Type of Article : Original Research
Year: 2015 | Volume 3 | Issue 1 | Page No. 875-884
Date of Publication: 11-02-2015
DOI: 10.16965/ijpr.2015.101
IMMEDIATE EFFECT OF THREE SOFT TISSUE MANIPULATION TECHNIQUES ON PAIN RESPONSE AND FLEXIBILITY IN CHRONIC PLANTAR FASCIITIS: A RANDOMIZED CLINICAL TRIAL
Renu B.Pattanshetty *1, Amit S.Raikar 2.
*1 Assistant Professor, KLEU Institute Of Physiotherapy, Belgaum, Karnataka, India.
2 Post Graduate Student, KLEU Institute Of Physiotherapy, Belgaum, Karnataka, India.
Background and Objectives: Plantar fasciitis is a common foot disorder in which patients have pain and tenderness at the sole of the foot. Rest, exercises, orthotics, taping, cryotherapy, therapeutic ultrasound, electrical stimulation, whirlpool bath, and iontophoresis have been widely used to relieve plantar pain. Long term use of manual therapy techniques like myofascial release technique, positional release therapy and passive stretching have been used in the past to reduce pain and improve ankle range of motion. The present study aimed to evaluate and compare the immediate effectiveness of myofascial release technique, positional release therapy and passive stretching on pain response and ankle flexibility in chronic plantar fasciitis.
Material and methodology: A total of 60 participants with chronic plantar fasciitis were randomly allocated to Group A (myofascial release group) and Group B (positional release group) and Group C (passive stretching). Therapeutic ultrasound with intensity of 1W/cm2 and frequency of 1MHz for 5 min was given for a single session to all the patients and then given the manual techniques. Visual analogue scale, range of motion of the ankle were outcome measures that were assessed pre- and immediately post-interventional.
Results: The study demonstrated statistical significant reduction in pain, in all three groups (p<0.0001). Ankle range of motion showed significant improvement in Group A (MFR). Group C (passive stretching) demonstrated significant improvement (p=0.001) as compared to Group B (PRT).
Conclusion: All three manual techniques with therapeutic ultrasound were effective in immediate relief of pain and improving ankle range of motion in subjects with chronic plantar fasciitis.
KEYWORDS: Plantar fasciitis, myofascial release, positional release therapy, passive stretching, therapeutic ultrasound.
References
-
Caillet R: Textbook of Foot and Ankle Pain. 2nd Ed. Philadelphia: FA Davis Company;1968.
-
S J. Bartold, Plantar heel pain syndrome: Overview and management: Journal of Bodywork and movement Therapies, 2004; 8: 214-226.
-
Footpain : A general description of the causes, http://www.docpods.com/foot pain.htm/Aug 16th 2005.
-
Gorter K, De.Poels, De.Melker R, Kuyvenhoven M: Variation in diagnosis and management of common foot problems by GP’s. FamPract 2001; 18(06):569-573.
-
Whiting W.C, Zernicke R F, Roxas M; Plantar Fasciitis : Diagnosis and Therapeutic Considerations. Alt. Med Rev.2005; 10:83-93.
-
Kent K. Wu: Surgery of the foot. 3rd Ed. Philadelphia: Lea &Febiger; 1986.
-
American Podiatric Medical Association USA, cited in www.apma.org./topics/heel.htm / Nov 1st 2009.
-
Reid C. David: Sports Injury Assessment and Rehabilitation. 1st Ed. New York: Churchill Livington; 1992.
-
Singh D. , Angel J,. Trevino Bently Saul G. Forthrightly Review: Plantar Fasciitis, BMJ,1997; 212-216.
-
Roberts Scott :Text Book on Plantar fasciitis, heel spurs and heel pain 8-25-2004, www.heel spurs.com/intro.html(Google) page 2 and 5/21st Aug2009.
-
Brotzman S.B, , Kevin M.D, Wilk E,: Text Book of Clinical Orthopaedic Rehabilitation; 2nd Ed. New York: Churchill Living stone; 2001.
-
Rutherford Y.C , Niedfelat M.W: treatment of Chronic Plantar fasciitis. Am Fam pain. J. Foot Ankle Surg 2001; 40:329-400.
-
American College of Foot and Ankle Surgeons: The diagnosis and treatment of heel pain. J Foot Ankle Surg 2001; 40:329-40.
-
Hurtling D, Kessler RM: Management of Common Musculoskeletal disorder. The lower leg, Ankle and Foot. 3rdEd. Philadelphia: Lippincott; 1995.
-
Ravindra P, Prakash C: Degenerative Plantar fasciitis: A review of Current concepts. The Foot, vol17, issue 1, March 2007:3- 9.
-
Wapher K, Sharkey P: The use of right splints for treatment of recalcitrant plantar fasciitis .Foot Ankle; 1991; 12(3):135 - 137.
-
Draper DO, Castel JC, Castle D: Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. J Orthop Sports Phys. Ther.1995; 22:142-150.
-
CA Knight et al: Effect of Superficial heat, Deep heat, and Active Exercise, Warm up on the Extensibility of the Plantar Flexors, PhysTher: Vol.81, No.6, June 2001:1206 - 1214.
-
Carol M. 2001: The Myofascial release manual. 3rd ed. Slack Inc 67.Walkier JM. Deep transverse frictions in ligament healing. J. Orthop Sports Physther 1984; 6(2):89-94.
-
D’Ambrogio K J, Roth G B.: Text Book of Positional Release Therapy, Assessment and treatment of musculoskeletal Dysfuntion. Ed 2nd. Philadelphia: Mosby; 2002.
-
Gill LH: Conservative treatment for painful heel syndrome. Proceedings of the third annual summer meeting. Foot ankle. 1987:8:122.
-
Lapidus P.W., Guidotti F.P., Painful heel: Report on 232 patients with 364 painful heels. Clin Ortho.1965; 39:178.
-
Wynne M M. et al. Effect of Counterstrain on Stretch Reflexes, Hoffmann Reflexes, and Clinical Outcomes in subjects with plantar fasciitis. JAOA, January 17, 2006; 106(9): 547-556.
-
Evans P. (1980): The healing process at cellular level: a review. Physiotherapy, 66, pg: 256-9.
-
Hronkova H, Navrtil L, , Skopek J and Kymplova J, Possibilities of the Analgesic therapy of Ultra sound and Non-Invasive therapy 19.02.2000, www.laserpartner.org. pg: 2.
-
Lehman J. F., De Lateur B. J: In Therapeutic Heat and Cold, 3rd Ed, Baltimore: Williams & Wilkins;1982.
-
Young, S. ‘Ultrasound therapy’ in: Kitchen, S and Bazin, S (eds) Claytons’sElectrotherapy, WB Saunders, Philadephia, 10th Ed, 1996,243-267.
-
Young SR and Dyson: M. ‘Macrophages responsiveness to Therapeutic Ultrasound’. Ultrasound in medicine and Biology, 1990, (16) 261-269.
-
Evans P. The healing process at cellular level: a review. Physiotherapy, 1980: 66,: 256-259.
-
Leadhetter W. Cell matrix response in tendon injury. Clin Sports Med 1997; 11(3) ; 533-579.
-
Meseguer AA, et al. Immediate effects of the Strain/counterstrain technique in local pain evoked by tender points in the upper trapezius muscle. 2006; 9(3):112-118.
-
Racette SB et al. Obesity: Overview of Prevalence, Etiology and Treatment. Physical therapy 2003; 83: 276-288.
-
De Deyne, PG: Application of passive stretch and its implication for muscle fibres .Phys Ther. 2001: 81(2): 819-827.
-
Richie D , AAPSM (2003-2004), your podiatric sports Physician Talks about Plantar Fasciitis Treatment Pearls., www.aapsm.org (Pub Med)/ 4th Aug 2006.
-
Walkier JM. Deep transverse frictions in ligament healing. J. Orthop Sports Phys Ther 1984; 6(2): 89-94.
-
Kvist M, Jarvinen M. Clinical histochemical and biomechanical features in repair of muscle and tendon injuries. Int J Sports Med 1982; (3Suppl1): 12-14.
-
Dyck DD Jr, Boyajian-O’Neil LA. Plantarfasciitis. Clin J Sports Med 2004; 14(5) : 305-309.
-
Travor B, Julie Kramer et al: Effect of a Positional release therapy technique on Hamstring flexibility. PhysTher Can; 2004; 56:165-170.
-
Jones LH: Spontaneous release by positioning. The DO. 1964; 4: 109-116.
-
Wayne Pugh, The efficacy of foot or those in the treatment of plantar fasciitis: - A systemic review, Physical Therapy 2000; 43: 276-188.
Renu B.Pattanshetty, Amit S.Raikar. IMMEDIATE EFFECT OF THREE SOFT TISSUE MANIPULATION TECHNIQUES ON PAIN RESPONSE AND FLEXIBILITY IN CHRONIC PLANTAR FASCIITIS: A RANDOMIZED CLINICAL TRIAL. Int J Physiother Res 2015;3(1):875-884. DOI: 10.16965/ijpr.2015.101