes

Language: Английский

Practical approaches for clinicians in chronic pain management: Strategies and solutions

Best Practice & Research Clinical Rheumatology, Journal Year: 2024, Volume and Issue: 38(1), P. 101934 - 101934

Published: Feb. 9, 2024

Language: Английский