https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2016.211

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 1 (February 2017)

Page No.: 1872-1876

DOI: https://dx.doi.org/10.16965/ijpr.2016.211

THE EFFICACY BACKWARD WALKING AND SOFT TISSUE MANIPULATION IN PLANTAR FASCIITIS

Pradeep Shankar *1, Renuka Devi. M 2, Dirk Labuscher 3, Shameer Ali 4, Mohamed Elbaz 4.

*1 Physiotherapist,  Medeor Hospital , Abu Dhabi, UAE.

2 Associate professor , JSS college of physiotherapy, Mysore, INDIA.

3 Head of Physiotherapy, Medeor Hospital, Abu Dhabi, UAE.

4 Orthopedic surgeon, Medeor Hospital , Abu Dhabi, UAE.

Address for Correspondence:  Mr. Pradeep Shankar, Physiotherapist ,  Medeor Hospital , Abu Dhabi, UAE. E-Mail: pradeerenu1921@gmail.com

ABSTRACT

Back ground: Plantar fasciitis one of the most common foot pain condition treated by health care providers. Several physical therapy intervention applied to overcome heel pain but recent studies shown soft tissue manipulation is more effective in reducing pain.

Objective: One of the path mechanics behind plantar fasciitis is cyclic overload of plantar fascia occurs due to increased plantar flexion moment because of  increased Achilles  tendon tension and increased  dorsiflexion moment of forefoot occurs due to increase ground reaction on forefoot while walking forward. This abnormal force will tend to  be higher in plantar fasciitis  patients make difficulty in walking and create more trigger point and stiffness in gastrocnemius muscle. To overcome this imbalance, assumption made Backward walking may be effective as it replicates lower limb movements mirror of forward walking and having advantage in reducing ground reaction force and reverse the plantar flexion moment in hind foot and dorsiflexion moment in forefoot. Study proposed to find its effective along with soft tissue manipulation in Plantar fasciitis.

Materials and Methods: Six male subjects who has been diagnosed as Plantar Fasciitis with mean age 40 years referred from Orthopedic surgeon were taken as subjects in the study. Parameter VAS and Dorsi flexion range of ankle noted prior to and following 8 session of intervention. All subjects were randomly divided in two group A and B with three subject in each. Group A underwent treatment of Myofascial  and  trigger point release technique on gastrocnemius muscles. Group B underwent same Myofascial and trigger point release technique as group A  in addition to it they underwent  Backward walking (BW) on treadmill with o% inclination

Outcome measures; Visual Anolog Scale (VAS), Ankle Dorsiflexion range.

Result: There was significant improvement in reduction of pain and increase in ankle Dorsiflexion Range of motion in group B than Group A .

Conclusion: Backward walking along with Myofascial release and trigger point release technique is found to be effective in reducing pain and to improve function in plantar fasciitis.

Key words: Backward walking, trigger point release technique, Myofascial release technique.

REFERENCES:

  1. Alvarez-Nemegyei J, Canoso JJ. Heel pain: diagnosis and treatment, step by step. Cleve Clin J Med. 2006;73:465-471.
  2. Neufeld SK, Cerrato R. Plantar fasciitis: evalu­ation and treatment. J Am Acad Orthop Surg. 2008;16:338-346.
  3. Simons DG, Travel JG, Simons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual; Volume 1 The Upper Half of Body. 2nd ed. Balti­more, MD: William and Wilkins; 1999.
  4. Simons DG. Understanding effective treatments of myofascial trigger points. J Bodywork Mov Ther. 2002;6:81-8
  5. Tao K, Ji WT, Wang DM, et al. Relative contributions of plantar fascia and ligaments on the arch static stability: a finite element study. Biomed Tech (Berl) 2010;55:265–71.
  6. Grasso R, Bianchi L, Lacquaniti F. Motor patterns for human gait: backwardversus forward locomotion. Journal of Neurophysiology 1998;80:1868–85.
  7. Naoki Soda. Three-dimensional Motion Analysis of the Ankle during Backward Walking. J. Phys. Ther. Sci.2013;25:747-749.
  8. Shah H. A study on effect of myofascial release in plantar fasciitis. IJPOT;2014:21:261-66.
  9. Ajimsha MS, Binsu D, Chithra S. Effectiveness of myofascial release in the management of plantar heel pain: a randomized controlled trial. Foot (Edinb).; 2014: 24:66-71.
  10. Javier Pascual Huerta, PhD. The Effect of the Gastrocnemius on the Plantar Fascia. Article in Foot and Ankle Clinics of North America · December 2014. https://www.researchgate.net/publication/266148170
  11. Minhyeon Lee. Kinematic and kinetic analysis during forward and backward walking. Gait Posture (2013). Elsevier Publication.
  12. RÔMULO RENAN-ORDINE. Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial .journal of orthopaedic & sports physical therapy 2011;41(92).

Cite this article: Pradeep Shankar, Renuka Devi. M, Dirk Labuscher, Shameer Ali, Mohamed Elbaz. THE EFFICACY BACKWARD WALKING AND SOFT TISSUE MANIPULATION IN PLANTAR FASCIITIS. Int J Physiother Res 2017;5(1):1872-1876. DOI: 10.16965/ijpr.2016.211
Post Views: 0