Zeidan Hala, Matsubara Keisuke, Tasaka Seishiro, Matsushita Tomofumi, Matsumoto Daisuke, Morino Saori, Tashiro Yuto, Suzuki Yusuke, Ito Hiromu, Aoyama Tomoki
Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Japan.
Department of Physical Therapy, Faculty of Health Science, Kio University, Japan.
Foot (Edinb). 2023 Mar;54:101973. doi: 10.1016/j.foot.2023.101973. Epub 2023 Feb 6.
Forefoot pain is a common symptom for several foot problems. This study aimed to determine whether parameters of forefoot structure (hallux valgus angle (HVA), transverse arch height (TAH) and sesamoid rotation angle (SRA)) are associated with forefoot pain. 547 feet of adult women were divided into two groups: without pain (n = 472) and with pain (n = 75). HVA was measured with a goniometer, TAH and SRA were measured using a weight bearing plantar ultrasound imaging device.Associations between forefoot pain and parameters of forefoot structure were analyzed using the Mann-Whitney U test and univariate and multivariate logistic regression analyses. The intra-rater and inter-rater reliability of the ultrasound images were also tested. SRA was significantly greater in the group with pain compared to the group without pain (p = 0.031) but not HVA (p = 0.057) nor TAH (p = 0.117). The association between forefoot pain and SRA was significant (univariate: p = 0.015 and multivariate p = 0.015), but not between HVA nor TAH. The intra-rater and inter-rater reliability were almost perfect (SRA: ICC1,1 = 0.94, ICC2,1 = 0.91 and TAH: ICC1,1 = 0.88, ICC2,1 = 0.81). We conclude that a higher SRA is related to forefoot pain and should be taken into consideration for assessment of patients with forefoot pain.
前足疼痛是多种足部问题的常见症状。本研究旨在确定前足结构参数（拇外翻角度（HVA）、横弓高度（TAH）和籽骨旋转角度（SRA））是否与前足疼痛相关。547名成年女性的足部被分为两组：无痛组（n = 472）和疼痛组（n = 75）。使用量角器测量HVA，使用负重足底超声成像设备测量TAH和SRA。采用曼-惠特尼U检验以及单因素和多因素逻辑回归分析来分析前足疼痛与前足结构参数之间的关联。还对超声图像的评估者内和评估者间可靠性进行了测试。与无痛组相比，疼痛组的SRA显著更大（p = 0.031），但HVA（p = 0.057）和TAH（p = 0.117）并非如此。前足疼痛与SRA之间的关联具有显著性（单因素：p = 0.015，多因素：p = 0.015），但HVA和TAH之间并非如此。评估者内和评估者间可靠性几乎完美（SRA：ICC1,1 = 0.94，ICC2,1 = 0.91；TAH：ICC1,1 = 0.88，ICC2,1 = 0.81）。我们得出结论，较高的SRA与前足疼痛相关，在评估前足疼痛患者时应予以考虑。
