期刊
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY
卷 43, 期 10, 页码 700-714出版社
J O S P T
DOI: 10.2519/jospt.2013.4225
关键词
flatfoot; high arch; injuries
资金
- National Institute of Education Academic Research Fund
STUDY DESIGN: Systematic literature review with meta-analysis. OBJECTIVES: To investigate the association between nonneutral foot types (high arch and flatfoot) and lower extremity and low back injuries, and to identify the most appropriate methods to use for foot classification. METHODS: A search of 5 electronic databases (PubMed, Embase, CINAHL, SPORTDiscus, and ProQuest Dissertations and Theses), Google Scholar, and the reference lists of included studies was conducted to identify relevant articles. The review included comparative cross-sectional, case-control, and prospective studies that reported qualitative/quantitative associations between foot types and lower extremity and back injuries. Quality of the selected studies was evaluated, and data synthesis for the level of association between foot types and injuries was conducted. A random-effects model was used to pool odds ratio (OR) and standardized mean difference (SMD) results for meta-analysis. RESULTS: Twenty-nine studies were included for meta-analysis. A significant association between nonneutral foot types and lower extremity injuries was determined (OR = 1.23; 95% confidence interval [Cl]: 1.11, 1.37; P<.001). Foot posture index (OR = 2.58; 95% Cl: 1.33, 5.02; P<.01) and visual/physical examination (OR =1.17; 95% Cl: 1.06, 1.28; P<.01) were 2 assessment methods using distinct foot-type categories that showed a significant association with lower extremity injuries. For foot-assessment methods using a continuous scale, measurements of lateral calcaneal pitch angle (SMD, 1.92; 95% Cl: 1.44, 2.39; P<.00001), lateral talocalcaneal angle (SMD, 1.36; 95% Cl: 0.93, 1.80; P<.00001), and navicular height (SMD, 0.34; 95% Cl: 0.16, 0.52; P<.001) showed significant effect sizes in identifying high-arch foot, whereas the navicular drop test (SMD, 0.45; 95% Cl: 0.03, 0.87; P<.05) and relaxed calcaneal stance position (SMD, 0.49; 95% Cl: 0.01, 0.97; P<.05) displayed significant effect sizes in identifying flatfoot. Subgroup analyses revealed no significant associations for children with flatfoot, cross-sectional studies, or prospective studies on high arch. CONCLUSION: High-arch and flatfoot foot types are associated with lower extremity injuries, but the strength of this relationship is low. Although the foot posture index and visual/physical examination showed significance, they are qualitative measures. Radiographic and navicular height measurements can delineate high-arch foot effectively, with only anthropometric measures accurately classifying flatfoot. LEVEL OF EVIDENCE: Prognosis, level 2a.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据