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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

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Published on: March 1, 2024

Body Mass Index Predicts Function in Individuals With Plantar Fasciopathy: A Longitudinal Observational Study.

Fernanda Colen Milagres Brandão¹, Ana Paula Coelho Figueira Freire², Daniel Barreto Rabelo¹

¹Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.

Journal of Sport Rehabilitation

|November 19, 2024

Summary

Higher body mass index (BMI) in individuals with plantar fasciopathy (PF) is linked to increased pain and reduced function. Elevated BMI is a poor prognostic indicator for functional recovery in PF patients.

Keywords:

clinical progress functionality numerical pain scale plantar fasciitis

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Area of Science:

Orthopedics
Sports Medicine
Physical Therapy

Background:

Plantar fasciopathy (PF) is a prevalent condition with significant economic implications.
Clinical assessments are crucial for identifying dysfunctions impacting PF's prognosis.
Understanding factors influencing PF presentation and recovery is essential for effective management.

Purpose of the Study:

To investigate the influence of body mass index (BMI) on clinical tests and presentation in individuals with PF.
To determine if BMI and clinical tests can predict the 3-month clinical course of PF.

Main Methods:

Longitudinal observational study design.
Participants categorized into low and high BMI groups based on median BMI.
Evaluated ankle dorsiflexion, navicular drop, heel-rise, and step-down tests, alongside pain and function at baseline and 3-month follow-up.

Main Results:

The low BMI group demonstrated significantly better function and lower pain intensity compared to the high BMI group.
Multivariable regression analysis revealed higher BMI as a predictor of poorer functional outcomes.
Specific clinical test performance was influenced by BMI levels.

Conclusions:

BMI significantly impacts the clinical presentation of plantar fasciopathy.
Individuals with higher BMI experience more severe pain and diminished function.
Elevated BMI serves as a negative prognostic factor for functional recovery in PF.