A Positive Association Between Foot Posture Index and Medial Compartment Knee Osteoarthritis in Moroccan People

Objectives : To compare foot posture in people with and without medial compartment knee osteoarthritis (OA), and to assess association between its abnormalities and medial compartment knee OA. Methods : We compared the foot posture of patients with clinically and radiographically-confirmed medial compartment knee OA and asymptomatic healthy controls using the foot posture index (FPI), navicular height, and the medial arch. Results : We included 100 patients and 80 asymptomatic controls. The mean age of patients was 59 ± 7 (44-76) years and 48 ± 9 (28-60) years in the control (p=0.06). Patients group have more pronated foot for FPI (1.50 ± 2.68 vs 0.72 ± 2.63; p=0.05), more flat foot (42% vs 22%; p=0.03), and less pes cavus than the control group (58% vs 77%; p=0.004). However, there was no significant difference between the groups in the navicular height (3.90 ± 0.85 cm vs 4.00 ± 0.76 cm; p=0.41). In multivariate statistical analysis, after adjusting for age and body mass index, pronated foot in FPI (OR=1.22, 95%IC= [1.06-1.40], p=0.005), and pes cavus (OR=0.32, 95%IC= [0.11-0.93], p=0.03) had a significant correlation with the knee osteoarthritis. Conclusion : Pronated foot posture and flat foot are significantly associated with medial compartment knee osteoarthritis.

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Investigation of Clinical Effects of High- and Low-Resistance Training for Patients With Knee Osteoarthritis: A Randomized Controlled Trial

Physical Therapy ◽

10.2522/ptj.20060300 ◽

2008 ◽

Vol 88 (4) ◽

pp. 427-436 ◽

Cited By ~ 140

Author(s):

Mei-Hwa Jan ◽

Jiu-Jeng Lin ◽

Jiann-Jong Liau ◽

Yeong-Fwu Lin ◽

Da-Hon Lin

Keyword(s):

Knee Osteoarthritis ◽

Resistance Exercise ◽

Strength Training ◽

High Resistance ◽

Elderly Subjects ◽

Control Group ◽

Clinical Effects ◽

Low Resistance ◽

Knee Oa ◽

Significant Difference

Background and PurposeMuscle strength training is important for people with knee osteoarthritis (OA). High-resistance exercise has been demonstrated to be more beneficial than low-resistance exercise for young subjects. The purpose of this study was to compare the effects of high- and low-resistance strength training in elderly subjects with knee OA.Subjects and MethodsOne hundred two subjects were randomly assigned to groups that received 8 weeks of high-resistance exercise (HR group), 8 weeks of low-resistance exercise (LR group), or no exercise (control group). Pain, function, walking time, and muscle torque were examined before and after intervention.ResultsSignificant improvement for all measures was observed in both exercise groups. There was no significant difference in any measures between HR and LR groups. However, based on effect size between exercise and control groups, the HR group improved more than the LR group.Discussion and ConclusionBoth high- and low-resistance strength training significantly improved clinical effects in this study. The effects of high-resistance strength training appear to be larger than those of low-resistance strength training for people with mild to moderate knee OA, although the differences between the HR and LR groups were not statistically significant.

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Foot Posture Characteristics in Medial Knee Osteoarthritis Patients

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/ijpmr.v7i02.139 ◽

2019 ◽

Vol 7 (02) ◽

pp. 9

Author(s):

Leni Kopen ◽

Angela BM. Tulaar ◽

Nyoman Murdana

Keyword(s):

Knee Osteoarthritis ◽

Rating Score ◽

Medial Knee ◽

Male And Female ◽

Foot Posture Index ◽

Medial Knee Osteoarthritis ◽

Posture Index ◽

Knee Loading ◽

Foot Posture ◽

Numeric Rating

Introduction: Alteration of foot posture may influence the knee loading, particularly in medial compartment. The purpose of this study was to find the relation of foot postures with clinical finding in medial knee osteoarthritis (KOA).Methods: Subjects with medial KOA who met inclusion criteria were recruited consecutively, in Nursing home on August to October 2018. The foot posture has determined by Foot Posture Index (FPI). The severity of KOA has measured by Kelgreen-Lawrence (KL) grading system, and pain level using numeric rating score (NRS).Results: There were 37 subjects consisted of male and female with normal foot subsequently 17(8.5%) and 3(15%), male and female with abnormal food subsequently 3(15%) and 1(16%). There were 12 (32.43%) of pronated foot, 5 (13.51%) of supinated foot, and 20 (54.06%) of normal foot subjects. The subjects with abnormal foot posture have severe medial KOA (p<0.001), while the pain sensation similar between groups (p=0.321, p=0.688).Conclusion: There was a correlation between foot posture and the severity of medial KOA.Keywords: Foot posture, Knee osteoarthritis, Foot posture index, Numeric rating score

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A COMPARATIVE STUDY OF FOOT POSTURE DEVIATIONS IN YOUNG FEMALE KATHAK AND BHARATNATYAM DANCERS.

10.36106/ijsr/9321330 ◽

2020 ◽

pp. 1-3

Author(s):

Sonali Manek ◽

Anjali Puntambekar

Keyword(s):

Comparative Study ◽

Young Female ◽

Age Group ◽

Foot Posture Index ◽

Classical Dance ◽

Posture Index ◽

Impact Forces ◽

Significant Difference ◽

Foot Posture ◽

Indian Classical Dance

Background : Indian classical dance has since long been practised in India. Kathak and Bharatnatyam are two of the commonest dance forms in India which involve taping of the feet. Impact forces produced during dancing may cause biomechanical change in the feet which in turn cause injury to various ligaments, tendons and fascia affecting balance and intricate movements of the feet. Method : Foot evaluation of 44 Kathak Dancers, 44 Bharatnatyam Dancers and 44 Non Dancers in the age group of 15-25 years was done using Foot Posture Index – 6 Scale and the Groups Were Compared using Non Parametric ANOVA Test . Conclusion: There was no significant difference in foot of Kathak and Bharatnatyam Dancers .However Foot of Dancers deviated from that of Non Dancers.

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Plantar Fasciitis and Its Relationship with Hallux Limitus

Journal of the American Podiatric Medical Association ◽

10.7547/0003-0538-104.3.263 ◽

2014 ◽

Vol 104 (3) ◽

pp. 263-268 ◽

Cited By ~ 9

Author(s):

Yolanda Aranda ◽

Pedro V. Munuera

Keyword(s):

Plantar Fasciitis ◽

Metatarsophalangeal Joint ◽

Control Group ◽

Spearman Correlation ◽

First Metatarsophalangeal Joint ◽

Foot Posture Index ◽

Posture Index ◽

Foot Posture ◽

Slight Limitation ◽

Study Participants

Background We sought to determine whether patients with plantar fasciitis have limited dorsiflexion in the first metatarsophalangeal joint and which type of foot, pronated or supinated, is most frequently associated with plantar fasciitis. Methods The 100 study participants (34 men and 66 women) were divided into two groups: patients with plantar fasciitis and controls. The Foot Posture Index and dorsiflexion of the first metatarsophalangeal joint were compared between the two groups, and a correlation analysis was conducted to study their relationship. Results In the plantar fasciitis group there was a slight limitation of dorsiflexion of the hallux that was not present in the control group (P < .001). Hallux dorsiflexion and the Foot Posture Index were inversely correlated (Spearman correlation coefficient, −0.441; P < .01). Conclusions Participants with plantar fasciitis presented less hallux dorsiflexion than those in the control group, and their most common foot type was the pronated foot.

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FRI0382 EFFECTS OF GENICULAR NERVE BLOCK IN PATIENTS WITH KNEE OSTEOARTHRITIS WHO HAVE NEUROPATHIC OR NOCICEPTIVE PAIN

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.4628 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 788.2-789

Author(s):

B. Tas ◽

P. Akpinar ◽

I. Aktas ◽

F. Unlu Ozkan ◽

I. B. Kurucu

Keyword(s):

Neuropathic Pain ◽

Knee Osteoarthritis ◽

Nerve Block ◽

Intractable Pain ◽

Ultrasound Guided ◽

Lidocaine Group ◽

Knee Oa ◽

Significant Difference ◽

Genicular Artery ◽

Saline Solutions

Background:Genicular nerve block (GNB) is a safe and effective therapeutic procedure for intractable pain associated with chronic knee osteoarthritis (OA)(1). There is increasing support for the neuropathic component to the knee OA pain. Investigators proposed that targeting treatment to the underlying pain mechanism can improve pain management in knee OA (2). There is a debate on injectable solutions used in nerve blocks (3).Objectives:To investigate the analgesic and functional effects of USG-guided GNB in patients with chronic knee OA (with/without neuropathic pain) and to evaluate the efficacy of the anesthetic and non-anesthetic solutions used.Methods:Ninety patients with chronic knee OA between the ages of 50-80 were divided into two groups with and without neuropathic pain according to painDETECT questionnaire (4). The groups were randomized into three subgroups to either the lidocaine group (n=30) or dextrose group (n=29) or saline solutions (n=31). After the ultrasound-guided GNB, quadriceps isometric strengthening exercises and cryotherapy were recommended to the patients. Visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Lequesne-algofunctional Index were assessed at baseline and at 1 week, 1 and 3 months later after the procedure.Results:Statistically significant improvement was observed in all groups with or without neuropathic pain according to VAS values at the 1stweek, 1stmonth and 3rdmonth compared to baseline (p<0.05). Statistically significant improvement was observed in all groups with neuropathic pain according to painDETECT values at the 1stweek, 1stmonth and 3rdmonth compared to baseline (p<0.05). There was a statistically significant improvement in the groups without neuropathic pain which received dextrose and saline solutions, according to painDETECT values, but not in the group which received lidocain at the 1stweek, 1stmonth and 3rdmonth compared to baseline (p>0.05). There was a statistically significant improvement in all groups with or without neuropathic pain according to WOMAC and Lequesne total scores at the 1stweek, 1stmonth and 3rdmonth compared to baseline (p<0.05).Conclusion:We conclude that in patients with chronic knee OA (with/without neuropathic pain), the use of GNB with USG is an analgesic method which provides short to medium term analgesia and functional recovery and has no serious side effects. The lack of significant difference between the anesthetic and non-anesthetic solutions used in the GNB suggests that this may be a central effect rather than a symptom of peripheral nerve dysfunction. It suggests that injection may have an indirect effect through nociceptive processing and changes in neuroplastic mechanisms in the brain. In addition, we can say that regular exercise program contributes to improved physical function with the decrease in pain.References:[1]Kim DH et al. Ultrasound-guided genicular nerve block for knee osteoarthritis: a double-blind, randomized controlled trial of local anesthetic alone or in combination with corticosteroid. Pain Physician 2018;21:41-51.[2]Thakur M et.al. Osteoarthritis pain: nociceptive or neuropathic?. Nat Rev Rheumatol 2014:10(6):374.[3]Lam SKH et al. Transition from deep regional blocks toward deep nerve hydrodissection in the upper body and torso: method description and results from a retrospective chart review. BioMed Research International Volume 2017;7920438.[4]Hochman JR et al. Neuropathic pain symptoms in a community knee OA cohort. Osteoarthritis Cartilage. 2011 Jun;19(6):647-54.Fig. 1:Ultrasound- guided identification of GNB target sites. Doppler mode. White arrows indicate genicular arteries.A.Superior medial genicular artery.B.Inferior medial genicular artery.C.Superior lateral genicular artery.Disclosure of Interests:None declared

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Evaluation of electroacupuncture for symptom modification in a rodent model of spontaneous osteoarthritis

Acupuncture in Medicine ◽

10.1177/09645284211020755 ◽

2021 ◽

pp. 096452842110207

Author(s):

Alexa P Spittler ◽

Maryam F Afzali ◽

Richard B Martinez ◽

Lauren A Culver ◽

Sarah E Leavell ◽

...

Keyword(s):

Rodent Model ◽

Knee Joints ◽

Control Group ◽

Disease Modification ◽

Inflammatory Biomarker ◽

Knee Oa ◽

Significant Difference ◽

Gene Transcripts ◽

Restricted Mobility ◽

Movement Parameters

Objective: Faced with the frustration of chronic discomfort and restricted mobility due to osteoarthritis (OA), many individuals have turned to acupuncture for relief. However, the efficacy of acupuncture for OA is uncertain, as much of the evidence is inconclusive. The purpose of this study was to evaluate electroacupuncture (EA) in a rodent model of OA such that conclusions regarding its effectiveness for symptom or disease modification could be drawn. Methods: Ten 12-month-old male Hartley guinea pigs—which characteristically have moderate to advanced OA at this age—were randomly assigned to receive EA for knee OA (n = 5) or anesthesia only (control group, n = 5). Treatments were performed three times weekly for 3 weeks, followed by euthanasia 2 weeks later. Gait analysis and enclosure monitoring were performed weekly to evaluate changes in movement. Serum was collected for inflammatory biomarker testing. Knee joints were collected for histology and gene expression. Results: Animals receiving EA had significantly greater changes in movement parameters compared to those receiving anesthesia only. There was a tendency toward decreased serum protein concentrations of complement component 3 (C3) in the EA group compared to the control group. Structural and antioxidant gene transcripts in articular cartilage were increased by EA. There was no significant difference in total joint histology scores between groups. Conclusion: This study provides evidence that EA has a positive effect on symptom, but not disease, modification in a rodent model of OA. Further investigations into mechanistic pathways that may explain the efficacy of EA in this animal model are needed.

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Establishing normative foot posture index values for the paediatric population: a cross-sectional study

Journal of Foot and Ankle Research ◽

10.1186/s13047-016-0156-3 ◽

2016 ◽

Vol 9 (1) ◽

Cited By ~ 17

Author(s):

Gabriel Gijon-Nogueron ◽

Jesus Montes-Alguacil ◽

Pilar Alfageme-Garcia ◽

Jose Antonio Cervera-Marin ◽

Jose Miguel Morales-Asencio ◽

...

Keyword(s):

Paediatric Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Foot Posture Index ◽

Posture Index ◽

Foot Posture

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Influence of Age, Sex, and Anthropometric Determinants on the Foot Posture Index in a Pediatric Population

Journal of the American Podiatric Medical Association ◽

10.7547/14-097 ◽

2017 ◽

Vol 107 (2) ◽

pp. 124-129 ◽

Cited By ~ 2

Author(s):

Ana María Jimenez-Cebrian ◽

María Francisca Morente-Bernal ◽

Pedro Daniel Román-Bravo ◽

Juan Francisco Saucedo-Badía ◽

Juan Antonio Alonso-Ríos ◽

...

Keyword(s):

Pediatric Population ◽

Quantitative Result ◽

Total Sample ◽

Clinical Tool ◽

Foot Posture Index ◽

Posture Index ◽

Asymptomatic Children ◽

Foot Posture ◽

The Mean ◽

Foot Position

Background: The Foot Posture Index (FPI) is a clinical tool for diagnosis that aims to quantify the grade of a foot position as neutral, pronated, or supinated. Its purpose is to develop a simple six-factor method for rating foot posture with an easy and quantitative result. We evaluated possible differences in the FPI by sex and the influences of age, weight, height, foot size, and body mass index (BMI) on foot posture. Methods: In 150 asymptomatic children (79 boys and 71 girls) aged 8 to 13 years, we determined weight, height, BMI, and FPI in the bipedal, static, and relaxed position. The FPI was obtained as the sum of the scores (–2, –1, 0, 1, 2) given to each of the six criteria. Results: The mean ± SD FPI value for the total sample was 5.1 ± 2.1 (boys: 5.1 ± 2.2; girls: 5.2 ± 2.0), so there were no significant differences between the sexes (P = .636). Of the 150 feet examined, none had FPI values of very supinated or highly pronated, two were supinated (1.3%), 76 neutral (50.7%), and 72 pronated (48.0%). Of the total FPI values, 7.7% can be explained by anthropometric variables: height, weight, and foot size (r2 = 0.077; P < .010). Conclusions: The most frequent foot postures in the sample were neutral and pronated. Neither age nor BMI explained variations in the FPI.

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Association between the Foot Posture Index and running related injuries: A case-control study

Clinical Biomechanics ◽

10.1016/j.clinbiomech.2018.12.019 ◽

2019 ◽

Vol 61 ◽

pp. 217-221

Author(s):

Aitor Pérez-Morcillo ◽

Antonio Gómez-Bernal ◽

Vicente F. Gil-Guillen ◽

Javier Alfaro-Santafé ◽

José Víctor Alfaro-Santafé ◽

...

Keyword(s):

Case Control Study ◽

Case Control ◽

Foot Posture Index ◽

Posture Index ◽

Foot Posture ◽

Control Study

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Association between Foot Posture Index and Ankle Sprain in Indoor Football Players

Global Journal of Health Science ◽

10.5539/gjhs.v8n10p160 ◽

2016 ◽

Vol 8 (10) ◽

pp. 160 ◽

Cited By ~ 1

Author(s):

Afsaneh Safar Cherati ◽

Masoud Dousti ◽

Shima Younespour

Keyword(s):

Ankle Sprain ◽

Football Players ◽

Male And Female ◽

Positive History ◽

Foot Posture Index ◽

Posture Index ◽

Foot Posture ◽

History Of ◽

The Relationship

Objective: This study investigated the relationship between foot type and ankle sprain incidence.Method: In a prospective cohort study using the FPI, 68 adult male and female indoor football (Futsal) players were measured and their feet were classified according to foot posture index (FPI) as neutral, supinated and pronated. They were followed over 6 month as a one competition season and at the end, any injuries at the ankle during this period were detected.Result: There was no significant association between FPI score (considering the total FPI score and its six components) and occurrence of ankle sprain. Also, no association was existed between gender, age, height, weight, BMI, duration of professional exercise, dominant foot and occurrence of ankle sprain. In this study, the history of previous ankle sprain was the only significant predictor of the occurrence of ankle sprain in the follow-up period. Participants with the positive history of previous ankle sprain were at higher risk of developing new ankle sprain (OR=6.02, 95% CI: (1.93, 18.84), p=0.002).Conclusion: There was no significant association between FPI score and occurrence of ankle sprain.Limitation: there was scarce of supinated foot in the study so evaluation of relationship between supinated feet and ankle sprain was not applicable.

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