The SHIFT Project 19(1) - Plantar Fasciopathy Through a Kinetic Lens
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The SHIFT Project 19(1) - Plantar Fasciopathy Through a Kinetic Lens
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概要
This podcast -- part 1 of a 4 part series, argues that chronic plantar "fasciitis" (fasciosis) should be understood as a degenerative condition caused by excessive physical load rather than an inflammatory issue caused by poor foot posture. While traditional theories blame the shape of the arch or "excessive" foot pronation, research suggests that the condition affects people with all foot types by subjecting the tissue to repetitive mechanical stress from high magnitudes of dorsiflexion moment at the forefoot. A key contributor to this pathology is ankle equinus, a limitation in flexibility that acts as a moment multiplier, significantly increasing the tension placed through the fascia. Consequently, the clinicians are encoraged to take a kinetic approach to treatment that focuses on managing how force is distributed during movement. This framework suggests that gastrocnemius recession may be more effective than a plantar fascia release because it address the underlying mechanical drivers of the strain. Ultimately, chronic plantar fasciosis is failure of the fascia to tolerate cumulative stress over time.