Effectiveness of Calf Stretching Exercises Versus Plantar Fascia Stretching Exercises in Plantar Fasciitis: An Experimental Study

2020 ◽  
Vol 11 (2) ◽  
pp. 890
Author(s):  
Jasneet S. Chawla ◽  
Manjeet Singh ◽  
Ashwani Ummat ◽  
Manu Goyal ◽  
Harsimarjit Kaur ◽  
...  
Keyword(s):  
Experimental Study ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Stretching Exercises

The Influence of Foot Position on Stretching of the Plantar Fascia

2007 ◽  
Vol 28 (7) ◽  
pp. 815-822 ◽  
Author(s):  
Ryan M. Flanigan ◽  
Deborah A. Nawoczenski ◽  
Linlin Chen ◽  
Hulin Wu ◽  
Benedict F. DiGiovanni
Keyword(s):  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Nonoperative Treatment ◽  
Ankle Dorsiflexion ◽  
Variable Reluctance ◽  
Mechanical Explanation ◽  
Fresh Frozen ◽  
Forefoot Varus ◽  
Foot Position ◽  
Stretching Exercises

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.

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 EFFECTIVENESS OF STRETCHING EXERCISES IN COMPARISON TO KINESIO TAPING FOR THE CURE OF PLANTAR FASCIITIS PAIN

2014 ◽  
Vol 3 (2) ◽  
pp. 31-35
Author(s):  
Syeda Rida Baqir ◽  
Syed Abid Mehdi Kazmi
Keyword(s):  
Plantar Fasciitis ◽  
Tertiary Care ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Warning Signs ◽  
Care Hospital ◽  
Plantar Heel Pain ◽  
Kinesio Taping ◽  
Cold Pack ◽  
Stretching Exercises

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.

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.

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

scholarly journals Effectiveness of Plantar Fascia-Specific Stretching Exercises in Plantar Fasciitis

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

scholarly journals Efficacy of Stretching Exercises in the Treatment of Chronic Plantar Fasciitis: A Prospective Study in Manipal Teaching Hospital, Pokhara, Nepal

2011 ◽  
Vol 2 (2) ◽  
pp. 97-101 ◽  
Author(s):  
Manoj Kumar Chakraborty ◽  
Pratendra Raj Onta ◽  
Brijesh Sathian
Keyword(s):  
Plantar Fasciitis ◽  
Functional Limitations ◽  
Weight Bearing ◽  
Poor Response ◽  
Plantar Fascia ◽  
High Rate ◽  
Medical Sciences ◽  
Pre Treatment ◽  
Stretching Exercises

Objective: Chronic plantar fasciitis developed in ten percent of cases with poor response. Specific plantar stretching exercises alone improves the patient with better outcome. It is self limited process with resolution of symptoms within one year but five percent cases may require surgical intervention in intractable cases. The purpose of this study was to evaluate the long term outcomes of the plantar fascia specific stretching exercise only for chronic plantar fasciitis. Material & Methods: 50 patients with chronic plantar fasciitis for more than three month duration were enrolled in our study for post treatment follow up with effect from Jan 2010 to Jan 2011 in Department of Orthopedics of Manipal College of Medical Sciences. All patients received plantar specific stretching exercise protocol for twelve months interval of one week, three week, two months, six months and twelve months. Results: Out of 50 patients, 36(72%) were female and 14 (28%) were male. 36(72%) were left sided and 14 (28%) were right. Mean age of patients were 46.12±SD7.11 years. The pre treatment mean visual analogue scale score for all patients is significantly higher than every follow up (p=0.0001). Conclusion: This stretching of the plantar fascia is a modification of the traditional stretch weight bearing to tissue specific plantar fascia stretching protocol to optimize tissue tension through a controlled stretch of plantar fascia by recreation of windlass mechanism with high rate of satisfaction in regards to decrease of pain and functional limitations. Key Words: Chronic plantar fasciitis; stretching; windlass mechanism DOI: http://dx.doi.org/10.3126/ajms.v2i2.4218 Asian Journal of Medical Sciences 2 (2011) 97-101

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.

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