Journal of Physical Therapy Science
Online ISSN : 2187-5626
Print ISSN : 0915-5287
Original Article
The effectiveness of raising the heel height of shoes to reduce heel pain in patients with calcaneal spurs
Dwi Basuki WibowoRudiansyah HarahapAchmad WidodoGunawan Dwi HaryadiMochammad Ariyanto
Author information
JOURNALS FREE ACCESS

Volume 29 (2017) Issue 12 Pages 2068-2074

Details
Download PDF (1071K) Contact us
Abstract

[Purpose] To investigate the effect of heel height on the distribution of plantar foot force and heel pain in patients with a heel spur. [Subjects and Methods] Plantar force was measured using 8 force sensors in 16 patients (3 men, 13 women), with symptomatic heel spur for 4 heel heights (0–4 cm). Sensors were located at the hallux (T1); medial to lateral metatarsals (M1 through M3), mid-foot (MF); and at the central, lateral, and medial heel (CH, LH, and MH). Pain was evaluated using the minimum compression force that caused pain and was measured using an algometer. [Results] Load bearing shifted from the heel (CH) to the mid-foot (MF) and hallux (T1) with increasing heel height. Raising the heel from 2 to 3 cm reduced the magnitude of load bearing, relative to the minimum compression force for pain, by 3.70% at the LH and 2.35% at the MH. Excellent clinical outcomes, defined by a 70–100% decrease in pain, were achieved in 10/16 participants with the use of a 2-cm and 3-cm heel height in men and women, respectively. [Conclusion] Increasing heel height effectively decreases the plantar force on the heel during weight-bearing activities.

Information related to the author
© 2017 by the Society of Physical Therapy Science. Published by IPEC Inc.
Next article

Recently visited articles
Journal news & Announcements
  • June 27, 2013
        Publisher Info Printing PDF files for JPTS Vol. 22 No. 3-Vol. 24 No. 9 is not available. If you wish to print these PDF files, please access the following publisher’s website and download. http://spts.jpn.com/pdf.html
Related journals
理学療法科学
feedback
Top