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Cil ET1, Saylı U2, Subası F1
1Yeditepe University, Physiotherapy and Rehabilitation, Istanbul, Turkey, 2Yeditepe University, Orthopedics and Traumatology, Istanbul, Turkey
Background: Plantar Fasciitis (PF) results from mechanical overload and excessive
strain within the plantar aponeurosis. The etiology may be multifactorial, and causes related to biomechanical abnormalities are increased body mass index (BMI), athletic and sedentary lifestyles, and environmental factors. Treatment entities should aim to reduce pain, and the tissue stress to a tolerable level, and restore functional capacity.In this research, we evaluated that non-surgical treatment is effective enough if they combined with each other.
Purpose: We aimed to compare the effectiveness of stretching and strengthening exercises, myofascial releasing and mobilization techniques with only stretching and strengthening exercises in PF.
Methods: The study included 53 feet of 47 PF patients (six were bilateral ) with PF (35F/ 12M, 48,87±11,20years) who admitted to Foot Clinic. The sociodemographic features of participants were recorded by using a structured questionnare. The range of motion (ROM) of the ankle and the flexibility of gastrocnemius-soleus muscles were measured by using a goniometer. Proprioception assessment was applied with angle reproduction test in direction of dorsiflexion and plantar flexion by using electronic goniometer. The dynamic balance was evaluated by Y balance test while foot sense was assessed with monofilament test from specific areas of each foot. Foot Function Index (FFI) was used for pain, disability and activity restriction while Visual Analogue Scale (VAS) for first step morning pain. The patients were randomly divided into Outpatient Rehabilitation group (Group1, n=27 feet) and Home Rehabilitation group (Group2, n=26 feet). All participated in patient education program. Foot and ankle-hip exercise program, myofascial releasing, joint and soft tissue mobilizations were applied to Group1(twice a week totally 8 week) and foot and ankle-hip exercise program were given for Group2 (8 weeks).
Results: The main results of our study revealed that the measurements of ROM, balance, proprioception, foot sense, flexibility, FFI and VAS were improved at 4th and 8th week in both groups(p 0.05). The other result indicated that the means of plantar flexion ROM, balance, proprioception (dorsiflexion), foot sense, flexibility (gastrocnemius), FFI and VAS in Group1 had more significant improvement than G2 (p 0.05).
Conclusion(s): Group1 (stretching and strengthening exercises, myofascial releasing, joint and soft tissue mobilization under the supervision) had statistically differences in terms of functional capacity, balance, proprioception, foot sense than Group2 (home program).
Implications: We can recommend the combined protocol including foot and ankle-hip exercises program, myofascial releasing, joint and soft tissue mobilization than the only foot and ankle-hip exercises program in the management of PF.
Keywords: Infracalcaneal heel pain, Non surgical management, plantar fasciitis
Funding acknowledgements: This research received no funding
strain within the plantar aponeurosis. The etiology may be multifactorial, and causes related to biomechanical abnormalities are increased body mass index (BMI), athletic and sedentary lifestyles, and environmental factors. Treatment entities should aim to reduce pain, and the tissue stress to a tolerable level, and restore functional capacity.In this research, we evaluated that non-surgical treatment is effective enough if they combined with each other.
Purpose: We aimed to compare the effectiveness of stretching and strengthening exercises, myofascial releasing and mobilization techniques with only stretching and strengthening exercises in PF.
Methods: The study included 53 feet of 47 PF patients (six were bilateral ) with PF (35F/ 12M, 48,87±11,20years) who admitted to Foot Clinic. The sociodemographic features of participants were recorded by using a structured questionnare. The range of motion (ROM) of the ankle and the flexibility of gastrocnemius-soleus muscles were measured by using a goniometer. Proprioception assessment was applied with angle reproduction test in direction of dorsiflexion and plantar flexion by using electronic goniometer. The dynamic balance was evaluated by Y balance test while foot sense was assessed with monofilament test from specific areas of each foot. Foot Function Index (FFI) was used for pain, disability and activity restriction while Visual Analogue Scale (VAS) for first step morning pain. The patients were randomly divided into Outpatient Rehabilitation group (Group1, n=27 feet) and Home Rehabilitation group (Group2, n=26 feet). All participated in patient education program. Foot and ankle-hip exercise program, myofascial releasing, joint and soft tissue mobilizations were applied to Group1(twice a week totally 8 week) and foot and ankle-hip exercise program were given for Group2 (8 weeks).
Results: The main results of our study revealed that the measurements of ROM, balance, proprioception, foot sense, flexibility, FFI and VAS were improved at 4th and 8th week in both groups(p 0.05). The other result indicated that the means of plantar flexion ROM, balance, proprioception (dorsiflexion), foot sense, flexibility (gastrocnemius), FFI and VAS in Group1 had more significant improvement than G2 (p 0.05).
Conclusion(s): Group1 (stretching and strengthening exercises, myofascial releasing, joint and soft tissue mobilization under the supervision) had statistically differences in terms of functional capacity, balance, proprioception, foot sense than Group2 (home program).
Implications: We can recommend the combined protocol including foot and ankle-hip exercises program, myofascial releasing, joint and soft tissue mobilization than the only foot and ankle-hip exercises program in the management of PF.
Keywords: Infracalcaneal heel pain, Non surgical management, plantar fasciitis
Funding acknowledgements: This research received no funding
Topic: Orthopaedics
Ethics approval required: Yes
Institution: Yeditepe University
Ethics committee: Yeditepe University Ethical Committe
Ethics number: 37068608-6100-1-1409
All authors, affiliations and abstracts have been published as submitted.
