Predictors of plantar fasciitis in Thai novice conscripts after 10-week military training: A prospective study

Predictors of plantar fasciitis in Thai novice conscripts after 10-week military training: A prospective study
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DOI:
10.1016/j.ptsp.2018.10.004
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发表时间:
2019-01-01
影响因子:
2.4
通讯作者:
Pensri, Praneet
Pensri, Praneet
中科院分区:
医学3区
文献类型:
--
作者:
Harutaichun, Pavinee;Boonyong, Sujitra;Pensri, Praneet

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目的:确定新兵应征者中足底筋膜炎的个体、解剖学和生物力学预测因素。设计:一项前瞻性队列研究。背景:泰国曼谷军事训练营。参与者:13 名新兵,在军事训练开始前没有下肢疼痛。主要结果指标:在基线时对所有参与者进行个体、解剖和生物力学变量评估。主要标准变量是是否存在足底筋膜炎。结果:经过 10 周的训练,113 名参与者被分为患有 (n = 71) 和未患有 (n = 42) 足底筋膜炎。结果表明,运动质量较差和股骨前倾角较小的义务兵容易出现足底筋膜炎(比值比分别为1.996和0.720)。就个体组成而言,体重指数较高和压力水平较高的应征入伍者患足底筋膜炎的风险较高(比值比分别为 1.238 和 1.110)。此外,军事训练前体育锻炼水平较高的义务兵患足底筋膜炎的风险较低(比值比 = 0.242)。结论:多种预测因素,尤其是个人特征和近端区域(足部和踝关节除外)的异常,导致泰国新手义务兵患足底筋膜炎。 (C) 2018 Elsevier Ltd. 保留所有权利。
Objective: To identify the individual, anatomical, and biomechanical predictors of plantar fasciitis among novice conscripts.Design: A prospective cohort study.Setting: Military training camp in Bangkok, Thailand.Participants: One hundred thirteen novice conscripts without lower extremity pain prior to the commencement of military training.Main outcome measure(s): Individual, anatomical, and biomechanical variables were assessed in all participants at baseline. The primary criterion variable was the presence or absence of plantar fasciitis.Results: After 10 weeks of training, 113 participants were classified as having (n = 71) and not having (n =42) plantar fasciitis. The results indicated that the conscripts with poorer quality of movement and lesser femoral anteversion angle tended to exhibit plantar fasciitis (odds ratio = 1.996 and 0.720, respectively). Regarding individual components, the conscripts with higher body mass index and higher stress level had increased risk of plantar fasciitis (odds ratio = 1.238 and 1.110, respectively). Moreover, the conscripts with a higher level of physical exercise before military training had a reduced risk of presenting with plantar fasciitis (odds ratio = 0.242).Conclusions: Multiple predictors-especially individual characteristics and the abnormalities from the proximal region (other than foot and ankle)-contributed to the development of plantar fasciitis among Thai novice conscripts. (C) 2018 Elsevier Ltd. All rights reserved.