scholarly journals Efficacy of Percussive massage Versus Calf Stretching on Pain, Range of Motion, Muscle Strength and Functional Outcomes in Patients with Plantar Fasciitis – A Randomized Control Trial.

2021 ◽  
Author(s):  
Madhu Lakhwani ◽  
Pratik Phansopkar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Functional Outcomes ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Outpatient Setting ◽  
Clinical Trial Registry ◽  
Muscle Tightness ◽  
Registration Number ◽  
The Impact

Abstract Background: In the outpatient setting, plantar fasciitis has been the most frequent cause of heel pain. A sharp insidious pain under the heel and along the medial border of the plantar fascia up to its insertion at the calcaneus are signs of plantar fasciitis. The most common cause of biomechanical changes in PF is calf muscle tightness. Percussive Therapy is a relatively new technique that uses a mechanical system, such as the Theragun, to provide percussive massage.(17) Therefore, this Research will explore the current literature regarding the effect of massage gun device on Pain, Range of Motion, Muscle Strength and Functional Outcomes in Patients with Plantar Fasciitis.Methodology:In the study, 48 patients diagnosed with Plantar fasciitis will be enrolled for a week. One group will receive conventional therapy and the other group will receive a percussive therapy treatment via Theragun for a week. Pain, flexibility, ROM and Muscle strength will be evaluated using to standard technique.Discussion:The goal of this Interventional study is to examine the impact of Percussive Massage Therapy in Patients with Plantar Fasciitis. The study findings would help prospective patients with Plantar Fasciitis, which may include a newly designed method of rehabilitation.The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033460.

scholarly journals Efficacy of Percussive Massage versus Calf Stretching on Pain, Range of Motion, Muscle Strength and Functional Outcomes in Patients with Plantar Fasciitis – A Research Protocol

2021 ◽  
pp. 532-539
Author(s):  
Madhu Lakhwani ◽  
Pratik Phansopkar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Functional Outcomes ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Manual Muscle Testing ◽  
Home Exercise ◽  
Muscle Testing ◽  
Exercise Regimen ◽  
Calf Muscles

Introduction: Plantar fasciitis occurs with the deterioration of the plantar fascia and related surrounding tissues around the heel's medial calcaneal tuberosity. This illness usually causes tightness in the calf muscles. These tight muscles are thought to interfere with the normal biomechanics of ambulation. The invention of percussion massage guns intends to improve the usefulness and efficiency of self-myofascial release, following in the footsteps of vibrating foam rollers. Since there is limited research on muscle gun devices, despite their growing popularity, this study will look into their effects on range of motion, essential physiological or biomechanical factors that contribute to the disease, and their capacity to reduce muscular tightness. Methodology: Subjects with Plantar Fasciitis (n = 48) will be recruited for a single-blind RCT. Participants will be assigned randomly to the experimental or control groups with a one-to-one allocation ratio. Participants in Group A will receive treatment via Theragun, Hot/cold immersion therapy, and a home exercise regimen during a one-week period immediately following baseline evaluations and randomization. Participants in GROUP B would only be subjected to Calf Stretching, a Contrast Bath, and a home exercise regimen. For a week, the calf muscles were treated for 5 minutes every day (7 sessions in all). As 1 week is completed, the efficacy of the approach for both groups is assessed using ankle flexibility tests, VAS, universal goniometers, Active Manual muscle testing, and the (PFPS) as outcome measures. Discussion: The purpose of this study is to compare the benefits of the Hypervolt device vs calf stretching in individuals with plantar fasciitis. The outcomes of the study, which may include a newly designed rehabilitation technique, may assist patients experiencing Plantar +-Fasciitis. Conclusion: Conclusion will be drawn based on the effect of both the techniques on Pain, Range of Motion, Muscle Strength, and Functional Outcomes in Patients with Plantar Fasciitis.

Evaluation of the Impact of the Whole-body Cryotherapy Treatment on the Functional Condition of the Knee Joints in Patients with Rheumatoid Arthritis

2021 ◽  
Vol 63 (2) ◽  
pp. 93-98
Author(s):  
Agnieszka Przedborska ◽  
Mateusz Szymczak ◽  
Małgorzata Kilon ◽  
Łukasz Kikowski ◽  
Jan Raczkowski
Keyword(s):  
Rheumatoid Arthritis ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Functional State ◽  
Functional Condition ◽  
Knee Joints ◽  
Whole Body ◽  
Gait Function ◽  
Whole Body Cryotherapy ◽  
The Impact

Introduction: Rheumatoid arthritis (RA) is a chronic disease that leads to disability of patients. The use of the whole-body cryotherapy treatment for RA patients provides analgesic and anti-inflammatory effects and improves their efficiency. Aim: Assessment of the effect of the whole-body cryotherapy treatment on the functional state of knee joints for patients with RA. Material and Method: The study was conducted on a group of 30 RA patients, who underwent a series of 10 whole-body cryotherapy treatment. The effectiveness and efficiency of the applied therapy was assessed on the basis of: the VAS scale, the Laitinen scale, the assessment of the range of motion, muscle strength with the MicroFet dynamometer and the Up and Go test. Results: As a result of the applied whole-body cryotherapy treatment, a reduction in the intensity of pain, measured with the VAS scale and the Laitinen scale, and a reduction in the duration of morning stiffness by about 55% were found. There was an increase in the range of motion and muscle strength. The time needed to perform the Up and Go test was reduced by 17%. Conclusions: The whole-body cryotherapy treatment is an effective analgesic method of physiotherapy for patients with RA. It provides an improvement in the functional state, increases the range of motion, muscle strength and improves the gait function.

The Effect of Dry Needling on Pain, Range of Motion of Ankle Joint, and Ultrasonographic Changes of Plantar Fascia in Patients With Plantar Fasciitis

2021 ◽  
pp. 1-6
Author(s):  
Afsaneh Moosaei Saein ◽  
Ziaeddin Safavi-Farokhi ◽  
Atefeh Aminianfar ◽  
Marzieh Mortezanejad
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Visual Analog Scale ◽  
Plantar Fasciitis ◽  
Plantar Flexion ◽  
Plantar Fascia ◽  
Trigger Points ◽  
Dry Needling ◽  
Analog Scale ◽  
Significant Difference

Context: Plantar fasciitis (PF) is a common and devastating disease. Despite different treatments, there is no clear evidence for the effect of these treatments on PF. One of the therapy methods used in physiotherapy is dry needling (DN). So the purpose of this study is to investigate the effect of DN on the pain and range of motion of the ankle joint and plantar fascia thickness in subjects with PF who are suffering from the trigger points of the gastrocnemius and soleus muscles. Methods: In this study, 20 volunteer females with PF were randomly assigned into DN treatment and control groups. Measurements were range of motion in dorsiflexion and plantar flexion, plantar fascia thickness, and visual analog scale measured before, immediately, and 1 month after the end of the intervention in both groups. Results: There were significant differences in the plantar fascia thickness and visual analog scale between the 2 groups. Plantar fascia thickness (P = .016) and visual analog scale (P = .03) significantly decreased in the treatment group. However, there was no significant difference in plantar flexion (P = .582) and dorsiflexion range of motion (P = .173) between groups. Conclusion: The result of this study showed that DN can reduce pain and plantar fascia thickness in women with PF who are suffering from trigger points of the gastrocnemius and soleus muscles. Level of evidence: Level 1, randomized controlled trial.

scholarly journals The impact of altered hands function on working ability of patients with systemic sclerosis

2020 ◽  
Vol 77 (1) ◽  
pp. 70-78
Author(s):  
Predrag Vidakovic ◽  
Nemanja Damjanov
Keyword(s):  
Systemic Sclerosis ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Work Ability ◽  
Working Capacity ◽  
Working Ability ◽  
Limited Mobility ◽  
Finger Joints ◽  
Hand Functions ◽  
The Impact

Background/Aim. Hand impairment in systemic sclerosis (SSc) patients is the most frequent manifestation of this progressive disease and often cause problems in daily activities and working ability. The correlation of altered hand functions in patients with SSc and their impact on working ability is not fully explained. The objective of this study is to assess the impact of altered hand functions of patients with SSc on their working ability. Methods. We assessed 20 patients with SSc (17 females, 3 males), with mean age of 45.5 ? 11.9 years (min 29, max 69, Med 44.0 years). The movements of fingers, wrist and forearm were examined by measuring active range of motion of the hand and fingers, muscle strength of the fingers, the skin lesions by modified Rodnan score, the function of the fingers, hands and forearms by the Hand Mobility in Scleroderma (HAMIS) test, as well as the condition of the capillaries in the fingers by capillaroscopy and working capacity by Work Ability Index (WAI). Results. Reduced strength on at least one tested muscle, was established in all patients, thickening of the skin on the hands in 14/20 (70%) and the fingers in 19/20 (95%), ?scleroderma type? capillary changes in 15/17 (85%), decreased range of motion in finger joints in 16/20 (80%) of the patients. Also, 14/20 (70%) of subjects reported problems at work [decrease performance achieved in 8/20 (40%), reduction of working hours in also 8/20 (40%), leaving out some of the work in 14/20 (70%), and investing of extra effort in 15/20 (75%)]. By means of WAI, work ability assessment questionnaire, it was found that the working capacity was reduced in 11/20 (55%) of our patients. None of the patients was in the group of the most serious cases, the ?poor? category; in the ?moderate? category there were 6/20 (30%), while 5/20 (25%) of the patients were in the group with minimally reduced working capacity (?good? category). There was a statistically significant correlation between the thickened skin on the fingers (p < 0.05), reduced muscle strength in the fingers (p < 0.002) and limited mobility of the individual finger joints (p < 0.05), with information on reduced working capacity obtained by means of WAI questionnaire and with answers to questions about problems at work. Conclusion. The thickened skin on the fingers, reduced fingers muscle strength and limited mobility of certain finger joints in patients with SSc cause decreasing working capacity for all jobs that include manual activities.

scholarly journals Immediate effect of foam roller on pain and ankle range of motion in patients with plantar fasciitis: A randomized controlled trial

2020 ◽  
pp. 1-9
Author(s):  
Aishwarya R. Ranbhor ◽  
Ashish J. Prabhakar ◽  
Charu Eapen
Keyword(s):  
Range Of Motion ◽  
Plantar Fasciitis ◽  
Statistical Significance ◽  
Weight Bearing ◽  
Group Analysis ◽  
Plantar Fascia ◽  
Foam Rolling ◽  
Pressure Pain Thresholds ◽  
Difference Formula ◽  
Significant Difference

Background:Stretching has been proven to be effective on pain and range of motion (ROM) in patients with plantar fasciitis. Despite recent gain in popularity and the proposed theories of effectiveness of foam roller, there is a lack of literature on the effect of foam rolling on plantar fasciitis. Objective:The objective of this study was to compare the effects of foam rolling and stretching on pain and ankle ROM in patients with plantar fasciitis. Methods:A total of 50 participants were included and randomly allocated to the stretching and foam roller groups. Visual analog scale (VAS), pressure pain thresholds (PPTs) for gastrocnemius, soleus and plantar fascia and weight-bearing lunge test (WBLT) measurements were recorded at baseline and immediately after treatment. Results:Within-group analysis has shown there is a statistically significant difference ([Formula: see text]) in all the outcome measures in both foam roller and self-stretching groups. The between-groups analysis showed no statistical significance difference in VAS, plantar fascia PPT and WBLT parameters (with [Formula: see text]-values of 0.171, 0.372 and 0.861, respectively); however, significant differences were found in gastrocnemius PPT ([Formula: see text]) and soleus PPT ([Formula: see text]). Conclusion: It was seen that both stretching and foam rolling techniques helped in reducing pain and increasing the ROM. However, the effectiveness of foam roller was superior to stretching in terms of increase in PPTs at gastrocnemius and soleus. Clinical Trial Registration No: CTRI/2018/01/011398. Name of registry: The Clinical Trials Registry — India (CTRI); https://ctri.nic.in .

The Impact of a Short-Term Iyengar Yoga Program on the Health and Well-Being of Physically Inactive Older Adults

2011 ◽  
Vol 21 (1) ◽  
pp. 61-72 ◽  
Author(s):  
Juliane Vogler ◽  
Lily O'Hara ◽  
Jane Gregg ◽  
Fiona Burnell
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Well Being ◽  
Holistic Health ◽  
Control Group ◽  
Active Range Of Motion ◽  
The Impact ◽  
Health And Well Being ◽  
Physically Inactive

Background: With the current challenge of rapidly aging populations, practices such as yoga may help older adults stay physically active, healthy, and fulfilled. Methods: The impact of an 8-week Iyengar yoga program on the holistic health and well-being of physically inactive people aged 55 years and over was assessed. Thirty-eight older adults (mean age 73.21 ± 8.38 years; 19 intervention, 19 control) engaged in either twice-weekly yoga classes or continued their usual daily routines. Physical health measures were muscle strength, active range of motion, respiratory function (FEV1), resting blood pressure, and immune function (salivary IgA and lysozyme). Self-perceived general,physical, mental, spiritual, and social health and well-being were assessed with the Life's Odyssey Questionnaire and the SF12v2™ Health Survey. Results: Muscle strength, active range of motion, physical well-being, and aspects of mental well-being (emotional well-being and self-care) improved significantly in the yoga group (p &lt; .05). Median changes in most of these variables were also significantly different from those in the control group. Conclusions:Participation in Iyengar yoga programs by older people is beneficial for health and well-being, and greater availability of such programs could improve quality of life.

Varus–valgus motion and functional ability in patients with knee osteoarthritis

2007 ◽  
Vol 67 (4) ◽  
pp. 471-477 ◽  
Author(s):  
M van der Esch ◽  
M Steultjens ◽  
J Harlaar ◽  
N Wolterbeek ◽  
D Knol ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Muscle Weakness ◽  
Functional Ability ◽  
Three Dimensional ◽  
Walking Test ◽  
Knee Oa ◽  
Womac Questionnaire ◽  
The Impact ◽  
The Relationship

Objective:To assess the relationship between knee varus–valgus motion and functional ability, and the impact of knee varus–valgus motion on the relationship between muscle strength and functional ability in patients with osteoarthritis (OA) of the knee.Methods:Sixty-three patients with knee OA were tested. Varus–valgus motion was assessed by optoelectronic recording and three-dimensional motion analysis. Functional ability was assessed by observation, using a 100 m walking test, a Get Up and Go test, and WOMAC questionnaire. Muscle strength was measured by a computer-driven isokinetic dynamometer. Regression analyses were performed to assess the relationships between varus–valgus motion and functional ability, and to assess the impact of varus–valgus motion on the relationship between muscle strength and functional ability.Results:In patients with high varus–valgus range of motion, muscle weakness was associated with a stronger reduction in functional ability (ie, longer walking time and Get Up and Go time) than in patients with low varus–valgus range of motion. A pronounced varus position and a difference between the left and right knees in varus–valgus position were related with reduced functional ability.Conclusions:In patients with knee OA with high varus–valgus range of motion, muscle weakness has a stronger impact on functional ability than in patients with low varus–valgus range of motion. Patients with knee OA with more pronounced varus knees during walking show a stronger reduction in functional ability than patients with less pronounced varus knees or with valgus knees.

Relationship of Body Mass Index, Ankle Dorsiflexion, and Foot Pronation on Plantar Fascia Thickness in Healthy, Asymptomatic Subjects

2008 ◽  
Vol 98 (5) ◽  
pp. 379-385 ◽  
Author(s):  
Javier Pascual Huerta ◽  
Juan Maria Alarcón García ◽  
Eva Cosin Matamoros ◽  
Julia Cosin Matamoros ◽  
Teresa Díaz Martínez
Keyword(s):  
Body Mass Index ◽  
Range Of Motion ◽  
Ankle Joint ◽  
Body Mass ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Ankle Dorsiflexion ◽  
Ankle Joint Dorsiflexion ◽  
Foot Pronation ◽  
Asymptomatic Subjects

Background: We sought to investigate the thickness of plantar fascia, measured by means of ultrasonographic evaluation in healthy, asymptomatic subjects, and its relationship to body mass index, ankle joint dorsiflexion range of motion, and foot pronation in static stance. Methods: One hundred two feet of 51 healthy volunteers were examined. Sonographic evaluation with a 10-MHz linear array transducer was performed 1 and 2 cm distal to its insertion. Physical examination was also performed to assess body mass index, ankle joint dorsiflexion, and degree of foot pronation in static stance. Both examinations were performed in a blinded manner. Results: Body mass index showed moderate correlation with plantar fascia thickness at the 1- and 2-cm locations. Ankle dorsiflexion range of motion showed no correlation at either location. Foot pronation showed an inverse correlation with plantar fascia thickness at the 2-cm location and no correlation at the 1-cm location. Conclusion: Body mass index and foot supination at the subtalar joint are related to increased thickness at the plantar fascia in healthy, asymptomatic subjects. Although the changes in thickness were small compared with those in patients with symptomatic plantar fasciitis, they could play a role in the mechanical properties of plantar fascia and in the development of plantar fasciitis. (J Am Podiatr Med Assoc 98(5): 379–385, 2008)

Assessing the impact of the 13 valent pneumococcal vaccine on childhood empyema in Australia

Thorax ◽  
2021 ◽  
pp. thoraxjnl-2020-216032
Author(s):  
Roxanne Strachan ◽  
Nusrat Homaira ◽  
Sean Beggs ◽  
Mejbah U Bhuiyan ◽  
Gwendolyn L Gilbert ◽  
...  
Keyword(s):  
Bacterial Pneumonia ◽  
Incidence Rates ◽  
Clinical Trial Registry ◽  
National Immunisation ◽  
Registration Number ◽  
International Statistical Classification ◽  
Hospital Morbidity ◽  
Dominant Serotype ◽  
Rate Ratios ◽  
The Impact

BackgroundEmpyema is a serious complication of pneumonia frequently caused by Streptococcus pneumoniae (SP). We assessed the impact of the 13-valent pneumococcal conjugate vaccine (13vPCV) on childhood pneumonia and empyema after inclusion in the Australian National Immunisation Program.MethodsFor bacterial pneumonia and empyema hospitalisations, we ascertained incidence rates (IRs) using the National Hospital Morbidity Database International Statistical Classification of Disease discharge codes and relevant population denominators, and calculated incidence rate ratios (IRR) comparing the 13vPCV period (June 2012–May 2017) with the 7vPCV period (June 2007–May 2011). Blood and pleural fluid (PF) cultures and PF PCR of 401 children with empyema from 11 Australian hospitals during the 13vPCV period were compared with our previous study in the 7vPCV period.FindingsAcross 7vPCV and 13vPCV periods, IRs per million children (95% CIs) were 1605 (1588 to 1621) and 1272 (1259 to 1285) for bacterial pneumonia, and 14.23 (12.67 to 15.79) and 17.89 (16.37 to 19.42) for empyema hospitalisations. IRRs were 0.79 (0.78 to 0.80) for bacterial pneumonia and 1.25 (1.09 to 1.44) for empyema. Of 161 empyema cases with SP serotypes, 147 (91.3%) were vaccine types. ST3 accounted for 76.4% of identified serotypes in the 13vPCV period, more than double than the 7vPCV period (p<0.001); ST19A decreased from 36.4% to 12.4%. No cases of ST1 empyema were identified in the 13vPCV period versus 14.5% in the 7vPCV period.Interpretation13vPCV resulted in a significant reduction in all-cause hospitalisations for bacterial pneumonia but empyema hospitalisations significantly increased, with emergence of pneumococcal ST3 as the dominant serotype in empyema.Trial registration numberAustralian and New Zealand Clinical Trial Registry ACTRN 12614000354684.

Effects of nutrition supplementation and physical exercise on muscle mass, muscle strength and fat mass among sarcopenic elderly: A randomized controlled trial

2020 ◽  
Author(s):  
Zhuo Li ◽  
Min Cui ◽  
Kang Yu ◽  
Xiaowei Zhang ◽  
Chunwei Li ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Physical Exercise ◽  
Grip Strength ◽  
Muscle Mass ◽  
Fat Mass ◽  
Controlled Trial ◽  
Post Intervention ◽  
Nutrition Supplementation ◽  
Registration Number ◽  
The Impact

This study aims to determine the impact of nutrition supplementation (whey protein, fish oil, vitamin D) and physical exercise (resistance and aerobic exercise) on muscle mass, muscle strength and fat mass among sarcopenic elderly. Participants (n=241) with sarcopenia (aged≥60y) enrolled from two centers were randomized into groups undergoing nutrition supplementation (Nutr), physical exercise (Ex), nutrition combined with exercise (Nutr+Ex), or routine consultation for 12 weeks. Muscle-related indicators, grip strength as well as fat-related indicators were compared pre- and post-intervention. The per-protocol analysis showed all indicators were significantly different between groups (P<0.001). Further pairwise comparisons showed that compared with controls, appendicular muscle mass and grip strength were significantly higher in Nutr (P<0.001, 95%CI:0.578,1.475; P<0.001, 95%CI:3.614~9.118), Ex (P=0.010, 95%CI: 0.157,1.153; P<0.001, 95%CI: 2.904,8.732), Nutr+Ex (P<0.001, 95%CI: 0.564,1.471; P<0.001, 95%CI: 3.441,8.907), while fat mass was significantly lower in the Nutr (P<0.001, 95%CI: -4.676,-2.358)) and Nutr+Ex (P<0.001, 95%CI: -4.717,-1.790). When compared with Ex, fat mass decreased significantly in Nutr (P=0.001, 95%CI: -4.856,-1.359)) and Nutr+Ex (P=0.005, 95%CI: -4.810,-0.878). The findings indicate that nutrition supplementation and physical exercise could improve muscle mass, strength and fat mass among sarcopenic elderly. Nutrition supplementation might be better at decreasing fat mass in this population. Trial registration number: NCT02873676. Novelty: ● Nutrition supplementation improved muscle mass, strength and fat mass among sarcopenic elderly. ● Aerobic and resistance exercise improved muscle mass and strength in sarcopenic elderly. ● Combined nutrition supplementation and physical exercise improved muscle mass, strength and fat mass among sarcopenic elderly.

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