Yıl: 2010 Cilt: 44 Sayı: 5 Sayfa Aralığı: 385 - 391 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti

Öz:
Amaç: Çalışmada plantar fasitisli ve normal ayaklarda, yük verme sırasında ayakta oluşan sagittal plandaki radyolojik değişimlerin incelenmesi amaçlanmıştır. Çalışma planı: Çalışma plantar fasitisli toplam 42 olgunun 64 ayağı (Grup 1: 32 kadın, 10 erkek, ortalama yaş 48, dağılım 33-57) ile topuk ağrısı olmayan 40 olgunun 80 ayağını (Grup 2: 30 kadı n, 10 erkek, ortalama yaş 47.2, dağılım 35-56) kapsamaktadır. Ayağa yük vererek ve yük vermeden çekilen lateral ayak grafilerinde kalkaneal inklinasyon açısı (K‹A), kalkaneal-1. metatarsal açı (KMA) ve plantar fasya uzunluğu (PFU) ölçüldü. Grup 1 ve 2’nin değerleri karşılaştırıldı. Sonuçlar: Grup 1’de yük verilmeden çekilen radyografilerde K‹A 26° (dağılım 18-35°), KMA 121° (dağılım 115-133°) ve PFU 131 mm (dağılım 110-158 mm) idi. Grup 2’de yük verilmeden çekilen radyografilerde K‹A 27° (dağılım 17-38°), KMA 122° (dağılım 110-135°) ve PFU 136 mm (dağılım 120-155 mm) olarak saptandı. Grup 1’de yük vererek çekilen radyografilerde K‹A 13.6° (dağılım 5-25°), KMA 138° (dağılım 130-153°) ve PFU 143.8 mm (dağılım 118-158 mm) idi. Grup 2’de yük vererek çekilen radyografilerde K‹A 9.9° (dağılım 4-25°), KMA 145° (dağı- lım 130-155°) ve PFU 151.4 mm (dağılım 137-167 mm) olarak saptandı. Grup 1’de yük vererek ve yük vermeyerek çekilen radyografilerde radyografilerde K‹A, KMA ve PFU değerleri arasındaki fark sırasıyla -12.4°, 17° ve 12.8 mm olup Grup 2’de ise K‹A, KMA ve PFU değerleri arası ndaki fark sırasıyla -17.1°, 23° ve 15.4 mm idi. Değerler gruplar arası karşılaştırıldığında anlamlı farklılık tespit edildi (p<0.05). Çıkarımlar: Yaptığımız ölçümlerde tespit ettiğimiz ayak arkı hareketindeki azalmanın, plantar fasya elastikiyeti ve ayak mobilitesindeki azalmanın bir sonucu olduğunu, bunun da plantar fasyada aşırı yüklenmeye yol açarak semptomların ortaya çıkmasına neden olduğunu düşünmekteyiz.
Anahtar Kelime:

Konular: Ortopedi

Foot mobility and plantar fascia elasticity in patients with plantar fasciitis

Öz:
Objectives: In this study, we investigated the radiologic changes of feet in sagittal plane under weightbearing either with or without plantar fasciitis. Methods: The study includes 64 feet of the 42 subjects with heel pain (Group 1: 32 women, 10 men, mean age 48 years, range 33-57 years) and 80 feet of the 40 patients (Group 2: 30 women, 10 men, mean age 47.2 years, range 35-56 years) without heel pain. Calcaneal inclination angle (CIA), calcaneal-first metatarsal angle (CMA), and plantar fascia length (PFL) were measured in the lateral radiographs of the weightbearing and non-weightbearing foot. The values of Group 1 and Group 2 were compared. Results: The mean CIA was 26° (range 18-35°), CMA was 121° (range 115-133°), and PFL was 131 mm (range 110-158 mm) in non-weightbearing position for Group 1. The mean CIA was 27° (range 17-38°), CMA was 122° (range 110-135°), and PFL was 136 mm (range 120-155 mm) in non-weightbearing position for Group 2. The mean CIA was 13.6° (range 5-25°), CMA was 138° (range 130-153°), and PFU was 143.8 mm (range 118-158 mm) in weightbearing position for Group 1. The mean CIA was 9.9° (range 4-25°), CMA was 145° (range 130-155°), and PFU was 151.4 mm (range 137-167 mm) in weightbearing position for Group 2. The difference between CIA, CMA, and PFL values were -13°, 17°, and 12 mm under condition of weightbearing and nonweightbearing position values for Group 1; and -17°, 23°, and 15 mm for Group 2. The differences were significant between weightbearing and non-weightbearing position values (p<0.05). Conclusion: The reduced CIA, CMA, and PFL changes during weight bearing might show reduced foot mobility and plantar fascia elasticity, which may lead to posterior heel pain syndrome.
Anahtar Kelime:

Konular: Ortopedi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
  • 1. Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int 2004;25:303-10.
  • 2. Bordelon RL. Subcalcaneal pain. A method of evaluation and plan for treatment. Clin Orthop Relat Res 1983;(177): 49-53.
  • 3. Irving DB, Cook JL, Menz HB. Factors associated with chronic plantar heel pain: a systematic review. J Sci Med Sport 2006;9:11-22.
  • 4. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002;36:95-101.
  • 5. Riddle DL, Pulisic M, Sparrow K. Impact of demographic and impairment-related variables on disability associated with plantar fasciitis. Foot Ankle Int 2004;25:311-7.
  • 6. Huang CK, Kitaoka HB, An KN, Chao EYS. Biomechanical evaluation of longitudinal arch stability. Foot Ankle 1993;14:353-7.
  • 7. Gefen A. Stress analysis of the standing foot following surgical plantar fascia release. J Biomech 2002;35:629-37.
  • 8. Kim W, Voloshin AS. Role of plantar fascia in the load bearing capacity of the human foot. J Biomech 1995;28: 1025-33.
  • 9. Cheung JT, Zhang M, An KN. Effects of plantar fascia stiffness on the biomechanical responses of the ankle-foot complex. Clin Biomech (Bristol, Avon) 2004;19:839-46.
  • 10. Cole C, Seto C, Gazewood J. Plantar fasciitis: evidencebased review of diagnosis and therapy. Am Fam Physician 2005;72:2237-42.
  • 11. Rome K. Anthropometric and biomechanical risk factors in the development of plantar heel pain-a review of the literature. Phys Ther Rev 1997;2:123-34.
  • 12. Furey JG. Plantar fasciitis. The painful heel syndrome. J Bone Joint Surg Am 1975;57:672-3.
  • 13. Neufeld SK, Cerrato R. Plantar fasciitis: evaluation and treatment. J Am Acad Orthop Surg 2008;16:338-46.
  • 14. Ürgüden M, Demira¤ D, Özdemir O, Özenci AM, Ayd›n AT. Evaluation of patient-related factors in heel pain. [Article in Turkish] Acta Orthop Traumatol Turc 2001;35:299-304.
  • 15. Rano JA, Fallet LM, Savoy-Moore RT. Correlation of heel pain with body mass index and other characteristics of heel pain. J Foot Ankle Surg 2001;40:351-6.
  • 16. Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for plantar fasciitis: a matched case-control study. J Bone Joint Surg Am 2003;85-A:872-7.
  • 17. Lapidus PW, Guidotti FP. Painful heel: report of 323 patients with 364 painful heels. Clin Orthop Relat Res 1965;39:178-86.
  • 18. Prichasuk S, Subhadrabandhu T. The relationship of pes planus and calcaneal spur to plantar heel pain. Clin Orthop Relat Res 1994;(306):192-6.
  • 19. Kibler WB, Goldberg C, Chandler TJ. Functional biomechanical deficits in running athletes with plantar fasciitis. Am J Sports Med 1991;19:66-71.
  • 20. Perlman PR, Dubois P, Siskind V. Validating the process of taking lateral foot x-rays. J Am Podiatr Med Assoc 1996;86:317-21.
  • 21. Wearing SC, Smeathers JE, Yates B, Sullivan PM, Urry SR, Dubois P. Sagittal movement of the medial longitudinal arch is unchanged in plantar fasciitis. Med Sci Sports Exerc 2004;36:1761-7.
  • 22. Wearing SC, Urry S, Perlman PR, Dubois P, Smeathers JE. Serial measurement of calcaneal pitch during midstance. J Am Podiatr Med Assoc 1999;89:188-93.
  • 23. Saltzman CL, Nawoczenski DA, Talbot KD. Measurement of the medial longitudinal arch. Arch Phys Med Rehabil 1995;76:45-9.
  • 24. Hunt AE, Fahey AJ, Smith RM. Static measures of calcaneal deviation and arch angle as predictors of rearfoot motion during walking. Aust J Physiother 2000;46:9-16.
  • 25. Özdemir H, Ürgüden M, Özgörgen M, Gür S. The relationship between the thickness and elasticity of the heel pad and heel pain. [Article in Turkish] Acta Orthop Traumatol Turc 2002;36:423-8.
  • 26. Rome K, Howe T, Haslock I. Risk factors associated with the development of plantar heel pain in athletes. Foot 2001;11:119-25.
  • 27. Messier SP, Pittala KA. Etiologic factors associated with selected running injuries. Med Sci Sports Exerc 1988;20: 501-5.
  • 28. Maslen BA, Acland TR. Radiographic study of the skin displacement errors in the foot and ankle during standing. Clin Biomech 1994;9:291-6.
  • 29. Alexander EJ, Andriacchi TP. Correcting for deformation in skin-based marker systems. J Biomech 2001;34:355-61.
  • 30. Wright DG, Rennels DC. A study of the elastic properties of plantar fascia. J Bone Joint Surg Am 1964;46:482-92.
  • 31. Arangio GA, Chen C, Kim W. Effect of cutting the plantar fascia on mechanical properties of the foot. Clin Orthop Relat Res 1997;(339):227-31.
  • 32. Gefen A. The in vivo elastic properties of the plantar fascia during the contact phase of walking. Foot Ankle Int 2003;24:238-44.
  • 33. Tanz SS. Heel pain. Clin Orthop Relat Res 1963;28:169- 78.
APA ŞAHİN N, Öztürk A, ATICI T (2010). Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. , 385 - 391.
Chicago ŞAHİN Namık,Öztürk Alpaslan,ATICI Teoman Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. (2010): 385 - 391.
MLA ŞAHİN Namık,Öztürk Alpaslan,ATICI Teoman Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. , 2010, ss.385 - 391.
AMA ŞAHİN N,Öztürk A,ATICI T Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. . 2010; 385 - 391.
Vancouver ŞAHİN N,Öztürk A,ATICI T Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. . 2010; 385 - 391.
IEEE ŞAHİN N,Öztürk A,ATICI T "Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti." , ss.385 - 391, 2010.
ISNAD ŞAHİN, Namık vd. "Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti". (2010), 385-391.
APA ŞAHİN N, Öztürk A, ATICI T (2010). Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. Acta Orthopaedica et Traumatologica Turcica, 44(5), 385 - 391.
Chicago ŞAHİN Namık,Öztürk Alpaslan,ATICI Teoman Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. Acta Orthopaedica et Traumatologica Turcica 44, no.5 (2010): 385 - 391.
MLA ŞAHİN Namık,Öztürk Alpaslan,ATICI Teoman Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. Acta Orthopaedica et Traumatologica Turcica, vol.44, no.5, 2010, ss.385 - 391.
AMA ŞAHİN N,Öztürk A,ATICI T Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. Acta Orthopaedica et Traumatologica Turcica. 2010; 44(5): 385 - 391.
Vancouver ŞAHİN N,Öztürk A,ATICI T Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti. Acta Orthopaedica et Traumatologica Turcica. 2010; 44(5): 385 - 391.
IEEE ŞAHİN N,Öztürk A,ATICI T "Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti." Acta Orthopaedica et Traumatologica Turcica, 44, ss.385 - 391, 2010.
ISNAD ŞAHİN, Namık vd. "Plantar fasitisli olgularda ayak mobilitesi ve plantar fasya elastikiyeti". Acta Orthopaedica et Traumatologica Turcica 44/5 (2010), 385-391.