Role of Calcaneal Frontal Plane Position and Congruence of the Medial Longitudinal Arch in Female School Teachers with and without Low Back Pain Shagun1, Dahiya Jyoti2, Rai Richa2, Chopra Charu2, Chugh Priyanka2 1Student of Bachelors of Physiotherapy, Banarsidas Chandiwala Institute of Physiotherapy, Kalkaji, New Delhi 2Assistant Professor, Banarsidas Chandiwala Institute of Physiotherapy, Kalkaji, New Delhi Online published on 28 September, 2015. Abstract Introduction Back pain is an extremely common human phenomenon; a mankind has to pay to keep their posture upright. Almost 80% of persons in modern industrial society will experience back pain at some time during their life. Mechanical low back pain remains the predominant occupational health problem in most industrialized countries. Prevalence of musculoskeletal pain was 79.17% among school teachers. The most prevalent body site on which teachers reported pain was the back (63.8%). Prolonged standing was closely associated with back pain in teachers. Measurement of foot posture is widely considered to be an important component of musculoskeletal examination in clinical practice and research as variations in foot posture has been found to influence lower limb gait kinematics, muscles activity, balance and functional ability and predisposition to overuse injury. Aim and objective 1. To study calcaneal frontal plane position in female school teachers with and without mechanical low back pain. 2. To study congruence of medial longitudinal arch in female school teachers with and without mechanical low back pain. 3. To compare calcaneal frontal plane position and congruence of medial longitudinal arch in female school teachers with and without mechanical low back pain. Methodology 30 primary school female teachers fulfilling the inclusion criteria were selected. Group A (case subjects=15) consisted of teachers with mechanical low back pain and Group B(control subjects=15)consisted of the teachers without back pain. The low back pain and the feet posture were measured. A visual analog scale (VAS) was used to measure the intensity of low back pain. Calcaneal frontal plane position and height of the medial longitudinal arch were the observational equivalent of the measurements. With the patient standing in the relaxed stance position, the patient was instructed to stand still, with their arms by the side and looking straight ahead. The foot was then graded according to visual appraisal of the frontal plane position and the medial arch by observation made by taking both the arch congruence into consideration. Results Mean, T-value and p-value of both the groups were compared. T-value for arch height of Group A and Group B was 5.518 and for calcaneal plane position was 3.77. p-value was 1.761 for 14 degree of freedom at 5% level of significance. Therefore on the basis of overall statistical value it was found that there was significant effect of mechanical low back pain on foot posture in primary school female teachers having mechanical low back pain. The feet of female school teachers with mechanical low back pain were pronated (+2). Conclusion From the result of the study, it was concluded that there is a significant effect of mechanical low back pain on calcaneal frontal plane position and on the medial longitudinal arch. Top Keywords Mechanical low back pain, VAS, calcaneal frontal plane position, medial longitudinal arch Pronated foot. Top |