Prevalence of Plantar Fasciitis and Achilles Strain Among Officers Transitioning to Minimalist Footwear and Barefoot Walking
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Abstract
Background: Plantar fasciitis and Achilles tendon symptoms are common foot-ankle problems that may occur during transition from conventional footwear to minimalist footwear or barefoot walking, particularly in occupational groups exposed to prolonged standing and walking. Objective: To determine the prevalence of plantar fasciitis and Achilles strain among officers transitioning to minimalist footwear or barefoot walking and to examine the association between footwear transition status and plantar fasciitis. Methods: This cross-sectional observational study included 379 officers selected through convenience sampling. Data were collected using a structured footwear and activity questionnaire, Visual Analog Scale for plantar fasciitis and Achilles tendon pain, and Foot and Ankle Outcome Score. Descriptive statistics were used to estimate prevalence, and the chi-square test assessed the association between transition status and plantar fasciitis. Results: The mean age was 31.28 ± 5.44 years and mean BMI was 25.41 ± 3.98 kg/m². Overall, 291 participants (76.8%) had transitioned to minimalist footwear or barefoot walking. Plantar fasciitis was present in 178 participants (47.0%), while Achilles strain was reported by 86 participants (22.7%). Plantar fasciitis was more frequent among transitioned participants than non-transitioned participants (55.7% vs. 18.2%), with a significant association between transition status and plantar fasciitis, χ²(1) = 38.123, p < 0.001. Conclusion: Plantar fasciitis was common among officers transitioning to minimalist footwear or barefoot walking and was significantly associated with transition status. Gradual adaptation, symptom monitoring, and early rehabilitation guidance may reduce transition-related foot-ankle burden
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