Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19592
  Title A single-blind pilot study to determine risk and association between navicular drop, calcaneal eversion, and low back pain
URL http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=Retrieve&dopt=Citation&list_uids=17574956
Journal J Manipulative Physiol Ther. 2007 Jun;30(5):380-385
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes OBJECTIVE: Syndromes causing mechanical low back pain (MLBP) continue to plague the US health care system. One hypothesis is that flatfeet are a risk factor for MLBP. This pilot study evaluated whether subjects with flatter feet are at greater risk for MLBP than subjects without flatter feet.

METHODS: Fifty-eight subjects (16-70 years old) were allocated to a group diagnosed with 2 or more episodes of MLBP or with no history of MLBP. A blind assessor measured navicular drop (ND) using navicular height (NH) and calcaneal eversion (CE). Based on a range of reported data, flatfoot was defined as a possible risk factor for MLBP with ND greater than 3, 8, and/or 10 mm, and/or greater than 6 degrees CE.

RESULTS: According to chi2 analysis, risk of MLBP appeared similar between groups (P > .05). There was no significant difference (P > .05) between continuous variables (t tests, Pearson r and r2) with one exception, correlation of increasing CE with increasing ND (P = .0001). Power was generally low (<0.80). Likelihood ratios and Fisher exact tests supported the chi2 analysis.

CONCLUSIONS: In this study, flatfeet did not appear to be a risk factor in subjects with MLBP. However, small sample size, low power, broader age range, low prevalence of flatfeet (>10 mm ND), and lesser back pain severity make these data tentative. Further research is needed.

This abstract is reproduced with the permission of the publisher; full text by subscription.
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