Prevalence of Plantar Fasciitis Among Police Personnel: A Cross-sectional Study

Abstract

Introduction: Plantar Fasciitis (PF) is a painful condition characterized by inflammation of the plantar fascia, a fibrous tissue that supports the foot arch. This condition arises from overstretching the plantar fascia, leading to minute tears where it connects to the heel bone (calcaneum). The findings of this research offer essential insights for developing strategies to prevent and manage plantar fasciitis in high-risk occupational groups, such as police and other military and paramilitary personnel. This study aimed to find out prevalence of plantar fasciitis among police personnel and identify significant contributing factors.

Methods: This cross-sectional study consisted of 161 police staff with posterior heel pain who visited the Orthopedic Outpatient Department of Nepal Police Hospital from January 1, 2024, to December 31, 2024, using a convenient sampling technique.Data analysis was performed utilizing the Statistical Package for Social Science (SPSS) version 20.0.

Results: Among 161 police personnel with a mean age of 33.08 +/- 6.09, underwent the windlass test, and those who tested positive,completed the Foot Function Index (FFI) questionnaire. 42 police personnel demonstrated a positive windlass test, leading to a prevalence of 26.1% for plantar fasciitis within this group. Significant risk factors associated with the onset of PF included high body mass index (BMI), female gender, and prolonged periods of standing, running, and walking. PF was commonly observed in individuals aged 30 to 40 years and in those classified as overweight.

Conclusions:  This research identified the prevalence of plantar fasciitis among police personnel experiencing posterior heel pain, with pain being the primary issue. Significant associated risk factors included high BMI, being female, and extended periods of standing or walking. These results highlight the occupational susceptibility of police staff to plantar fasciitis, which can influence their physical performance and overall quality of life.