{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:13:19Z","timestamp":1787962399922,"version":"build-2784847793"},"reference-count":78,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Plantar Heel Pain (PHP) can be a debilitating musculoskeletal condition from which only 50% recover within a year due to poor understanding of the mechanisms explaining severity and predicting outcomes specific to PHP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore associations between biopsychosocial variables and the severity of people with PHP. Secondly, to determine what combination of self\u2010reported factors distinguishes people with PHP from other foot pain (OFP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We collected data from 235 participants, including 135 (%57) PHP (age 44\u00a0\u00b1\u00a012\u00a0years, 66% female) and 99 OFP (%43) (age 38\u00a0\u00b1\u00a011\u00a0years, 57% female) using 5 demographic, 13 biomedical, 8 psychological, 3 social and 8 activity\u2010related factors. These were tested in linear and logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Quality of life (QoL) (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a00.35; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001), education (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.22; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.003), gender (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.20; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.007), morning pain duration (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.18; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01) and disease duration (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.15; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.040) were significantly associated with severity of PHP. The second model, without QoL, showed that having sensitisation (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.18; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002) and a higher level of morning pain (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.20; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01) are associated with severity. The logistic regression results revealed that people with PHP tend to have a systemic disease (OR\u00a0=\u00a03.34; 1.53\u20137.76), express more kinesiophobia (OR\u00a0=\u00a01.02; 1.01\u20131.14), are less likely to have previous injuries (OR\u00a0=\u00a00.40; 0.19\u20130.81), worse morning pain (OR\u00a0=\u00a01.02; 1.01\u20131.03) and standing pain (OR\u00a0=\u00a02.60; 1.39\u20134.87) compared to people with OFP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>People with PHP have higher associated levels of a range of psychological, social and activity related factors than people with OFP. The findings highlight the importance of considering psychosocial assessments alongside physical examination.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jfa2.70022","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T03:41:03Z","timestamp":1733974863000},"source":"Crossref","is-referenced-by-count":9,"title":["The association of demographic, psychological, social and activity factors with foot health in people with plantar heel pain"],"prefix":"10.1002","volume":"17","author":[{"given":"Halime","family":"Gulle","sequence":"first","affiliation":[{"name":"School of Physical Therapy and Rehabilitation Science Morsani College of Medicine University of South Florida  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Morrissey","sequence":"additional","affiliation":[{"name":"Sports and Exercise Medicine William Harvey Research Institute Bart's and the London School of Medicine and Dentistry Queen Mary 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