PTOTSLPCohortHong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao2025

Relationship between plantar pressure distribution and sagittal spinal curvatures among handball players: A cross-sectional study.

Amr A Abdel-Aziem, Mariam A Ameer, Ammar M Al Abbad and 1 others

PMID 40535983

WHAT IT FOUND

Handball players with greater thoracic kyphosis shifted more body weight to their forefoot and less to their rearfoot.

This pattern was linked to spinal curvature and trunk length, not just body weight. Static posture assessment may help identify load distribution risks.

Key findings

01Players with thoracic kyphosis angles greater than 44 degrees had significantly higher forefoot plantar pressure and lower rearfoot plantar pressure than those with smaller angles.

02In the high-kyphosis group, greater thoracic kyphosis angle correlated with higher forefoot pressure and lower rearfoot pressure, while lumbar lordosis showed no such correlation.

03Trunk length showed a strong positive correlation with forefoot pressure and a strong negative correlation with rearfoot pressure in both groups.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The study included only male handball players, so results cannot be generalised to female athletes or other sports. Measurements were taken in a static standing position; dynamic activities like running or throwing may produce different pressure patterns. The study did not control for or assess the specific playing position (e.g., wing, pivot), which affects physical demands. Participants were measured barefoot, which may not reflect pressure distribution when wearing sports shoes. The cross-sectional design cannot determine if spinal curvature causes the pressure changes or if both are influenced by other factors like height or training history.

Declared interests

The authors declared no conflict of interest. No funding was received for this work.

The easy way to misread this

Do not assume that spinal curvature directly causes the observed plantar pressure changes or that correcting the spine will normalise foot loading. This is a cross-sectional study showing an association, not a causal link, and it did not measure dynamic movement or the effect of any intervention.

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