Relevance and reproducibility of three clinical tests in weight-bearing for chronic plantar heel pain syndrome

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1310
Author(s):  
B. Saban ◽  
Y. Masharawi
Keyword(s):  
Weight Bearing ◽  
Pain Syndrome ◽  
Heel Pain ◽  
Clinical Tests ◽  
Plantar Heel Pain

Differentiating Sitting, Standing, and Walking Through Regional Plantar Pressure Characteristics

2019 ◽  
Vol 142 (4) ◽  
Author(s):  
Kohle Merry ◽  
Megan MacPherson ◽  
Evan Macdonald ◽  
Michael Ryan ◽  
Edward J. Park ◽  
...  
Keyword(s):  
Plantar Pressure ◽  
Repeated Measures ◽  
Weight Bearing ◽  
Heel Pain ◽  
Average Pressure ◽  
Sedentary Behaviors ◽  
Plantar Heel Pain ◽  
Measurement Tools ◽  
Pressure Peak ◽  
Foot Function

Abstract Prolonged static weight bearing (WBR) is thought to aggravate plantar heel pain and is common in the workplace, which may put employees at greater risk of developing plantar heel pain. However, objective measures of physical activity and sedentary behaviors in the workplace are lacking, making it difficult to establish or refute the connection between work exposure and plantar heel pain. Characterizing loading patterns during common workplace postures will enhance the understanding of foot function and inform the development of new measurement tools. Plantar pressure data during periods of sitting, standing, and walking were measured in ten healthy participants using the F-Scan in-shoe measurement system (Tekscan Inc, Boston, MA). Peak and average pressure, peak and average contact area, and average pressure differential were analyzed in ten different regions of the foot. A two-way repeated measures analysis of variance (ANOVA) assessed the posture by foot region interaction for each measurement parameter; significant effects of posture by foot region were identified for all five measurement parameters. Ten foot region by measurement parameter combinations were found to significantly differentiate all three postures simultaneously; seven used pressure measures to differentiate while three used area measures. The heel, lateral midfoot (LM), and medial and central forefoot (CFF) encompassed nine of ten areas capable of differentiating all postures simultaneously. This work demonstrates that plantar pressure is a viable means to characterize and differentiate three common workplace postures. The results of this study can inform the development of measurement tools for quantifying posture duration at work.

scholarly journals The Effectiveness of Calcaneal Drilling for Treatment of Resistance Cases of Plantar Heel Pain

2019 ◽  
Vol 14 (2) ◽  
pp. 43-48
Author(s):  
Mohammed SH. Al-Edanni
Keyword(s):  
Clinical Study ◽  
Simple Procedure ◽  
Pain Syndrome ◽  
Clinical Syndrome ◽  
Heel Pain ◽  
Intraosseous Pressure ◽  
Good Patient ◽  
Plantar Heel Pain ◽  
Possible Cause ◽  
Clinical Complaint

Background: Plantar heel pain is a clinical syndrome characterized by pain and tenderness beneath the heel which is typically worse in the morning and improves after the first few steps in the day. It is a common and frequently disabling clinical complaint that may be caused by a broad spectrum of osseous or soft tissue disorders. Objective: To evaluate the effectiveness of an operation of multiple drilling of calcaneum for resistant plantar heel pain syndrome. Methods: During the period from November 2012 to August 2016, 17 patients (17heels) were enrolled in a cohort clinical study at the orthopedic unit in AL-Sheikh Zayed and Al-Wassity Hospitals.  Result: Drilling of the calcaneum is a simple procedure achieving 70.6% cure in resistant ases with few complications provided good patient selection was done. Conclusion: Abnormalities in the intraosseous pressure within the calcaneum are a possible cause of plantar heel pain in some patients who failed to respond to conservative treatment  

The Mechanical Properties of the Heel Pad in Unilateral Plantar Heel Pain Syndrome

1999 ◽  
Vol 20 (10) ◽  
pp. 663-668 ◽  
Author(s):  
Wen-Chung Tsai ◽  
Chung-Li Wang ◽  
Tsz-Ching Hsu ◽  
Fon-Jou Hsieh ◽  
Fuk-Tan Tang
Keyword(s):  
Mechanical Properties ◽  
Pain Syndrome ◽  
Heel Pain ◽  
Plantar Heel Pain ◽  
Heel Pad

Comparison of electroacupuncture and manual acupuncture for patients with plantar heel pain syndrome: a randomized controlled trial

2020 ◽  
pp. 096452842094773
Author(s):  
Weiming Wang ◽  
Yan Liu ◽  
Ruimin Jiao ◽  
Sixing Liu ◽  
Jie Zhao ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Pain Syndrome ◽  
Heel Pain ◽  
Manual Acupuncture ◽  
Clinical Trial Registry ◽  
Intention To Treat ◽  
Plantar Heel Pain

Background: Plantar heel pain syndrome (PHPS), also known as plantar fasciitis, affects millions of people worldwide. Electroacupuncture (EA) and manual acupuncture (MA) are the two acupuncture modalities frequently used for PHPS in the clinical setting. However, which modality is more effective has yet to be determined. Objective: To examine whether EA is more effective than MA with regards to pain relief for patients with PHPS. Methods: Participants were randomly assigned (1:1) to receive 12 treatment sessions of EA or MA over 4 weeks with 24 weeks of follow-up. The primary outcome was the proportion of treatment responders, defined as patients with at least a 50% reduction from baseline in the worst pain intensity experienced during the first steps in the morning after a 4-week treatment, measured using a visual analogue scale (VAS, 0–100; higher scores signify worse pain). Analysis was by intention-to-treat. Results: Ninety-two patients with a clinical diagnosis of PHPS were enrolled from 29 July 2018 through 28 June 2019. Of the patients, 78 (85%) completed the treatment and follow-up. The primary outcome occurred in 54.8% (23/42) of the EA group compared to 50.0% (21/42) of the MA group after the 4-week treatment (difference –4.76, 95% confidence interval, –26.10 to 16.57, P = 0.662). There were no significant between-group differences for any secondary outcomes after 4 weeks of treatment and at 16 weeks and 28 weeks of follow-up. There were no serious treatment-related adverse events in either group. Conclusion: Among patients with PHPS, EA did not have a better effect with respect to relieving pain intensity than MA at week 4, although both EA and MA appeared to have positive temporal effects, with decreased heel pain and improved plantar function. Trial registration number: ChiCTR1800016531 (Chinese Clinical Trial Registry).

scholarly journals Electroacupuncture versus manual acupuncture in the treatment of plantar heel pain syndrome: study protocol for an upcoming randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e026147 ◽  
Author(s):  
Weiming Wang ◽  
Yan Liu ◽  
Jie Zhao ◽  
Ruimin Jiao ◽  
Zhishun Liu
Keyword(s):  
Pain Intensity ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Safety Evaluation ◽  
Pain Syndrome ◽  
Heel Pain ◽  
Manual Acupuncture ◽  
Global Improvement ◽  
Plantar Heel Pain ◽  
Change In Mean

IntroductionPlantar heel pain syndrome(PHPS) is a common cause of heel pain. It may worsen a patient’s quality of life, and potentially lead to knee, hip or lower back problems. Previous studies have shown that electroacupuncture (EA) and manual acupuncture (MA) are effective treatments for relieving pain in patients with PHPS. However, little evidence supports the use of one intervention over the other.Methods and analysisA total of 92 patients diagnosed with PHPS will be recruited and randomly assigned to an EA group or an MA group at a ratio of 1:1. Patients in both groups will receive a 30 min acupuncture treatment (three times per week) for a total of 12 sessions over 4 weeks. The primary outcome will be the proportion of patients with at least 50% reduction from baseline in the worst pain intensity measured by visual analogue scale (0–100, higher scores signify worse pain) at first steps in the morning after 4-week treatment. The secondary outcomes will include change in worst pain intensity at first steps in the morning, change in mean pain intensity at first steps in the morning, change in worst pain intensity during the day, change in mean pain intensity during the day, change in the pressure pain threshold, change in ankle-dorsiflexion range of motion, change in Foot and Ankle Ability Measure total score and subscale scores, patients’ global improvement assessment, patients’ expectations for acupuncture and safety evaluation. We will perform all statistical analysis following the intention-to-treat principle.Ethics and disseminationThe study has been approved by our ethics review board (Protocol Approval No. 2018–010-KY). The study findings will be disseminated through presentation at a high-impact medical journal, with online access. We also to plan to present it in select conferences and scientific meetings.Trial registrationChiCTR-1800016531; Pre-results.

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