Avaliação das características morfofuncionais do pé e do hábito de andar descalço de indivíduos com alterações nos pés
DOI:
https://doi.org/10.15343/0104-7809.202347e14122022PPalabras clave:
Marcha, Tipos de pés, FuncionalidadeResumen
O objetivo deste estudo foi avaliar o perfil funcional, características do pé, o hábito de andar descalço de indivíduos com alterações musculoesqueléticas nos pés e comparar com indivíduos controle. Os participantes foram avaliados por meio de questionário eletrônico. Dados antropométricos, funcionalidade dos pés, hábito de andar descalço, tipo de calçado, tipo de pé e pisada e qual comprometimento do pé foram coletados. A amostra total foi composta por 160 indivíduos divididos em grupo controle (GC) (n=82) e grupo problemas no pé (GPE) (n=78). O hálux valgo foi o principal tipo de problema no grupo GPE (24,4%), com uma maior porcentagem de participantes com doença crônica (35,9%), tipos de pés cavos (pé esquerdo (PE) 16,7% e pé direito (PD) 19,2%) ou planos (PE 21,8% e PD 21,8%) e com o Índice de função do pé comprometido em 7% (P =0,001). Ambos os grupos consideram o hábito de andar descalço saudável (72% GC e 66,7% GPE), porém não são adeptos deste hábito (93,9% GC e 91% GPE). O sapato foi o modelo menos utilizado pelo GPE (10,3%). Concluímos que indivíduos do grupo GPE apresentaram maior associação de alterações morfofuncionais com a presença de distúrbios nos pés e que o hábito de andar descalço apesar de ser considerado um aspecto positivo para a saúde dos pés de ambos os grupos, nenhum destes o praticam.
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Hillstrom HJ, Song J, Kraszewski AP, Hafer JF, Mootanah R, Dufour AB, et al. Foot type biomechanics part 1: structure and function of the asymptomatic foot. Gait Posture. 2013; 37(3): 445–51.
Kelly LA, Lichtwark G, Cresswell AG. Active regulation of longitudinal arch compression and recoil during walking and running. J R Soc Interface. 2015; 12(102): 20141076.
Bevans JS. Biomechanics: a review of foot function in gait. The Foot. 1992; 2(2): 79–82.
Kirby KA. Biomechanics of the normal and abnormal foot. J Am Podiatr Med Assoc. 2000; 90(1): 30–4.
Farris DJ, Kelly LA, Cresswell AG, Lichtwark GA. The functional importance of human foot muscles for bipedal locomotion. Proc Natl Acad Sci USA. 2019; 116(5): 1645–50.
Lichtwark GA, Kelly LA. News & views ahead of the curve in the evolution of human feet. Nature. 2020; 579: 31–2.
Lucas J, Khalaf K, Charles J, Leandro JJG, Jelinek HF. Automated spatial pattern analysis for identification of foot arch height from 2D foot prints. Front Physiol. 2018; 9:1216.
Tong JWK, Kong PW. Medial longitudinal arch development of children aged 7 to 9 years: longitudinal investigation. Phys Ther. 2016; 96(8).
Hollander K, van der Zwaard BC, de Villiers JE, Braumann KM, Venter R, Zech A. The effects of being habitually barefoot on foot mechanics and motor performance in children and adolescents aged 6-18 years: Study protocol for a multicenter cross-sectional study (Barefoot LIFE project). J Foot Ankle Res. 2016; 9(1):1–9.
Pataky TC, Goulermas JY. Pedobarographic statistical parametric mapping (pSPM): A pixel-level approach to foot pressure image analysis. J Biomech 2008; 41(10): 2136–43.
Echarri JJ, Forriol F. The development in footprint morphology in 1851 Congolese children from urban and rural areas, and the relationship between this and wearing shoes. J Pediatr Orthop B. 2003; 12(2): 141–6.
Holowka NB, Wallace IJ, Lieberman DE. Foot strength and stiffness are related to footwear use in a comparison of minimally- vs. conventionally-shod populations. Sci Rep. 2018; 8(1): 1–12.
D’AoÛt K, Pataky TC, de Clercq D, Aerts P. The effects of habitual footwear use: foot shape and function in native barefoot walkers. Footwear Sci. 2009; 1(2): 81–94.
Kadambande S, Khurana A, Debnath U, Bansal M, Hariharan K. Comparative anthropometric analysis of shod and unshod feet. Foot. 2006; 16(4): 188–91.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007; 370(9596): 1453–7.
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2): 175–91.
ABESO. Diretrizes brasileiras de obesidade 2016. VI Diretrizes Brasileiras de Obesidade. 2016; 7–186.
Yi LC, Staboli IM, Kamonseki DH, Budiman-Mak E, Arie EK. Translation and cross-cultural adaptation of FFI to Brazilian Portuguese version: FFI - Brazil. Rev Bras Reumatol. 2015; 55(5): 398–405.
Budiman-Mak E, Conrad KJ, Roach KE. The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol. 1991; 44(6): 561–70.
Martinez BR, Staboli IM, Kamonseki DH, Budiman-Mak E, Yi LC. Validity and reliability of the Foot Function Index (FFI) questionnaire Brazilian-Portuguese version. Springerplus. 2016; 5(1).
Hollander K, Heidt C, van der Zwaard BC, Braumann KM, Zech A. Long-term effects of habitual barefoot running and walking: A systematic review. Med Sci Sports Exerc. 2017; 49(4): 752–62.
Garcia LMT, Osti RFI, Ribeiro EHC, Florindo AA. Validação de dois questionários para a avaliação da atividade física em adultos Rev Bras Ativ Fis e Saúde. 2013; 317–31.
Zhao X, Tsujimoto T, Kim B, Katayama Y, Tanaka K. Increasing physical activity might be more effective to improve foot structure and function than weight reduction in obese adults. J Foot Ankle Surg. 2018; 57(5): 876-9.
Wearing SC, Grigg NL, Lau HC, Smeathers JE. Footprint-based estimates of arch structure are confounded by body composition in adults. J Orthop Res. 2012; 30(8): 1351–4.
AlAbdulwahab SS, Kachanathu SJ. Effects of body mass index on foot posture alignment and core stability in a healthy adult population. J Exerc Rehabil. 2016; 12(3): 182–7.
Kumar M, Sanghi D, Kataria J, Arya P. Association of flat foot with obesity in middle-aged individuals. Int J Res Pharmaceutical Sci. 2021; 12(2): 1102–7.
Franklin S, Grey MJ, Heneghan N, Bowen L, Li FX. Barefoot vs common footwear: A systematic review of the kinematic, kinetic and muscle activity differences during walking. Gait Posture. 2015; 42(3): 230–9.
Shroyer JF, Weimar WH. Comparative analysis of human gait while wearing thong-style flip-flops versus sneakers. J Am Podiatr Med Assoc. 2010; 100(4): 251–7.
Nix S, Smith M, Vicenzino B. Prevalence of hallux valgus in the general population: a systematic review and meta-analysis. J Foot Ankle Res. 2010; 3:21.
Nguyen USDT, Hillstrom HJ, Li W, Dufour AB, Kiel DP, Procter-Gray E, et al. Factors associated with hallux valgus in a population based study of older women and men: the MOBILIZE Boston Study. Osteoarthritis Cartilage. 2010; 18(1): 41–6.
Nix SE, Vicenzino BT, Smith MD. Foot pain and functional limitation in healthy adults with hallux valgus: a cross-sectional study. BMC Musculoskelet Disord. 2012; 13: 197.
Menz HB, Lord SR. Gait instability in older people with hallux valgus. Foot Ankle Int. 2005; 26(6): 483–9.
Menz HB, Auhl M, Spink MJ. Foot problems as a risk factor for falls in community-dwelling older people: A systematic review and meta-analysis. Maturitas. 2018; 118: 7–14.
López-López D, Pérez-Ríos M, Ruano-Ravina A, Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R, Romero-Morales C, et al. Impact of quality of life related to foot problems: a case–control study. Sci Rep. 2021; 11(1):1–6.
Lim L, Jin AZ, Ng TP. Anxiety and depression, chronic physical conditions, and quality of life in an urban population sample study. Soc Psychiatry Psychiatr Epidemiol. 2012; 47(7): 1047–53.
HOUGLUM PA. Exercícios Terarapêuticos para Lesões Musculoesqueléticas. 3a. São Paulo: Manole; 2015.
Williams DS 3rd, McClay IS, Hamill J. Arch structure and injury patterns in runners. Clin Biomech (Bristol, Avon). 2001;16(4): 341–7.
Burns J, Crosbie J, Hunt A, Ouvrier R. The effect of pes cavus on foot pain and plantar pressure. Clin Biomech (Bristol, Avon). 2005; 20(9): 877–82.
Levinger P, Murley GS, Barton CJ, Cotchett MP, McSweeney SR, Menz HB. A comparison of foot kinematics in people with normal and flat-arched feet using the Oxford Foot Model. Gait Posture. 2010; 32(4): 519–23.
Evans AM, Rome K. A Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet. Eur J Phys Rehabil Med. 2011; 47(1): 69–89.
Neal BS, Griffiths IB, Dowling GJ, Murley GS, Munteanu SE, Franettovich Smith MM, et al. Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis. J Foot Ankle Res. 2014; 7(1): 55.
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Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
