scholarly journals Functional Outcome in Patients with Chronic Plantar Fasciitis Treated with Plantar Fascia Stetching vs Tendoachilles Stretching Exercises

2013 ◽  
Vol 35 (1) ◽  
Author(s):  
RK Jha ◽  
S Uprety ◽  
LL Shah
2015 ◽  
Vol 3 (2) ◽  
pp. 84-88
Author(s):  
S Shrestha ◽  
S Rai ◽  
H Limbu ◽  
S Bajracharya

Background: Plantar fasciitis is a self limiting disease, with only 10% of patient developing chronic condition even after ten months. We hypothesized that patient with chronic plantar fasciitis who are treated with standard plantar fascia stretching program can have a better functional outcome than those treated with Achilles tendon-stretching exercise.Method: Forty patients who had chronic plantar fasciitis for duration of at least ten months were randomized into one of two groups. Group A received plantar stretching exercise and Group B had Achilles tendon stretching program. All patients completed the pain subscale of Foot Function Index and a subject relevant outcome survey that incorporated generic and condition-specific outcome measures related to pain, function and satisfaction with treatment outcome.Result: The pain subscale scores of the Foot Function Index showed significantly better results at eight weeks for the patients managed with plantar fascia stretching program respect to item 1 (worst pain; p = 0.004) and item 2 (first steps in the morning; p =0.001). Similarly at ten months follow up, pain subscale score comparison was statistically significant for item 1 (p = 0.018) and item 2 (p =0.003).Conclusions: A treatment method of non-weight-bearing stretching exercises specific to plantar fascia is superior to the conventional method of weight-bearing Achilles tendon-stretching exercises for treating patients with chronic plantar fasciitis.Nepal Journal of Medical Sciences Vol.3(2) 2014: 84-88


2013 ◽  
Vol 35 (1) ◽  
pp. 32-38
Author(s):  
RK Jha ◽  
S Uprety ◽  
LL Shah

DOI: http://dx.doi.org/10.2126/joim.v35i1.8895 Journal of Institute of Medicine, April, 2013; 35:32-38


Author(s):  
Jasneet S. Chawla ◽  
Manjeet Singh ◽  
Ashwani Ummat ◽  
Manu Goyal ◽  
Harsimarjit Kaur ◽  
...  

2007 ◽  
Vol 28 (7) ◽  
pp. 815-822 ◽  
Author(s):  
Ryan M. Flanigan ◽  
Deborah A. Nawoczenski ◽  
Linlin Chen ◽  
Hulin Wu ◽  
Benedict F. DiGiovanni

Background A recent study found nonweightbearing stretching exercises specific to the plantar fascia to be superior to the standard program of weightbearing Achilles tendon-stretching exercises in patients with chronic plantar fasciitis. The present study used a cadaver model to demonstrate the influence of foot and ankle position on stretching of the plantar fascia. Methods Twelve fresh-frozen lower-leg specimens were tested in 15 different configurations representing various combinations of ankle and metatarsophalangeal (MTP) joint dorsiflexion, midtarsal transverse plane abduction and adduction, and forefoot varus and valgus. Measurements were recorded by a differential variable reluctance transducer (DVRT) implanted into the medial band of the plantar fascia, and primary measurement was a percent deformation of the plantar fascia (stretch) with respect to a reference position (90 degrees ankle dorsiflexion, 0 degrees midtarsal and forefoot orientation, and 0 degrees MTP dorsiflexion). Results Ankle and MTP joint dorsiflexion produced a significant increase (14.91%) in stretch compared to the position of either ankle dorsiflexion alone (9.31% increase, p < 0.001) or MTP dorsiflexion alone (7.33% increase, p < 0.01). There was no significant increase in stretch with positions of abduction or varus (2.49%, p = 0.27 and 0.55%, p = 0.79). Conclusion This study provides a mechanical explanation for enhanced outcomes in recent clinical trials using plantar fascia tissue-specific stretching exercises and lends support to the use of ankle and MTP joint dorsiflexion when employing stretching protocols for nonoperative treatment in patients with chronic proximal plantar fasciitis.


2018 ◽  
Vol 52 (6) ◽  
pp. 442-446 ◽  
Author(s):  
Cenk Ermutlu ◽  
Murat Aksakal ◽  
Ayşem Gümüştaş ◽  
Güven Özkaya ◽  
Emrah Kovalak ◽  
...  

2014 ◽  
Vol 3 (2) ◽  
pp. 31-35
Author(s):  
Syeda Rida Baqir ◽  
Syed Abid Mehdi Kazmi

OBJECTIVE To determine the efficacy of stretching exercises verses kinesio taping for the cure of plantar fasciitis pain. BACKGROUND It is the apparent problem of foot that influences athletes. It transpires when rhythmic pressure is occurred on the heel as of a chronic or acute state. Physical therapists had apply many methods attempt to alleviate the warning signs of pain in plantar heel, as well as a variety of taping techniques for which there is slight accessible facts. METHOD Research was conducted at Outpatient Department of tertiary care hospital. INTERVENTIONS 18 contestants amid plantar heel pain were hired from the ordinary community. Participants were randomly assigned into two groups. Group A participants were treated with kinesio taping, cold pack and ultrasound. Group B participants were treated with stretching, cold pack and ultrasound. The period of record for every participant was four weeks. No participants are missing to transcribe. Outcome assesses included pain in ‘first-step’ (evaluated on a Pain Scale from 1to 10) plus the pain disability index Questionnaire. RESULTS Comprehensive information was acquired from eighteen participants. One-year record outcomes proved great improvement in every participant after application of stretching exercises of plantar fascia, with an chiefly lofty rate of upgrading in the actual group participants managed by the stretching exercises. CONCLUSION This study consists of the application of the stretching method which is the major element of management in chronic condition of plantar fasciitis. Continuing advantages of the stretching exercises include a noticeable reduction of pain and a lofty rate of achievement. These finding can give the health-care provider with an efficient, economical, and uncomplicated treatment method. KEY WORDS Plantar fasciitis, Plantar heel pain, repetitive micro trauma, plantar fascia, heel spur, nerve trapping, taping, stretching.


2021 ◽  
Vol 67 (4) ◽  
pp. 473-481
Author(s):  
Fatih Karaarslan ◽  
Banu Ordahan

Objectives: The aim of this study was to investigate the efficacy of peloidotherapy on pain, functional status, and quality of life (QoL) in patients with unilateral plantar fasciitis (PF). Patients and methods: This prospective, observational pilot study included a total of 80 patients (13 males, 67 females; mean age: 47.7±9.9 years; range, 28 to 68 years) with a diagnosis of unilateral PF between April 2018 and October 2018. The patients were divided into two equal groups. The study group (n=40) received peloidotherapy (five days per week for two weeks, total of 10 sessions) + Achilles tendon and plantar fascia stretching exercises (self-stretching for two weeks twice per day for 30 sec, 10 repeats) + heel cup treatment. The control group (n=40) received Achilles tendon and plantar fascia stretching exercises + heel cup treatment. The patients were evaluated before and after treatment using the Visual Analog Scale-pain (VAS-pain), Foot and Ankle Outcome Scores (FAOS), and Heel Tenderness Index (HTI). Results: The study group showed statistically significant improvements for all parameters after treatment compared to baseline (p<0.05). Control group showed statistically significant improvements in the VAS-pain, HTI, and FAOS-QoL subscales after treatment compared to baseline (p<0.05). The study group had a better improvement in the VAS-pain, FAOS-pain, and FAOS-work daily life subscales than the control group (p<0.05). Conclusion: These results indicate that peloidotherapy may be effective in reducing pain and improving functional status and QoL for patients with unilateral PF.


2015 ◽  
Vol 53 (4) ◽  
pp. 295-298
Author(s):  
Devrim Özer ◽  
Alper Köksal ◽  
Ali Öner ◽  
Mehmet Akif Kaygusuz

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