Journal article
A Single-Blind Pilot Study to Determine Risk and Association Between Navicular Drop, Calcaneal Eversion, and Low Back Pain
Journal of Manipulative and Physiological Therapeutics, Vol.30(5), pp.380-385
06/2007
Abstract
Objective: Syndromes causing mechanical low back pain (MLBP) continue to plague the US health care system. One hypothesis is that flatfeet are a risk factor for MLBP. This pilot study evaluated whether subjects with flatter feet are at greater risk for MLBP than subjects without flatter feet. Methods: Fifty-eight subjects (16-70 years old) were allocated to a group diagnosed with 2 or more episodes of MLBP or with no history of MLBP. A blind assessor measured navicular drop (ND) using navicular height (NH) and calcaneal eversion (CE). Based on a range of reported data, flatfoot was defined as a possible risk factor for MLBP with ND greater than 3, 8, and/or 10 mm, and/or greater than 6° CE. Results: According to χ2 analysis, risk of MLBP appeared similar between groups (P > .05). There was no significant difference (P > .05) between continuous variables (t tests, Pearson r and r2) with one exception, correlation of increasing CE with increasing ND (P = .0001). Power was generally low (<0.80). Likelihood ratios and Fisher exact tests supported the χ2 analysis. Conclusions: In this study, flatfeet did not appear to be a risk factor in subjects with MLBP. However, small sample size, low power, broader age range, low prevalence of flatfeet (>10 mm ND), and lesser back pain severity make these data tentative. Further research is needed.
Details
- Title
- A Single-Blind Pilot Study to Determine Risk and Association Between Navicular Drop, Calcaneal Eversion, and Low Back Pain
- Authors/Creators
- J.W. Brantingham (Author/Creator)K.J. Adams (Author/Creator)J. Cooley (Author/Creator)D. Globe (Author/Creator)G. Globe (Author/Creator)
- Publication Details
- Journal of Manipulative and Physiological Therapeutics, Vol.30(5), pp.380-385
- Publisher
- Mosby Inc.
- Identifiers
- 991005543501807891
- Copyright
- © 2007 National University of Health Sciences.
- Murdoch Affiliation
- School of Chiropractic and Sports Science
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.34 Orthopedics
- 1.34.480 Foot and Ankle Disorders
- Web Of Science research areas
- Health Care Sciences & Services
- Integrative & Complementary Medicine
- Rehabilitation
- ESI research areas
- Clinical Medicine