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Effect of Gender, Toe Extension Position, and Plantar Fasciitis on Plantar Fascia Thickness

机译:性别,脚趾延伸位置和跖骨筋膜炎对跖骨筋膜厚度的影响

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Background: Ultrasound is a widely used diagnostic tool for patients with plantar fasciitis. However, the lack of standardization during the measurement for plantar fascia thickness has made it challenging to understand the etiology of plantar fasciitis, as well as identify risk factors, such as gender. The purpose of this study was to investigate gender differences regarding plantar fascia thickness while controlling for metatarsophalangeal (MTP) joint position in the healthy and those with unilateral plantar fasciitis. Methods: Forty participants (20 with unilateral plantar fasciitis and 20 controls) with plantar fascia thickness (mean age, 44.8 +/- 12.2 years) participated in this study. The majority were females (n = 26, 65%). Plantar fascia thickness was measured via ultrasound 3 times at 3 different MTP joint positions: (1) at rest, (2) at 30 degrees of extension, and (3) at maximal extension. Results: When comparing gender differences, the males in the plantar fasciitis group had a significantly thicker plantar fascia than the females (P = .048, eta(2) = 2.35). However, no significant differences were observed between healthy males and females. The males with unilateral plantar fasciitis also had significantly thicker asymptomatic plantar fasciae collectively compared with controls (P < .05), whereas females with unilateral plantar fasciitis had a similar but not significant change. Conclusion: It appears that healthy males and females have similar plantar fascia thickness. However, as plantar fasciitis develops, males tend to develop thicker plantar fasciae than their female counterparts, which could have future treatment implications.
机译:背景:超声波是Purtorar筋膜炎患者的广泛使用的诊断工具。然而,在Plantar筋膜厚度测量期间缺乏标准化使其挑战了解跖筋炎的病因,以及识别性别的危险因素。本研究的目的是调查关于跖筋厚度的性别差异,同时控制跖趾(MTP)在健康和单侧跖筋炎的联合地位。方法:40名参与者(20名与单侧跖筋炎和20个对照),具有跖筋厚度(平均年龄,44.8 +/- 12.2岁)参加了这项研究。大多数是女性(n = 26,65%)。在3种不同的MTP关节位置通过超声波测量Purtorar筋膜厚度:(1)在静止,(2)以30度延伸,(3)在最大延伸。结果:在比较性别差异时,跖筋炎组的雄性比女性显着较厚的植物筋膜(P = .048,ETA(2)= 2.35)。然而,在健康的男性和女性之间没有观察到显着差异。与单侧跖筋炎的雄性也与对照组共同较厚无症状的植物筋膜,而单侧跖筋炎的女性具有相似但没有重大变化。结论:似乎健康的男性和女性具有类似的跖筋厚度。然而,随着跖筋炎的发展,雄性倾向于发展厚度的跖跖,而不是其女性同行,这可能具有未来的治疗意义。

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