Abstract

Purpose

The presence of kinesiophobia was identified in patients with foot problems. There was no finding of foot functionality according to the level of kinesiophobia in lower extremity problems. The aim of this study was to compare the lower extremity functional status in foot problems with a low or high level of kinesiophobia.

Materials and methods

Evaluated herein were 37 patients with foot problems (plantar fasciitis, hallux valgus, flat foot). Physical and demographic characteristics were recorded. Patients were divided into two groups based on if they had a high or low level of kinesiophobia using the Tampa kinesiophobia scale. Ankle plantar flexor and knee flexor muscles tightness were recorded. The foot posture was evaluated using the Foot Posture Index. Foot-related pain was measured using the Visual Analog Scale Foot & Ankle. The Foot Function Index and the American Orthopaedics Foot and Ankle Foundation Ankle-Hindfoot Scale and Hallux Metatarsophalangeal–Interphalangeal Scale were used to assess the foot function. The general functional status of the lower extremities was evaluated using the Lower Extremity Functional Scale.

Results

Foot function was better in patients with a low level of kinesiophobia (p < 0.05). Pain was higher in patients with high level of kinesiophobia than in patients with a low level of kinesiophobia (p < 0.05). There was no difference between the groups in terms of foot posture index and muscle tightness (p > 0.05). The general lower extremity function was more negatively affected in patients with a high level of kinesiophobia (p < 0.05).

Conclusions

Patients with a high level of kinesiophobia presented with more functional problems in the foot and whole lower extremity; hence, function-based rehabilitation and pain coping strategies should be a crucial part of the rehabilitation program at the earliest opportunity.

中文翻译：

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运动恐惧症程度对足部问题患者下肢功能的比较

摘要

目的

在有足部问题的患者中发现了运动恐惧症。根据下肢问题的运动恐惧症水平，没有发现足部功能。本研究的目的是比较具有低或高水平运动恐惧症的足部问题的下肢功能状态。

材料和方法

此处评估的是 37 名患有足部问题（足底筋膜炎、拇外翻、扁平足）的患者。记录身体和人口统计特征。使用坦帕运动恐惧症量表，根据患者是否具有高或低水平的运动恐惧症，将患者分为两组。记录踝跖屈肌和膝屈肌紧张度。使用足部姿势指数评估足部姿势。使用 Visual Analog Scale Foot & Ankle 测量与足部相关的疼痛。足功能指数和美国骨科足踝基金会踝后足量表和拇趾跖趾间量表用于评估足功能。使用下肢功能量表评估下肢的一般功能状态。

结果

具有低水平运动恐惧症的患者足部功能更好（p  < 0.05）。高水平运动恐惧症患者的疼痛程度高于低水平运动恐惧症患者（p  < 0.05）。在足部姿势指数和肌肉紧绷度方面，各组之间没有差异（p  > 0.05）。高水平运动恐惧症患者的一般下肢功能受到的负面影响更大（p  < 0.05）。

结论

具有高度运动恐惧症的患者在足部和整个下肢出现更多的功能问题；因此，基于功能的康复和疼痛应对策略应该尽早成为康复计划的重要组成部分。