the effects of podiatric deviations on nonspecific chronic low back pain

Moradi  F; Sahebozamani  M; Bahiraei  S; Daneshjoo  A; Saeedaskari  S

doi:10.18502/tkj.v17i4.20932

Moradi F Ph.D. student in sports injury and corrective exercises at the Shahid Bahonar University of Kerman, Iran.
Sahebozamani M Prof. of Sport Therapy & Rehabilitation Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran.
Bahiraei S Assistant Professor of Adapted Physical Activity Faculty of Physical Education and Sports Science, Shahid Bahonar University of Kerman, Iran
Daneshjoo A Associate Professor of Sport Injuries, Department of Sports Injuries and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman, Kerman, Iran.
Saeedaskari S Ph.D. student in sports injury and corrective exercises at the Shahid Bahonar University of Kerman, Iran.

DOI: https://doi.org/10.18502/tkj.v17i4.20932

Keywords: Back pain, Flat feet, Hallux valgus, Podiatric deviations

Abstract

Introduction: Low back pain (LBP) is a prevalent, costly, and debilitating issue with a high prevalence in the global community. While acute injuries can cause low back pain, biomechanical disorders have also been identified as contributors to chronic low back pain. This study aimed to investigate the effects of leg deviations on nonspecific chronic back pain.

Materials and Methods: This systematic review was conducted by searching for articles published between 2004-2024 in Pubmed, Google Scholar, Scopus, Medline, and Embase databases. The search used keywords such as "Low Back Pain, Foot pronated, Pes planus, Flat Foot, Splay Foot supinated, Podiatric deviation, Pelvic tilt, Pes cavus, Excessive pronation, Hullux valgus, Foot."

Results: Out of 1,314 articles reviewed; 88 articles related to the inclusion criteria were identified. Following quality assessment using the PEDro scale, 15 articles were selected for detailed analysis. These included three articles on the effect of Pes planus, seven articles on flat feet, and two articles on foot posture and function. Additionally, two articles focused on hullux valgus and one article examined heel bone deviation on low back pain.

Conclusion: The findings suggest that foot deviations, with changes in gait and leg length, can potentially disrupt pelvic alignment, leading to low back pain. Further research is needed to comprehensively define postural changes in foot position, structure, function and their relationship with changes in structural, kinematic, and proximal neuromuscular training is required.