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Drake, C, Mallows, A and Littlewood, C (2018) Psychosocial variables and presence, severity and prognosis of plantar heel pain: a systematic review of cross-sectional and prognostic associations. Musculoskeletal Care, 16 (3). pp. 329-338.

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Abstract

Objective: Plantar heel pain (PHP) is often disabling, and persistent symptoms are common. Psychosocial variables are known to affect pain and disability but the association of these factors with PHP has yet to be established. The purpose of the present systematic review was to determine if psychosocial variables are associated with the presence, severity and prognosis of PHP.

Methods: A systematic review of the literature and qualitative synthesis was carried out. Electronic searches of MEDLINE, CINAHL, SPORTDiscus, PsycINFO and EMBASE were undertaken from the inception of the respective databases up to November 2017. Any study design incorporating measurements of psychosocial variables with participants with plantar heel pain were included. The quality of included articles was appraised using the Newcastle Ottawa Scale.

Results: Five articles from four studies were included in the review, with a total of 422 participants. Moderate-level evidence suggested a clinically unimportant association with the incidence of PHP and depression, anxiety and stress, and limited evidence suggested a clinically unimportant association with job dissatisfaction. Moderate-level evidence suggested that there may also be an association between depression, anxiety, stress and catastrophization and PHP pain, and between depression, anxiety, stress, catastrophization and kinesiophobia and PHP function. We also found moderate-level evidence that a psychological disorder may be associated with a poorer outcome to shockwave therapy.

Conclusion: In light of this review, the association of psychosocial variables and plantar heel pain cannot be ruled out. Given recommendations to adopt an individualized and stratified approach to other musculoskeletal conditions, clinicians should remain vigilant to their presence.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Psychosocial variables and presence, severity and prognosis of plantar heel pain: a systematic review of cross-sectional and prognostic associations, which has been published in final form at https://doi.org/10.1002/msc.1246 - this article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Uncontrolled Keywords: psychosocial variables, presence, severity, prognosis, plantar heel pain, systematic review
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Depositing User: Symplectic
Date Deposited: 27 Mar 2018 07:38
Last Modified: 28 Sep 2018 13:53
URI: http://eprints.keele.ac.uk/id/eprint/4645

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