Foot posture, leg length discrepancy and low back pain – Their relationship and clinical management using foot orthoses – An overview

Abstract Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions are widely thought to cause mechanical low back pain. The role of foot posture and leg length discrepancy in contributing to abnormal biomecha...

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Bibliographic Details
Published inFoot (Edinburgh, Scotland) Vol. 24; no. 2; pp. 75 - 80
Main Authors Kendall, Julie C, Bird, Adam R, Azari, Michael F
Format Journal Article
LanguageEnglish
Published Scotland Elsevier Ltd 01.06.2014
Subjects
Foot - physiopathology
Foot Orthoses
Heel lifts
Humans
Leg length discrepancy
Leg Length Inequality - complications
Leg Length Inequality - physiopathology
Leg Length Inequality - therapy
Low back pain
Low Back Pain - etiology
Low Back Pain - prevention & control
Orthopedics
Pes planus
Posture
Heel lifts
Pes planus
Foot orthoses
Leg length discrepancy
Low back pain
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Abstract Abstract Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions are widely thought to cause mechanical low back pain. The role of foot posture and leg length discrepancy in contributing to abnormal biomechanics of the lumbopelvic region and low back pain is not sufficiently investigated. This critical review examines the evidence for the association between foot function, particularly pronation, and mechanical LBP. It also explores the evidence for a role for foot orthoses in the treatment of this condition. There is a body of evidence to support the notion that foot posture, particularly hyperpronation, is associated with mechanical low back pain. Mechanisms that have been put forward to account for this finding are based on either mechanical postural changes or alterations in muscular activity in the lumbar and pelvic muscles. More research is needed to explore and quantify the effects of foot orthoses on chronic low back pain, especially their effects on lumbopelvic muscle function and posture. The clinical implications of this work are significant since foot orthoses represent a simple and potentially effective therapeutic measure for a clinical condition of high personal and social burden.
AbstractList Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions are widely thought to cause mechanical low back pain. The role of foot posture and leg length discrepancy in contributing to abnormal biomechanics of the lumbopelvic region and low back pain is not sufficiently investigated. This critical review examines the evidence for the association between foot function, particularly pronation, and mechanical LBP. It also explores the evidence for a role for foot orthoses in the treatment of this condition. There is a body of evidence to support the notion that foot posture, particularly hyperpronation, is associated with mechanical low back pain. Mechanisms that have been put forward to account for this finding are based on either mechanical postural changes or alterations in muscular activity in the lumbar and pelvic muscles. More research is needed to explore and quantify the effects of foot orthoses on chronic low back pain, especially their effects on lumbopelvic muscle function and posture. The clinical implications of this work are significant since foot orthoses represent a simple and potentially effective therapeutic measure for a clinical condition of high personal and social burden.
Abstract Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions are widely thought to cause mechanical low back pain. The role of foot posture and leg length discrepancy in contributing to abnormal biomechanics of the lumbopelvic region and low back pain is not sufficiently investigated. This critical review examines the evidence for the association between foot function, particularly pronation, and mechanical LBP. It also explores the evidence for a role for foot orthoses in the treatment of this condition. There is a body of evidence to support the notion that foot posture, particularly hyperpronation, is associated with mechanical low back pain. Mechanisms that have been put forward to account for this finding are based on either mechanical postural changes or alterations in muscular activity in the lumbar and pelvic muscles. More research is needed to explore and quantify the effects of foot orthoses on chronic low back pain, especially their effects on lumbopelvic muscle function and posture. The clinical implications of this work are significant since foot orthoses represent a simple and potentially effective therapeutic measure for a clinical condition of high personal and social burden.
Author Bird, Adam R
Azari, Michael F
Kendall, Julie C
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/24703513$$D View this record in MEDLINE/PubMed
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Issue 2
Keywords Heel lifts
Pes planus
Foot orthoses
Leg length discrepancy
Low back pain
Language English
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Snippet Abstract Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions...
Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions are widely...
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SubjectTerms Foot - physiopathology
Foot Orthoses
Heel lifts
Humans
Leg length discrepancy
Leg Length Inequality - complications
Leg Length Inequality - physiopathology
Leg Length Inequality - therapy
Low back pain
Low Back Pain - etiology
Low Back Pain - prevention & control
Orthopedics
Pes planus
Posture
Title Foot posture, leg length discrepancy and low back pain – Their relationship and clinical management using foot orthoses – An overview
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https://dx.doi.org/10.1016/j.foot.2014.03.004
https://www.ncbi.nlm.nih.gov/pubmed/24703513
https://search.proquest.com/docview/1543995540
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