Avaliação estática e dinâmica do equilíbrio, postura do pé e funcionalidade em indivíduos com fasciite plantar

• Ano de defesa: 2015
• Autor(a) principal: Gonçalves, Geiseane Aguiar [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Fascilite plantar; Equilíbrio; Postura do pé; Funcionalide; Dor
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=2722680; https://repositorio.unifesp.br/handle/11600/48495

Plantar fasciitis (PF) is an inflammatory disease with degeneration and fibrosis at the plantar fascia, characterized by chronic pain originating from the medial calcaneal tuberosity. Subject with PF may have change in foot posture however, studies report the importance of more research on the topic. Also can develop impairment in static and dynamic balance and functional capacity due to structural adjustments and compensations resulting from the pain symptoms of the disease. Objectives: the primary aim was to compare the foot posture, static and dynamic postural balance and foot function between patients with PF and individuals without foot disease. The secondary aims were to assess the relation of foot posture and pain; and the relation between lesion involvement time and dynamic balance in PF patients. Methods: were enrolled 124 volunteers divided into two groups: bilateral plantar fasciitis group (PFG; n = 62) and control group (CG, n = 62) of both sexes, aged 20-60 years old. The outcome measures were: pain measured in first step of the day with usage of the Visual analogue scale foot posture by the Foot posture index test, static and dynamic balance by the Balance error score system and Star excursion balance test, respectively; and lower limbs function by Foot and ankle outcome score questionnaire. The results were analyzed using the marginal homogeneity test, t student for independent samples and the Pearson correlation. The alpha error was considered p<0.05. Results: PF patients had worse performance over the full dynamic balance test (p < 0,001), except in the left posterior-medial movement (p = 0.19). The comparison among CG and PFG showed better functionality in CG (p < 0,001). No difference between groups for the variables foot posture right (p = 0.12) and left (p = 0.27) and in static balance test right (p = 0.16) and left (p = 0.08). No association was observed between the variables foot posture and pain and between lesion involvement time and dynamic balance. Conclusion: PF patients showed deficits of dynamic balance and greater functional impairment compared to healthy subjects. This pain in patients with plantar fasciitis is not influenced by foot posture, and lesion involvement time does not influence the quality of dynamic balance.