Effectiveness of Manual Therapy, Customised Foot Orthoses and Combined Therapy in the Management of Plantar Fasciitis-A RCT
Autor(en): | Grim, Casper Kramer, Ruth Engelhardt, Martin John, Swen Malte Hotfiel, Thilo Hoppe, Matthias Wilhelm |
Stichwörter: | ANKLE-HINDFOOT; back pain; customised orthoses; HALLUX; HEEL PAIN; insoles; joint mobilization; MANIPULATIVE THERAPY; manual therapy; MIDFOOT; PAIN RATING-SCALE; PHYSICAL-THERAPY; plantar fasciitis; RESPONSIVENESS; SCORE; SF-36; Sport Sciences | Erscheinungsdatum: | 2019 | Herausgeber: | MDPI | Enthalten in: | SPORTS | Band: | 7 | Ausgabe: | 6 | Zusammenfassung: | Background: Plantar fasciitis (PF) is one of the most common causes of plantar heel pain. Objective: To evaluate the effectiveness of three different treatment approaches in the management of PF. Methods: Sixty-three patients (44 female, 19 men; 48.4 /- 9.8 years) were randomly assigned into a manual therapy (MT), customised foot orthosis (FO) and a combined therapy (combined) group. The primary outcomes of pain and function were evaluated using the American Orthopaedic Foot and Ankle Society-Ankle Hindfoot Scale (AOFAS-AHS) and the patient reported outcome measure (PROM) Foot Pain and Function Scale (FPFS). Data were evaluated at baseline (T0) and at follow-up sessions after 1 month, 2 months and 3 months (T1-T3). Results: All three treatments showed statistically significant (p < 0.01) improvements in both scales from T0 to T1. However, the MT group showed greater improvements than both other groups (p < 0.01). Conclusion: Manual therapy, customised foot orthoses and combined treatments of PF all reduced pain and function, with the greatest benefits shown by isolated manual therapy. |
ISSN: | 20754663 | DOI: | 10.3390/sports7060128 |
Show full item record