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Scoping Review of Foot Disorders and Proximal Joint Pain: Evidence on the Foot–Knee–Hip–Spine Kinetic Chain


Authors : Dr. Saptarshi Mondal; Dr. Sourav Mitra; Dr. Soumi Das; Dr. Swarup Ghosh

Volume/Issue : ICVDRS 2026

Google Scholar : https://tinyurl.com/z5c8x4p9

Scribd : https://tinyurl.com/bunrkfuu

DOI : https://doi.org/10.38124/ijisrt/26jul426

Abstract : Background: Foot disorders are common musculoskeletal conditions that can alter lower limb biomechanics and load transmission across the kinetic chain. Increasing attention has been directed toward the potential influence of foot pathology on proximal joint pain, including the knee, hip, and spine. However, existing evidence examining the relationship between foot disorders and proximal joint pain is heterogeneous and dispersed across multiple disciplines, limiting comprehensive understanding.  Objective: To map and synthesize existing evidence on the association between foot disorders and proximal joint pain, specifically involving the knee, hip, and spine, using a kinetic chain perspective.  Methods: This scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. A systematic search of electronic databases including PubMed/MEDLINE, Scopus, Web of Science, PEDro, and Google Scholar was performed. Studies involving adults and examining foot disorders in relation to pain, dysfunction, or biomechanical alterations at the knee, hip, or spine were eligible for inclusion. Data were charted descriptively to map study characteristics, foot conditions examined, proximal joint outcomes, study designs, and key findings.  Results: The included studies encompassed a range of observational, experimental, and biomechanical designs. Commonly investigated foot disorders included pes planus, hallux valgus, plantar fasciitis, and altered foot posture. Proximal outcomes predominantly involved knee pain and low back pain, with fewer studies addressing hip-related symptoms. Evidence suggested consistent associations between abnormal foot mechanics and proximal joint pain, although methodological approaches and outcome measures varied widely across studies.  Conclusion: This scoping review highlights a substantial body of evidence supporting an association between foot disorders and proximal joint pain, particularly at the knee and spine. However, gaps remain in the literature regarding hip involvement and longitudinal relationships. The findings underscore the importance of adopting a kinetic chain approach in musculoskeletal assessment and identify key areas for future research.

Keywords : Foot Disorders; Kinetic Chain; Knee Pain; Hip Pain; Low Back Pain; Scoping Review

Background: Foot disorders are common musculoskeletal conditions that can alter lower limb biomechanics and load transmission across the kinetic chain. Increasing attention has been directed toward the potential influence of foot pathology on proximal joint pain, including the knee, hip, and spine. However, existing evidence examining the relationship between foot disorders and proximal joint pain is heterogeneous and dispersed across multiple disciplines, limiting comprehensive understanding.  Objective: To map and synthesize existing evidence on the association between foot disorders and proximal joint pain, specifically involving the knee, hip, and spine, using a kinetic chain perspective.  Methods: This scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. A systematic search of electronic databases including PubMed/MEDLINE, Scopus, Web of Science, PEDro, and Google Scholar was performed. Studies involving adults and examining foot disorders in relation to pain, dysfunction, or biomechanical alterations at the knee, hip, or spine were eligible for inclusion. Data were charted descriptively to map study characteristics, foot conditions examined, proximal joint outcomes, study designs, and key findings.  Results: The included studies encompassed a range of observational, experimental, and biomechanical designs. Commonly investigated foot disorders included pes planus, hallux valgus, plantar fasciitis, and altered foot posture. Proximal outcomes predominantly involved knee pain and low back pain, with fewer studies addressing hip-related symptoms. Evidence suggested consistent associations between abnormal foot mechanics and proximal joint pain, although methodological approaches and outcome measures varied widely across studies.  Conclusion: This scoping review highlights a substantial body of evidence supporting an association between foot disorders and proximal joint pain, particularly at the knee and spine. However, gaps remain in the literature regarding hip involvement and longitudinal relationships. The findings underscore the importance of adopting a kinetic chain approach in musculoskeletal assessment and identify key areas for future research.

Keywords : Foot Disorders; Kinetic Chain; Knee Pain; Hip Pain; Low Back Pain; Scoping Review

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Paper Submission Last Date
31 - August - 2026

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