Etiology and Prevalence of Shoe heel abrasion in a recruits attending at Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat

Dr. Abhinav Kotak

Volume : VI, Issue : VII, July - 2016

Etiology and Prevalence of Shoe heel abrasion in a recruits attending at Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat

Dr. Abhinav Kotak

Abstract :

Background and Aim: Excessive shoe heel aasion is of concern to patients and shoe manufacturers, but little scientific information is available about this feature and its possible causes. The aim of this study was to relate this phenomenon with biomechanical factors that could predispose to shoe heel aasion. Methods: Present study was performed at department of orthopedics, Gujarat Adani institute of medical science, Bhuj, Kutch, Gujarat. One hundred were enrolled in this study. Shoe aasion was assessed manually with a metric plastic tape on the posterior part of the heel that comes in contact with the ground. The number of sprains, foot alignment, and calf muscle shortening was also assessed in order to relate it with shoe heel aasion. After using our exclusion criteria, 86 recruits and 172 were considered for this study. Results: The most common aasion site was the lateral portion of the heel surface (50 %). Forty–four percent of the participants had neutral hind–foot alignment and 39 % had valgus alignment. Valgus hind–foot alignment was more associated with Achilles shortening (p < 0.05). Patients with neutral alignment were associated with more uniform shoe heel aasion and varus feet were associated with more central and lateral aasion (p < 0.05). The pattern of shoe heel aasion was not statistically related with calf muscle shortening nor with number of sprains. Conclusion: This study was able to correlate shoe heel aasion with biomechanical causes. More effort has to be done to continue evaluating outsole aasion with its possible biomechanical cause in order to predict and treat possible associated injuries.