scholarly journals Comparative study of functional outcome between plantar fascia stretching and achilles tendon stretching exercises in choronic plantar fasciitis

2015 ◽  
Vol 3 (2) ◽  
pp. 84-88
Author(s):  
S Shrestha ◽  
S Rai ◽  
H Limbu ◽  
S Bajracharya
Keyword(s):  
Achilles Tendon ◽  
Functional Outcome ◽  
Plantar Fasciitis ◽  
Weight Bearing ◽  
Plantar Fascia ◽  
Foot Function Index ◽  
Function Index ◽  
Pain Subscale ◽  
Foot Function ◽  
Stretching Exercises

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

scholarly journals Effect of Myofascial Release Therapy In Addition To K-Tape on Chronic Plantar Fasciitis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
P k Tamil Nidhi ◽  
D Anandhan ◽  
B Arun ◽  
K Anantharaj
Keyword(s):  
Pain Score ◽  
Plantar Fasciitis ◽  
Tamil Nadu ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Control Group ◽  
Myofascial Release ◽  
Foot Function Index ◽  
Function Index ◽  
Foot Function

Plantar fasciitis is one of the most common cause of heel pain. Injury to the plantar fascia results in loss of normally resilient in fascia. Fascia becomes stiffened and prone to re-injury, which resulting in a vicious cycle of persistent pain and inflammation. Though many therapies would produce better results, there was less exploration on fascial release therapy and k-tape. The purpose of the study is to identify the effect of MFR in addition to K-tape on chronic plantar fasciitis. This is a Quasi-experimental study with 48 participants. The ethical approval was obtained and the study was conducted in multiple physiotherapy centers in Namakkal district, Tamil Nadu. All the participants were selected based on selection criteria mainly those who fulfil any of the three from below, 1) Heel pain increases in the morning with first few steps following prolonged bed rest 2) Pain localized to the inferior heel 3) Pain decreases with activity such as walking or moving 4) Pain score is between 3—7 cms in 10 cm VAS. 24 participants in the experimental group receive myofascial release therapy along with k-tape for 6 weeks, 24 participants in the control group receive stretching along with k-tape for 6 weeks. The outcome measures used in this study are pain and foot function by numerical pain scale and foot function index respectively. Results were analyzed using SPSS 20.0, the results show that there were significant differences obtained between the myofascial release therapy with the k-tape group when compared to k- tape only group. There was a pain score of 10.82 ± 0.196 (p < 0.001) and foot function index score of 10.6 ± 3.85 (p < 0.001). This study concluded that the use of Myofascial release therapy with K-tape reduces pain scores and improves foot function in plantar fasciitis.

scholarly journals Clinical evaluation of foot disability in patients with axial spondyloarthritis

2020 ◽  
Vol 14 (4) ◽  
pp. 76-81
Author(s):  
Lale Altan
Keyword(s):  
Quality Of Life ◽  
Achilles Tendon ◽  
Functional Capacity ◽  
Disease Duration ◽  
Axial Spondyloarthritis ◽  
Foot Function Index ◽  
Function Index ◽  
Significant Difference ◽  
Foot Function

Objective: To evaluate foot disability both ultrasonographically and by using the Foot Function Index (FFI) in patients with axial spondyloarthritis (SpA) and to investigate its effects on patients' quality of life and functional capacity by determining the factors that may affect the level of disability.Patients and methods. A total of 100 patients were included in the study. Enthesis sites in the feet were assessed for tenderness and swelling. Ultrasonographic examination of the Achilles tendon and plantar fascia was made and the findings were scored according to Glasgow Ultrasound Enthesitis Scoring System (GUESS). The Foot Function Index (FFI) was used to investigate the effects of foot disorders on disability and activity limitation. The correlation between GUESS and FFI scores, and relationship of GUESS and FFI scores with age, disease duration, body mass index (BMI), smoking and disease activity parameters were investigated.Results and discussion. Physical examination revealed signs of enthesitis in 13 (13%) patients, while ultrasonographic (USG) evaluation – in 36 (36%) patients. A statistically significant correlation was found between all FFI and GUESS scores except between FFI for the right foot and GUESS for right Achilles tendon enthesitis. A positive correlation was found between age and BMI and FFI (p<0.05). There was no correlation between disease duration and smoking and FFI scores. While there was a statistically significant correlation between all scores of GUESS and age, disease duration, and BMI, no correlation was found between smoking and GUESS scores. No significant difference was found in either FFI or GUESS scores between patients with or without / diabetes and patients who were smokers or non-smokers. All FFI and GUESS scores significantly correlated with BASDAI, ASDAS, BASFI, and ASQoL (p<0.05).Conclusion. Enthesitis may lead to decreased functional capacity and loss of quality of life in ax-SpA patients. Subclinical enthesitis in the feet of patients with SpA is not rare and may be detected by USG.

scholarly journals Turkish Translation and Adaptation of Foot Function Index in Patients with Plantar Fasciitis

2014 ◽  
Vol 60 (3) ◽  
pp. 212-222 ◽  
Author(s):  
Ayse Yaliman ◽  
Ekin Ilke Sen ◽  
Nurten Eskiyurt ◽  
Elly Budiman-Mak
Keyword(s):  
Plantar Fasciitis ◽  
Foot Function Index ◽  
Function Index ◽  
Foot Function

The Foot Function Index for Measuring Rheumatoid Arthritis Pain: Evaluating Side-to-Side Reliability

1996 ◽  
Vol 17 (8) ◽  
pp. 506-510 ◽  
Author(s):  
Kenneth G. Saag ◽  
Charles L. Saltzman ◽  
C. Kice Brown ◽  
Elly Budiman-Mak
Keyword(s):  
Rheumatoid Arthritis ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Principal Component Factor Analysis ◽  
Intraclass Correlation Coefficients ◽  
Foot Function Index ◽  
Function Index ◽  
Pain Subscale ◽  
Foot Function ◽  
Generalizability Analysis

The Foot Function Index is a validated and reliable instrument for measuring foot pain, disability, and activity restriction in patients with rheumatoid arthritis. For the purposes of orthopaedic studies in which one foot serves as an internal control, we assessed the side-to-side reliability of the seven-question Foot Function Index pain subscale. Thirty patients with rheumatoid arthritis completed visual analog scale pain questionnaires for both feet on two occasions 8 days apart. Internal reliability of the scale was high, with Cronbach's alphas ranging from 0.94 to 0.98, suggesting good left versus right discriminatory abilities. Principal component factor analysis segregated the questions into two large clusters containing predominately either left or right foot items. Intraclass correlation coefficients were examined for test-retest reliability (separated by side) and for side-to-side reliability (separated by the day of test). The resultant intraclass correlation coefficients were nearly equivalent, ranging from 0.79 to 0.89. Generalizability analysis yielded similar results. Intraclass correlation coefficients and generalizability analysis demonstrate that the majority of variation is best explained by the differences within subjects or between subjects rather than by test-retest or side-to-side differences. We recommend the Foot Function Index as a reliable measurement scale for use in orthopaedic interventional trials.

scholarly journals Validation of the Single Assessment Numeric Evaluation (SANE) Score as an Outcome Measure by Comparison to the Revised Foot Function Index (rFFI)

2019 ◽  
Vol 4 (3) ◽  
pp. 247301141986895
Author(s):  
Nicholas Bellas ◽  
Carl Cirino ◽  
Mark P. Cote ◽  
Vinayak Sathe ◽  
Lauren Geaney
Keyword(s):  
Soft Tissue ◽  
Plantar Fasciitis ◽  
Social Issues ◽  
Poor Correlation ◽  
Soft Tissue Trauma ◽  
Foot Function Index ◽  
Function Index ◽  
Patient Reported ◽  
Foot Function ◽  
Tissue Trauma

Background: Patient-reported outcome measures serve as an invaluable tool in both the clinical and research setting to monitor a patient’s condition and efficacy of treatments over time. We aim to validate the Single Assessment Numeric Evaluation (SANE) score for disorders of the lower extremity using the revised–Foot Function Index (rFFI) as a reference. The SANE score is a 1-question survey that may improve efficiency of outcome data collection in the clinical setting. Methods: Patient age, sex, visit diagnosis by ICD-10 code, SANE score, and rFFI score were collected retrospectively from 218 initial patient encounters between January 2015 through July 2017. Patients were included if they were 18 years or older and were excluded if they had incomplete SANE or rFFI data. Results of the two scores were compared using the Pearson or Spearman correlation coefficients, with correlation defined as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), or poor (0.2-0.39). Diagnoses were categorized into 9 subgroups that were analyzed, including forefoot, plantar fasciitis, arthritis, deformity, fracture, tendinitis, osteochondral defect (OCD) of the talus, acute soft tissue trauma, and “other.” Results: The SANE score had good correlation with the overall rFFI score ( r = 0.51, P < .01). When comparing the SANE score to the rFFI subscores, there was good correlation with pain ( r = 0.42, P < .01), good correlation with stiffness ( r = 0.44, P < .01), poor correlation with activity ( r = 0.36, P <.01), good correlation with difficulty ( r = 0.52, P < .01), and poor correlation with social issues ( r = 0.39, P < .01). Subanalysis showed an excellent-good correlation between SANE and rFFI score for forefoot pathology ( r = 0.67, P < .01) and plantar fasciitis ( r = 0.63, P < .02), good correlation for arthritis ( r = 0.49, P < .04), deformity ( r = 0.60, P < .01), fracture ( r = 0.50, P < .01), and tendinitis ( r = 0.47, P < .02), and no significant correlation for OCD of the talus ( r = 0.56, P < .15) and acute soft tissue trauma ( r = 0.19, P < .32). Conclusion: The SANE score demonstrates excellent-good correlation with the rFFI for specific pathology including the forefoot and plantar fasciitis and has limited correlation with other pathology.

scholarly journals Efficacy of peloidotherapy in unilateral plantar fasciitis: A pilot study

2021 ◽  
Vol 67 (4) ◽  
pp. 473-481
Author(s):  
Fatih Karaarslan ◽  
Banu Ordahan
Keyword(s):  
Pilot Study ◽  
Achilles Tendon ◽  
Functional Status ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Control Group ◽  
Study Group ◽  
Before And After ◽  
Stretching Exercises

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.

Use of local corticosteroid injection in the treatment of plantar fasciitis

2018 ◽  
Vol 6 (2) ◽  
pp. 6-13
Author(s):  
Deb Narayan Sah ◽  
Bishnu Dev Sharma
Keyword(s):  
Single Dose ◽  
Plantar Fasciitis ◽  
Steroid Injection ◽  
Pathological Condition ◽  
Corticosteroid Injection ◽  
Foot Function Index ◽  
Function Index ◽  
Foot Function ◽  
Hind Foot

Background and Objectives: Plantar fasciitis is a common pathological condition that affects the hind foot. Management of plantar fasciitis employs use of various non-surgical and surgical treatment methods. The aim of this study was to evaluate the efficacy of steroid injection in the treatment of plantar fasciitis in adults. Materials and Methods: From January 2016 to June 2017, fifty patients aged >18 years with plantar fasciitis symptomatic for three months or more were injected with a single dose of methylprednisolone acetate with 2% lignocaine. Assessment was done using visual analogue scale (VAS) and foot function index (pain sub-scale). Patients were followed-up for a period of 6 months. Results:There was significant reduction in VAS score and improvement in foot function index at 1 and 3 month follow-up (p<0.001) as compared to pre-injection score but this VAS reduction or improvement in foot function index was not significant at 6 month follow-up (p=0.057 and 0.729 respectively). There were no major adverse effects of the steroid injection. Conclusion: A single dose of corticosteroid injection provides only a short term benefit in plantar fasciitis.

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

2013 ◽  
Vol 35 (1) ◽  
pp. 32-38
Author(s):  
RK Jha ◽  
S Uprety ◽  
LL Shah
Keyword(s):  
Functional Outcome ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Institute Of Medicine ◽  
Stretching Exercises

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

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