The Influence of Bilateral and Unilateral Flatfoot on Coronal Spinopelvic Alignment in Asymptomatic Young Healthy Males.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/21-165
Pinar Kisacik, Erman Ceyhan
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Abstract

Background: This cross-sectional retrospective study aimed to present the influence of unilateral and bilateral flatfoot on coronal spinopelvic alignment in asymptomatic young healthy males.

Methods: This study was performed by examining the medical reports of individuals who applied to the National Health Board to work in positions requiring physical fitness between January 1, 2018, and January 1, 2019. Plain radiographs of the feet, pelvis, and spine were analyzed. The calcaneal pitch angle for flatfoot, pelvic obliquity, and the Cobb angle for spinal asymmetry were measured. After all of the analyses were completed, participants were divided into two groups-unilateral or bilateral flatfoot, depending on the calcaneal pitch angle measurements-and compared.

Results: There was no significant difference in age between groups (P = .609). The unilateral flatfoot group showed higher values in terms of body mass index, with a significant difference (P = .01). The curve patterns were identified as single thoracic, lumbar, and double. Post-hoc analyses suggest that young males without spinal asymmetry were more likely to have unilateral flatfoot (P < .008). There were significant differences between groups in pelvic obliquity and Cobb angle (P < .05). The effect size was found to be small to medium for pelvic obliquity and medium to large for Cobb angle.

Conclusions: Young males with bilaterally increased foot pronation demonstrate more increased pelvic obliquity and spinal curvature.

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无症状年轻健康男性双侧和单侧扁平足对冠状脊柱对齐的影响
背景:这是一项横断面回顾性研究:这项横断面回顾性研究旨在介绍单侧和双侧扁平足对无症状年轻健康男性冠状脊柱排列的影响:本研究通过检查2018年1月1日至2019年1月1日期间向国家卫生委员会申请从事需要体能岗位工作的个人的体检报告来进行。对足部、骨盆和脊柱的平片进行了分析。测量了扁平足的小腿骨俯角、骨盆倾斜度和脊柱不对称的 Cobb 角。在完成所有分析后,根据小脚骨俯仰角的测量结果,将参与者分为单侧或双侧扁平足两组,并进行比较:结果:组间年龄无明显差异(P = .609)。单侧扁平足组的体重指数值较高,差异显著(P = .01)。曲线模式被确定为单侧胸椎、腰椎和双侧。事后分析表明,没有脊柱不对称的年轻男性更有可能患有单侧扁平足(P < .008)。在骨盆倾斜度和 Cobb 角方面,各组之间存在明显差异(P < .05)。骨盆倾斜度的影响大小为小至中,Cobb角的影响大小为中至大:结论:双侧足外翻增加的年轻男性骨盆倾斜度和脊柱弯曲度会增加。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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