scholarly journals The Effect of Monophasic Pulsed Current with Stretching Exercise on the Heel Pain and Plantar Fascia Thickness in Plantar Fasciitis: A Randomized Controlled Trial

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 79
Author(s):  
Abdullah Alotaibi ◽  
Jerrold Petrofsky ◽  
Noha S. Daher ◽  
Everett Lohman ◽  
Hasan M. Syed ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Plantar Fasciitis ◽  
Controlled Trial ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Pulsed Current ◽  
Foot Pain ◽  
Randomized Controlled ◽  
Common Causes ◽  
Stretching Exercises

Plantar fasciitis (PF) is one of the most common causes of heel and foot pain. Monophasic pulsed current (MPC) is an electrical stimulation used to accelerate the healing processes. The purpose of this study was to determine the effect of MPC and MPC combined with plantar fascia stretching exercises (SE) on heel pain and plantar fascia thickness in treatment of PF and see if there is any relationship between heel pain and plantar fascia thickness after intervention. Forty-four participants diagnosed with PF were randomly assigned to two group; MPC group or MPC combined with plantar fascia SE. Plantar fascia thickness was measured with musculoskeletal ultrasound. Although no statistical differences between the two groups were found, heel pain and the plantar fascia thickness significantly decreased in both groups after the intervention (p < 0.001). No significant correlation was found between changes in heel pain and plantar fascia thickness after 4 weeks of treatment. Our results indicated that MPC can reduce heel pain and plantar fascia thickness caused by PF. However, MPC combined with plantar fascia SE is not superior to MCP only in terms of reduction in heel pain and plantar fascia thickening.

scholarly journals Effectiveness of Trigger Point Dry Needling for Plantar Heel Pain: A Randomized Controlled Trial

2014 ◽  
Vol 94 (8) ◽  
pp. 1083-1094 ◽  
Author(s):  
Matthew P. Cotchett ◽  
Shannon E. Munteanu ◽  
Karl B. Landorf
Keyword(s):  
Randomized Controlled Trial ◽  
Adverse Events ◽  
Trigger Point ◽  
Controlled Trial ◽  
Heel Pain ◽  
Foot Pain ◽  
Dry Needling ◽  
Randomized Controlled ◽  
Plantar Heel Pain ◽  
End Point

Background Plantar heel pain can be managed with dry needling of myofascial trigger points; however, there is only poor-quality evidence supporting its use. Objective The purpose of this study was to evaluate the effectiveness of dry needling for plantar heel pain. Design The study was a parallel-group, participant-blinded, randomized controlled trial. Setting The study was conducted in a university health sciences clinic. Patients Study participants were 84 patients with plantar heel pain of at least 1 month's duration. Intervention Participants were randomly assigned to receive real or sham trigger point dry needling. The intervention consisted of 1 treatment per week for 6 weeks. Participants were followed for 12 weeks. Measurements Primary outcome measures included first-step pain, as measured with a visual analog scale (VAS), and foot pain, as measured with the pain subscale of the Foot Health Status Questionnaire (FHSQ). The primary end point for predicting the effectiveness of dry needling for plantar heel pain was 6 weeks. Results At the primary end point, significant effects favored real dry needling over sham dry needling for pain (adjusted mean difference: VAS first-step pain=−14.4 mm, 95% confidence interval [95% CI]=−23.5 to −5.2; FHSQ foot pain=10.0 points, 95% CI=1.0 to 19.1), although the between-group difference was lower than the minimal important difference. The number needed to treat at 6 weeks was 4 (95% CI=2 to 12). The frequency of minor transitory adverse events was significantly greater in the real dry needling group (70 real dry needling appointments [32%] compared with only 1 sham dry needling appointment [&lt;1%]). Limitations It was not possible to blind the therapist. Conclusion Dry needling provided statistically significant reductions in plantar heel pain, but the magnitude of this effect should be considered against the frequency of minor transitory adverse events.

scholarly journals Effects of Strengthening and Stretching Exercises on the Temporospatial Gait Parameters in Patients With Plantar Fasciitis: A Randomized Controlled Trial

2019 ◽  
Vol 43 (6) ◽  
pp. 662-676 ◽  
Author(s):  
Suthasinee Thong-On ◽  
Sunee Bovonsunthonchai ◽  
Roongtiwa Vachalathiti ◽  
Warinda Intiravoranont ◽  
Sarawut Suwannarat ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Plantar Fasciitis ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Stretching Exercises

High voltage pulsed current in pressure ulcer healing: results of a randomized, controlled trial – preliminary study

Leczenie Ran ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. 13-22 ◽  
Author(s):  
Anna Polak ◽  
Anna Walczak ◽  
Jakub Taradaj ◽  
Marzena Dzikiewicz ◽  
Aldona Augustak ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pressure Ulcer ◽  
High Voltage ◽  
Ulcer Healing ◽  
Controlled Trial ◽  
Pulsed Current ◽  
Randomized Controlled ◽  
Preliminary Study

scholarly journals Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches

2019 ◽  
Vol 24 ◽  
Author(s):  
Christopher Yelverton ◽  
Sunil Rama ◽  
Bernhard Zipfel
Keyword(s):  
Plantar Fasciitis ◽  
Pain Perception ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Combination Group ◽  
Mcgill Pain Questionnaire ◽  
Musculoskeletal Problem ◽  
Common Causes ◽  
Therapy Interventions ◽  
The University

Background: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined conservative management protocols.Aim: The aim of this study was to compare manipulation of the foot and ankle and cross friction massage of the plantar fascia; cross friction massage of the plantar fascia and gastrocsoleus complex stretching; and a combination of the aforementioned protocols in the treatment of plantar fasciitis.Setting: This study was conducted at the University of Johannesburg, Chiropractic Day Clinic, and included participants that complied with relevant inclusion criteria.Methods: Forty-five participants between the ages of 18 and 50 years with heel pain for more than 3 months were divided into three groups and received one of the proposed treatment interventions. The data collected were range of motion (ROM) of the ankle (using a goniometer) and pain perception using the McGill Pain Questionnaire and Functional foot index and algometer.Results: The results of this study indicate that cross friction massage of the plantar fascia and stretching of the gastrocsoleus complex showed the greatest overall improvement in terms of reducing the pain and disability and ankle dorsiflexion ROM, whereas the combination group showed the greatest increase in plantar flexion.Conclusion: The results demonstrated that all three protocols had a positive effect on the ROM and pain perception to patients with plantar fasciitis.

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