Outpatient vs Home Management Protocol Results for Plantar Fasciitis
| Autor: | Elif Tuğçe Çil, Ugur Sayli, Feryal Subasi |
|---|---|
| Přispěvatelé: | Çil, E.T., Şaylı, U., Subaşı, F., Yeditepe Üniversitesi |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Plantar fasciitis Strengthening exercises 03 medical and health sciences Disability Evaluation Young Adult 0302 clinical medicine Outpatients medicine Humans Orthopedics and Sports Medicine Single-Blind Method Prospective Studies Aged Pain Measurement Protocol (science) 030222 orthopedics business.industry Home program 030229 sport sciences combined nonoperative management Middle Aged Home Care Services Exercise Therapy Fasciitis Plantar Home management Physical therapy Surgery Female infracalcaneal heel pain medicine.symptom plantar fasciitis business |
| Zdroj: | Footankle international. 40(11) |
| ISSN: | 1944-7876 |
| Popis: | Background:We compared the effectiveness of stretching and strengthening exercises combined with myofascial releasing and mobilization techniques to a stretching and strengthening only home program in plantar fasciitis (PF) management.Method:The study included 53 feet of 47 patients with plantar fasciitis (35 women / 12 men; mean age 48.9±11.2 years). Pain, disability, and activity restrictions were assessed by Foot Function Index (FFI), and first step pain was graded by visual analog scale (VAS). Ankle range of motion (ROM), gastrocnemius-soleus flexibility, proprioception, dynamic balance, and foot sensation were also considered. The patients were randomly divided into outpatient clinic treatment (Outpatient, n = 27 feet) and home rehabilitation groups (Home, n = 26 feet). Patient education was routine for all at the beginning of the management programs. In the Outpatient group, the foot-ankle-hip exercise program, myofascial releasing, and joint and soft tissue mobilization techniques were “hands on” at a clinic (twice a week for 8 weeks), whereas the Home group completed their home rehabilitation program on their own (8 weeks’ duration with follow-ups every week).Results:VAS, FFI, ROM, balance, proprioception, foot sense, and flexibility improved at the eighth week in both groups according to intragroup comparison ( P < .05). When the 2 groups were compared, the results of plantar flexion range, balance, proprioception, foot sensation, flexibility, FFI, and VAS showed significant improvements in the Outpatient vs the Home group ( P < .05). Also, the FFI and VAS scores at the sixth month were superior in the Outpatient group ( P < .05).Conclusion:A combined supervised management protocol had superior clinical results in plantar fasciitis management.Level of Evidence:Level II, comparative study. |
| Databáze: | OpenAIRE |
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