N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector63700110.17816/vto637001Original study articlesОригинальные исследованияResearch ArticleClinical and biomechanical risk factors for plantar fasciitis in athletesКлинико-биомеханические факторы риска плантарного фасциита у спортсменовhttps://orcid.org/0000-0003-2107-65257670-4931SlivinAnton V.СливинАнтон Вячеславович
Russian Federation

MD

anton-slivin@mail.ruhttps://orcid.org/0000-0002-1971-44209499-6372KarmazinValery V.КармазинВалерий Вячеславович
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

vkarma@mail.ruhttps://orcid.org/0000-0002-2281-99367612-0480ParastaevSergey A.ПарастаевСергей Андреевич
Russian Federation

MD, Dr. Sci. (Medicine), professor

д-р мед. наук, профессор

ParastaevSA@sportfmba.ruFederal Research and Clinical Centre for Sports Medicine and RehabilitationФедеральный научно-клинический центр спортивной медицины и реабилитацииPirogov Russian National Research Medical UniversityРоссийский национальный исследовательский медицинский университет им. Н.И. Пирогова17022025150220253211371481410202412112024Copyright ©; 2025, Eco-VectorCopyright ©; 2025, Эко-Вектор2025Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://journals.eco-vector.com/0869-8678/article/view/637001

BACKGROUND: Plantar fasciitis is one of the most common causes of foot and ankle pain in athletes. Identifying the main risk factors for the disease will allow an individualised approach to both therapeutic and preventive measures in the sports contingent.

AIM: To determine the clinical and biomechanical risk factors for plantar fasciitis.

MATERIALS AND METHODS: The study included 130 athletes from various sports. The athletes were divided into two groups: group 1 consisted of athletes with plantar fasciitis, and group 2 was the control group, consisting of athletes without plantar fasciitis. The assessment included key anthropometric, orthopedic, morphological, and biomechanical indicators.

RESULTS: There was a slight tendency for females to develop plantar fasciitis more frequently. Athletes with plantar fasciitis were more likely to have flat feet (p <0.05), tension and soreness of the posterior tibial muscles (p <0.05), less ankle dorsiflexion (p <0.001), more pronation of the foot (p <0.001) and greater thickness of the plantar aponeurosis. The baropodometric test showed a decrease or, on the contrary, an increase in the plantar pressure of the hindfoot, depending on the severity of the pain syndrome (p=0.004). Dynamic tests showed signs of postural imbalance.

CONCLUSION: Assessing the risk factors for plantar fasciitis in athletes will not only allow us to optimise therapeutic measures, but also to develop personalised preventive programmes, taking into account the main predictors of the disease, which will make possible to reduce the prevalence of the pathology.

Обоснование. Плантарный фасциит является одной из распространённых причин болевого синдрома в области стопы и голеностопного сустава у спортсменов. Определение ведущих факторов риска заболевания позволит построить индивидуализированный подход как к терапевтическим, так и к профилактическим мероприятиям в спортивном контингенте.

Цель. Определить клинико-биомеханические факторы риска плантарного фасциита.

Материалы и методы. В исследование были включены 130 спортсменов различных видов спорта. Спортсмены были разделены на две группы: группу 1 — спортсмены с плантарным фасциитом, и группу 2 (контрольную) — спортсмены без плантарного фасциита. Проводилась оценка основных антропометрических, ортопедических, морфологических и биомеханических показателей.

Результаты. Отмечена незначительная тенденция к более частому развитию плантарного фасциита у женщин. У спортсменов с плантарным фасциитом чаще встречаются плоскостопие (p <0,05), напряжение и болезненность мышц задней группы голени (p <0,05), меньший объём дорсифлексии голеностопного сустава (p <0,001), более выраженная пронация стопы (p <0,001), большая толщина подошвенного апоневроза. При бароподометрическом обследовании обнаружено снижение или, напротив, повышение подошвенного давления заднего отдела стопы в зависимости от выраженности болевого синдрома (p=0,004). По динамическим тестам определяются признаки постурального дисбаланса.

Заключение. Оценка факторов риска плантарного фасциита у спортсменов позволит не только оптимизировать терапевтические мероприятия, но и разработать персонализированные профилактические программы, учитывающие наиболее значимые предикторы заболевания, что даст возможность снизить распространённость патологии.

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