Cambios en la postura del pie tras la actividad deportiva en ciclistas de montaña masculinos: estudio piloto

ResumenIntroducciónEl objetivo de este estudio es determinar si existen o no cambios en la postura del pie medida con Arch Index, Foot Posture Index, Navicular Drop Test y Foot Function Index tras una sesión de 3h de ciclismo de montaña en hombres.Pacientes y métodosLa muestra estuvo constituida por 19 ciclistas de sexo masculino, y la edad media de los participantes fue de 42,47±7,75 años. El índice de masa corporal fue de 25,84±2,17. Los sujetos realizaron el Foot Function Index, y posteriormente se les midió el Foot Posture Index y el Navicular Drop Test, y se tomaron pedigrafías para determinar el Arch Index con AutoCAD®. Después fueron sometidos a 3h de actividad deportiva en una ruta de ciclismo de montaña. Al finalizar la actividad, se les volvió a medir todas las variables.ResultadosTodos los valores fueron mayores en la medida postactividad, siendo todos —menos el Navicular Drop Test— mayores en el pie derecho. Sin embargo, solo el Foot Posture Index presentaba diferencias estadísticamente significativas entre las medidas pre y post (p<0,05). También fue significativo el Arch Index pre y post del pie derecho. No se procedió a analizar los datos del Foot Function Index, dado que en la mayoría de los sujetos fue de 0.DiscusiónA partir de los datos obtenidos, se puede afirmar que la postura del pie de la muestra de ciclistas estudiada ha sido neutra con tendencia a la pronación después de la actividad física, ya que los miembros en pronación tienen más capacidad de adaptación en el deporte.AbstractPurposeThe aim of this study is to determine whether there are changes in foot posture measured with Arch Index, Foot Posture Index, Navicular Drop Test and Foot Function Index after a session of 3h of mountain biking in men.MethodsThe sample consisted of 19 male cyclists, and the average age of participants was 42.47±7.75 years. The Body Mass Index was 25,84±2,17. Subjects completed the Foot Function Index, and then they were measured the Foot Posture Index and Navicular Drop Test, and ink footprints were taken to determine the Arch Index with AutoCAD®. Then they practiced 3h of activity on a mountain biking route. After cycling, they were remeasured the Foot Posture Index, Navicular Drop Test and ink footprints were taken for the AI.ResultsAll values were higher in the post-activity, as being all of them but the Navicular Drop Test, greater on the right foot. However, only the Foot Posture Index variable presented statistically significant differences between pre- and post measures (P<.05). Also significant was the variable Arch Index pre and post only in right foot. We did not proceed to analyze data Foot Function Index, because most subjects obtained a score of 0.DiscussionBased on the data obtained, it can be affirmed that the position of the foot sample of cyclists studied was neutral with a tendency to pronation after physical activity, as pronated legs are more capable to adapt at the sports

Foot Pain and Morphofunctional Foot Disorders in Patients with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study

[Abstract] Foot problems are highly prevalent in people with rheumatoid arthritis. This study aims to explore the foot morphology, pain and function in rheumatoid arthritis patients and the relation with the time of disease debut. A cross-sectional study was designed. Footprint, the Foot Posture Index, the hallux valgus prevalence, foot pain and function in 66 rheumatoid arthritis patients and the association with time since diagnosis, were recorded. The Foot Function Index, the Manchester Foot Pain and Disability Index, the Visual Analogic Scale, and the Manchester Scale for hallux valgus were administered and analyzed in two groups, with less and more than 10 years of diagnosis of the disease. A high prevalence of pronated (right 36.8% and left 38.6%) and highly pronated (right 15.8% and left 15.8%) feet was observed, as well as an elevated percentage of low arched footprints (right 68.4 and left 66.7%) and hallux valgus (right 59.6% and left 54.4%). Hallux valgus prevalence, toe deformities and Foot Function Index (Functional limitation) factors were significantly associated with the time since RA diagnosed adjusted for the other factors. The adjusted odds ratio of Hallux valgus prevalence was 4.9 (1.2–19.7). In addition, the foot function was diminished, and foot pain was present in most participants. In conclusion, rheumatoid arthritis patients’ feet showed altered morphology and function, and with longer rheumatoid arthritis history, metatarsophalangical stability and foot function, but not pain and global foot posture, were likely to deteriorat

Relationship of Body Mass Index and Footprint Morphology to the Actual Height of the Medial Longitudinal Arch of the Foot

[Abstract] The medial longitudinal arch height of the foot is linked to individual characteristics such as sex and body mass index, and these characteristics have been shown to be associated with conditions such as flat feet. In this cross-sectional descriptive study, we examined the medial longitudinal arch morphology in an adult population to determine if there are differences related to sex and body mass index, and values were obtained for the foot posture index. Normalized anthropometric measurements and arch indices were calculated from footprints. Groups, defined by sex and body mass index, were compared, and the correlations between body mass index and the variables were determined. In the population studied (266 women and 177 men), significant differences between men and women for the foot posture index and normalized arch measurements were found. Analysis of the variables related to body mass index indicated there were significant differences in arch indices. Significant differences and positive correlations were also found between the arch index and body mass index for the left and right feet among the men and women studied. The results obtained allow us to reflect on and analyze whether the medial longitudinal arch morphology classification methods used in the clinical and research setting are adequate or whether the influence of factors such as body mass index can generate confusion

Development and Validation of the Overall Foot Health Questionnaire for Patients with Rheumatoid Arthritis: A Cross-Sectional Descriptive Analysis

[Abstract] Background and Objectives: In general, patients with rheumatoid arthritis (RA) are ignorant of the physician’s role and of RA-related feet problems. The aim of our study was to validate a questionnaire on the knowledge of different aspects of overall foot health in patients with RA. Materials and Methods: A cross-sectional descriptive analysis was carried out between March 2017 and April 2017. A questionnaire was designed and validated through the Delphi method to evaluate the knowledge about the illness, the repercussions on feet, medical podiatry care, and the role of the medical podiatrist. Results: After being checked by a panel of experts, all the items obtained a Cronbach’s alpha over 0.70. Conclusions: The content of this questionnaire about the knowledge of different aspects of medical podiatry health in patients with RA has internal consistenc

Falls rate increase and foot dorsal flexion limitations are exhibited in patients who suffer from asthma: A novel case-control study

[Abstract] Purpose: Based on the possible association between reduced foot dorsiflexion and high risk of falls, the main objective was to determine the ankle and 1º metatarsophalangeal joint (1stMTTP) dorsiflexion range of motion and falls rate in patients with asthma compared to healthy matched-paired controls. Methods: A case-control study was carried out. Eighty participants were recruited and divided into patients with asthma (case group; n=40) and matched-paired healthy participants (control group; n=40). Foot dorsal flexion range of motion (assessed by the Weight-Bearing Lunge Test [WBLT]) and falls rate (evaluated as falls number during the prior year) were considered as the primary outcomes. Indeed, ankle dorsiflexion was measured by a mobile app (º) and a tape measure (cm) as well as 1stMTTP dorsiflexion was determined by and universal goniometer (º). Results: Statistically significant differences (P.05). Conclusions: These study findings showed that a falls rate increase and bilateral foot dorsal flexion limitations of the ankle and 1stMTTP joints are exhibited in patients who suffer from asthma

Conscientious Objection in Spanish Podiatrists Students: A Questionnaire Survey

[Abstract] Objective: To explore attitudes towards conscientious objections among podiatrists students in Spain. Methods: Podiatrists students at University of A Coruña, King Rey Juan Carlos University, University of Sevilla and Complutense University of Madrid were emailed a link to complete an anonymous online questionnaire, hosted by an online survey company. A total of 432 podiatrists students responded. Results: Nearly half of the students in this survey stated that they believed in the right of podiatrist to conscientiously object to any procedure. Demand for the right to conscientiously object is greater in Roman Catholic podiatrists students when compared with other groups of religious podiatrists students. Discussion: Examining patients and podiatric treatments continues to be controversy issues among podiatrists students and this may contribute to the looming crisis in podiatry services over next years. This project sheds some light on how future podiatrist view some of their ethical rights and obligations. Using empirical evidence, it reveals that conscientious objection is an issue in the Spain podiatrists student body today. These data could help anticipate problems that may arise when these podiatrists students qualify and practice podiatry in the community. Conclusion: Clearer guidance is needed for podiatrists students about the issue of conscientious objection at podiatry school.[Resumen] Objetivo: Explorar actitudes hacia la objeción de conciencia entre estudiantes de podología en España. Métodos: Se realizó un cuestionario anónimo online vía email a estudiantes de podología de la Universidad del Rey Juan Carlos de la Coruña, la Universidad de Sevilla y la Universidad Complutense de Madrid, organizado por una empresa de encuestas online. Respondieron un total de 432 estudiantes de podología. Resultados: Casi la mitad de los estudiantes afirmaron en la encuesta que creían en el derecho del podólogo a la objeción de conciencia en cualquier procedimiento. La exigencia del derecho a objeción de conciencia fue mayor en estudiantes de podología católicos que en otros grupos de otras religiones. Discusión: Examinar a pacientes y los tratamientos de podología continúan siendo temas controversiales entre los estudiantes de podología y esto puede que contribuya a la inminente crisis en servicios de pedicura en los próximos años. Este proyecto derrama algo de luz sobre como futuros podólogos ven algunos de sus derechos y obligaciones éticas. Usando evidencia científica, revela que la objeción de conciencia es un tema para los estudiantes de podología en España hoy día. Estos datos pueden ayudar a anticipar problemas que puedan surgir cuando estos estudiantes de podología califiquen y practiquen podología en la comunidad. Conclusión: Se necesitan pautas más claras para estudiantes de podología sobre el tema de objeción de conciencia en la Escuela de Podología.[Resumo] Objetivo: Explorar atitudes com relação à objeção de consciência entre os estudantes de podologia na Espanha. Método: Aos estudantes de podologia da Universidade Universidade Rei Juan Carlos, de Corunha, da Universidade de Sevilla e da Universidade Complutense de Madri foram enviados por email um link para completar um questionário online anônimo, hospedado por uma empresa de pesquisa on-line. Um total de 432 alunos de podologia responderam. Resultados: Quase metade dos alunos nesta pesquisa afirmaram que acreditavam no direito de podólogo se opor conscientemente a qualquer procedimento. A demanda para o direito de se opor conscientemente é maior em estudantes católicos romanos, quando comparado com outros grupos religiosos de estudantes. Discussão: O exame de pacientes e tratamentos podiátricos continuam a ser problema de controvérsia entre os alunos de podologia e isso pode contribuir para a crise iminente nos serviços de podologia para os próximos anos. Este projeto lança alguma luz sobre a forma de o futuro podólogo conhecer alguns dos seus direitos e obrigações éticas. Usando a evidência empírica, revela que a objeção de consciência é um problema no corpo discente de podologia da Espanha, hoje. Estes dados poderiam ajudar a antecipar problemas que podem surgir quando esses estudantes de podología se qualificarem e praticarem a podologia na comunidade. Conclusão: Orientação mais esclarecida é necessária para alunos de podologia sobre a questão da objeção de consciência no curso de graduação

Corrective Bandage for Conservative Treatment of Metatarsus Adductus: Retrospective Study.

Metatarsus adductus (MA) is the most common congenital foot deformity observed in children. The aims of this study were: (1) to analyze the evolution of a corrective bandage for semirigid MA in newborns and (2) to recommend the age interval at which to start treatment of MA with the corrective bandage alone, without the need of splints. An observational clinical study was conducted. The study was conducted at Virgen Macarena University Hospital in Seville, Spain. Children born with semirigid MA at the hospital during the years 2010-2011 were included. Corrective bandaging was applied to all children until clinical correction of the deformity. Sex, laterality of the deformity, weight and length of the newborn, age at the start of treatment, antecedents related to the pregnancy and birth, type of treatment (bandaging, splints), and correction or no correction with bandaging alone were recorded. Age differences at the start of the bandaging treatment between children whose deformity was corrected with and without the need of splints were examined. The receiver operating characteristic curve method was applied to analyze the predictive ability of the age at the start of bandaging treatment relative to whether the deformity was corrected or not corrected with bandaging alone. The bandage achieved complete correction in 68.1% of the children and corrected the deformity more frequently in girls compared with boys. Of the 56 children who began the treatment within the first month of life, 92.8% achieved correction of the foot deformity with the corrective bandaging alone. Patients' follow-up time was only 2 years, so it was only feasible to analyze the corrective bandaging method over the short term and medium term. Corrective bandages showed high effectiveness, particularly in girls, and overall when started within the first month of life

Therapeutic alternatives in painful diabetic neuropathy: a meta-analysis of randomized controlled trials.

One of the most frequent problems caused by diabetes is the so called painful diabetic neuropathy. This condition can be treated through numerous types of therapy. The purpose of this study was to analyze, as a meta-analysis, different treatments used to alleviate painful diabetic neuropathy, with the aim of generating results that help making decisions when applying such treatments to tackle this pathology. A search was conducted in the main databases for Health Sciences, such as PUBMED, Web of Science (WOS), and IME biomedicina (Spanish Medical Reports in Biomedicine), to gather randomized controlled trials about treatments used for painful diabetic neuropathy. The analyzed studies were required to meet the inclusion criteria selected, especially those results related to pain intensity. Nine randomized controlled trials were chosen. The meta-analysis shows significant positive effects for those treatments based on tapentadol [g: -1.333, 95% CI (-1.594; -1.072), P This meta-analysis indicates the effectiveness of the treatments based on duloxetine, gabapentin and pregabalin, as well as other drugs, such as tapentadol and topic clonidine, whose use is better prescribed in more specific situations. The results provided can help increase the knowledge about the treatment of painful diabetic neuropathy and also in the making of clinical practice guidelines for healthcare professionals

Prevalencia del Juanete de Sastre y quinto dedo varo en la bailaora profesional de flamenco

El Juanete de Sastre es una deformidad adquirida que afecta al quinto metatarsiano y quinto dedo del pie. Se caracteriza por una prominencia lateral en la cabeza del quinto metatarsiano, con una marcada desviación medial del quinto dedo y una desviación lateral del V metatarsiano. De origen multifactorial, hablamos de una etiología micro traumática influida por posturas viciosas en dinámica, estática o sedente, por la influencia del calzado y la presencia de alteraciones biomecánicas de la extremidad inferior y pies; aunque coexisten otros factores predisponentes. Mediante un estudio observacional transversal, realizado en diferentes academias de flamenco de Andalucía, el Área Clínica de Podología de la Universidad de Sevilla y centros privados de Investigación y Podología, sobre 27 participantes (40 pies de bailaoras y 14 pies de bailaores profesionales de flamenco), se determinó que existe una prevalencia del 14.8% de Juanetes de Sastre y del 35% de quintos dedos adducto varo. En ambos casos, la prevalencia es mayor entre la población femenina. Los años de actividad (años practicando baile flamenco) influyen significativamente en la aparición de estas deformidade

Tratamiento físico y ortopodológico en pie plano rígido

El caso clínico que presentamos a continuación trata de un paciente adolescente al cual diagnosticamos de pie plano rígido en fase de contractura muscular. Planteamos un tratamiento integrado combinando la podología física mediante la realización de movilizaciones articulares, estiramientos musculares y cinesiterapia activa; junto con la ortopodología aplicando un tratamiento evolutivo mediante soportes plantares personalizados