Immediate Effects of Custom Foot Orthoses on Postural Balance and Pain in Obese Middle-Aged Women With Plantar Fasciitis.

IF 1.4 4区心理学 Q4 PSYCHOLOGY, EXPERIMENTAL Perceptual and Motor Skills Pub Date : 2024-12-01 Epub Date: 2024-09-21 DOI:10.1177/00315125241286211

Ameni Hammami, Ghada Jouira, Sonia Sahli

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Abstract

Given the prevalence of plantar fasciitis (PF) among middle-aged women, we investigated the immediate impact of custom foot orthoses (CFO) on pain and static and dynamic postural balance, addressing a critical gap in understanding the potential benefits of CFO in managing PF-related pain and postural instability. Nine middle-aged women with PF and obesity were evaluated for pain levels and center of pressure (CoP) values in bipedal, unipedal with a non-affected foot, and unipedal with an affected foot on the Timed Up and Go (TUG) test, while they were barefoot, wearing standard insoles (SI), and wearing CFO. We found that CFO significantly and immediately reduced pain (p < .01) improved CoP values (p < .01) in the unipedal stance with the affected foot, and enhanced TUG test scores (p < .001). The results demonstrated a significant (p < .01) improvement in CoP_area values and TUG test scores with CFO, compared to SI. These findings underscore the immediate benefits of CFO in alleviating pain and improving postural balance in obese middle-aged women with PF, highlighting their potential as a valuable intervention.

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定制足部矫形器对患有足底筋膜炎的肥胖中年女性姿势平衡和疼痛的立竿见影之效

鉴于足底筋膜炎（PF）在中年女性中的发病率，我们研究了定制足部矫形器（CFO）对疼痛以及静态和动态姿势平衡的直接影响，以弥补在了解定制足部矫形器在控制 PF 相关疼痛和姿势不稳定性方面的潜在益处方面存在的关键差距。我们对九名患有脚外翻和肥胖症的中年女性进行了评估，观察她们赤脚、穿标准鞋垫（SI）和穿 CFO 时，在双足行走、非受影响足单足行走和受影响足单足行走的定时上下（TUG）测试中的疼痛程度和压力中心（CoP）值。我们发现，CFO 能立即明显减轻疼痛（p < .01），改善患足单足站立时的 CoP 值（p < .01），并提高 TUG 测试得分（p < .001）。结果表明，与SI相比，CFO的CoParea值和TUG测试得分均有明显改善（p < .01）。这些研究结果强调了 CFO 在减轻肥胖中年女性 PF 患者疼痛和改善姿势平衡方面的立竿见影的效果，凸显了其作为一种有价值的干预措施的潜力。

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