Effect of Gender, Toe Extension Position, and Plantar Fasciitis on Plantar Fascia Thickness
Effect of Gender, Toe Extension Position, and Plantar Fasciitis on Plantar Fascia Thickness
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DOI：
10.1177/1071100718811631
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发表时间：
2019-04-01
影响因子：
2.7
通讯作者：
Gordon, Keith E.
中科院分区：
文献类型：
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作者：
Granado, Michael J.;Lohman, Everett B., III;Gordon, Keith E.
背景：超声是足底筋膜炎患者广泛使用的诊断工具。然而，足底筋膜厚度测量过程中缺乏标准化，使得了解足底筋膜炎的病因以及识别风险因素（如性别）变得具有挑战性。本研究的目的是调查性别差异足底筋膜厚度，同时控制跖趾关节（MTP）的位置在健康和单侧足底筋膜炎。研究方法：40名足底筋膜厚度（平均年龄44.8 ± 12.2岁）的参与者（20名单侧足底筋膜炎患者和20名对照）参加了本研究。大多数为女性（n = 26，65%）。在3个不同的MTP关节位置通过超声测量足底筋膜厚度3次：（1）休息时，（2）伸展30度时，和（3）最大伸展时。结果如下：当比较性别差异时，足底筋膜炎组的男性足底筋膜明显比女性厚（P = 0.048，eta（2）= 2.35）。然而，在健康男性和女性之间没有观察到显著差异。与对照组相比，单侧足底筋膜炎的男性也有明显更厚的无症状足底筋膜（P <0.05），而单侧足底筋膜炎的女性有类似但不显著的变化。结论：健康男性和女性足底筋膜厚度相似。然而，随着足底筋膜炎的发展，男性往往比女性发展更厚的足底筋膜，这可能会对未来的治疗产生影响。
Background: Ultrasound is a widely used diagnostic tool for patients with plantar fasciitis. However, the lack of standardization during the measurement for plantar fascia thickness has made it challenging to understand the etiology of plantar fasciitis, as well as identify risk factors, such as gender. The purpose of this study was to investigate gender differences regarding plantar fascia thickness while controlling for metatarsophalangeal (MTP) joint position in the healthy and those with unilateral plantar fasciitis. Methods: Forty participants (20 with unilateral plantar fasciitis and 20 controls) with plantar fascia thickness (mean age, 44.8 +/- 12.2 years) participated in this study. The majority were females (n = 26, 65%). Plantar fascia thickness was measured via ultrasound 3 times at 3 different MTP joint positions: (1) at rest, (2) at 30 degrees of extension, and (3) at maximal extension. Results: When comparing gender differences, the males in the plantar fasciitis group had a significantly thicker plantar fascia than the females (P = .048, eta(2) = 2.35). However, no significant differences were observed between healthy males and females. The males with unilateral plantar fasciitis also had significantly thicker asymptomatic plantar fasciae collectively compared with controls (P < .05), whereas females with unilateral plantar fasciitis had a similar but not significant change. Conclusion: It appears that healthy males and females have similar plantar fascia thickness. However, as plantar fasciitis develops, males tend to develop thicker plantar fasciae than their female counterparts, which could have future treatment implications.