The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain
Abstract Background Plantar Heel Pain (PHP) can be a debilitating musculoskeletal condition from which only 50% recover within a year due to poor understanding of the mechanisms explaining severity and predicting outcomes specific to PHP. Objective To explore associations between biopsychosocial var...
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| Format: | Article |
| Language: | English |
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Wiley
2024-12-01
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| Series: | Journal of Foot and Ankle Research |
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| Online Access: | https://doi.org/10.1002/jfa2.70022 |
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| author | Halime Gulle Dylan Morrissey Abdulhamit Tayfur Dilber Karagozoglu Coskunsu Stuart Miller Aleksandra V. Birn‐Jeffery Trevor Prior |
| author_facet | Halime Gulle Dylan Morrissey Abdulhamit Tayfur Dilber Karagozoglu Coskunsu Stuart Miller Aleksandra V. Birn‐Jeffery Trevor Prior |
| author_sort | Halime Gulle |
| collection | DOAJ |
| description | Abstract Background Plantar Heel Pain (PHP) can be a debilitating musculoskeletal condition from which only 50% recover within a year due to poor understanding of the mechanisms explaining severity and predicting outcomes specific to PHP. Objective To explore associations between biopsychosocial variables and the severity of people with PHP. Secondly, to determine what combination of self‐reported factors distinguishes people with PHP from other foot pain (OFP). Methods We collected data from 235 participants, including 135 (%57) PHP (age 44 ± 12 years, 66% female) and 99 OFP (%43) (age 38 ± 11 years, 57% female) using 5 demographic, 13 biomedical, 8 psychological, 3 social and 8 activity‐related factors. These were tested in linear and logistic regression models. Results Quality of life (QoL) (β = 0.35; p < 0.001), education (β = −0.22; p = 0.003), gender (β = −0.20; p = 0.007), morning pain duration (β = −0.18; p = 0.01) and disease duration (β = −0.15; p = 0.040) were significantly associated with severity of PHP. The second model, without QoL, showed that having sensitisation (β = −0.18; p = 0.002) and a higher level of morning pain (β = −0.20; p = 0.01) are associated with severity. The logistic regression results revealed that people with PHP tend to have a systemic disease (OR = 3.34; 1.53–7.76), express more kinesiophobia (OR = 1.02; 1.01–1.14), are less likely to have previous injuries (OR = 0.40; 0.19–0.81), worse morning pain (OR = 1.02; 1.01–1.03) and standing pain (OR = 2.60; 1.39–4.87) compared to people with OFP. Conclusions People with PHP have higher associated levels of a range of psychological, social and activity related factors than people with OFP. The findings highlight the importance of considering psychosocial assessments alongside physical examination. |
| format | Article |
| id | doaj-art-4089dbf74f0b4fe19f4fceb34db84160 |
| institution | OA Journals |
| issn | 1757-1146 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Foot and Ankle Research |
| spelling | doaj-art-4089dbf74f0b4fe19f4fceb34db841602025-08-20T01:57:40ZengWileyJournal of Foot and Ankle Research1757-11462024-12-01174n/an/a10.1002/jfa2.70022The association of demographic, psychological, social and activity factors with foot health in people with plantar heel painHalime Gulle0Dylan Morrissey1Abdulhamit Tayfur2Dilber Karagozoglu Coskunsu3Stuart Miller4Aleksandra V. Birn‐Jeffery5Trevor Prior6School of Physical Therapy and Rehabilitation Science Morsani College of Medicine University of South Florida Tampa Florida USASports and Exercise Medicine William Harvey Research Institute Bart's and the London School of Medicine and Dentistry Queen Mary University of London Mile End Hospital London UKSports and Exercise Medicine William Harvey Research Institute Bart's and the London School of Medicine and Dentistry Queen Mary University of London Mile End Hospital London UKPhysiotherapy and Rehabilitation Faculty of Health Sciences Fenerbahce University Istanbul TurkeySports and Exercise Medicine William Harvey Research Institute Bart's and the London School of Medicine and Dentistry Queen Mary University of London Mile End Hospital London UKSchool of Sport, Rehabilitation and Exercise Science University of Essex Essex UKSports and Exercise Medicine William Harvey Research Institute Bart's and the London School of Medicine and Dentistry Queen Mary University of London Mile End Hospital London UKAbstract Background Plantar Heel Pain (PHP) can be a debilitating musculoskeletal condition from which only 50% recover within a year due to poor understanding of the mechanisms explaining severity and predicting outcomes specific to PHP. Objective To explore associations between biopsychosocial variables and the severity of people with PHP. Secondly, to determine what combination of self‐reported factors distinguishes people with PHP from other foot pain (OFP). Methods We collected data from 235 participants, including 135 (%57) PHP (age 44 ± 12 years, 66% female) and 99 OFP (%43) (age 38 ± 11 years, 57% female) using 5 demographic, 13 biomedical, 8 psychological, 3 social and 8 activity‐related factors. These were tested in linear and logistic regression models. Results Quality of life (QoL) (β = 0.35; p < 0.001), education (β = −0.22; p = 0.003), gender (β = −0.20; p = 0.007), morning pain duration (β = −0.18; p = 0.01) and disease duration (β = −0.15; p = 0.040) were significantly associated with severity of PHP. The second model, without QoL, showed that having sensitisation (β = −0.18; p = 0.002) and a higher level of morning pain (β = −0.20; p = 0.01) are associated with severity. The logistic regression results revealed that people with PHP tend to have a systemic disease (OR = 3.34; 1.53–7.76), express more kinesiophobia (OR = 1.02; 1.01–1.14), are less likely to have previous injuries (OR = 0.40; 0.19–0.81), worse morning pain (OR = 1.02; 1.01–1.03) and standing pain (OR = 2.60; 1.39–4.87) compared to people with OFP. Conclusions People with PHP have higher associated levels of a range of psychological, social and activity related factors than people with OFP. The findings highlight the importance of considering psychosocial assessments alongside physical examination.https://doi.org/10.1002/jfa2.70022plantar fasciitispsychosocial factorsquality of life |
| spellingShingle | Halime Gulle Dylan Morrissey Abdulhamit Tayfur Dilber Karagozoglu Coskunsu Stuart Miller Aleksandra V. Birn‐Jeffery Trevor Prior The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain Journal of Foot and Ankle Research plantar fasciitis psychosocial factors quality of life |
| title | The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain |
| title_full | The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain |
| title_fullStr | The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain |
| title_full_unstemmed | The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain |
| title_short | The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain |
| title_sort | association of demographic psychological social and activity factors with foot health in people with plantar heel pain |
| topic | plantar fasciitis psychosocial factors quality of life |
| url | https://doi.org/10.1002/jfa2.70022 |
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