PREDICTIVE MEASUREMENT OF WINDLASS MECHANISM AND SUGGESTED TREATMENT IN PLANTAR FASCIITIS
Sahar Ahmed Abd AI-Bary;
Abstract
Background: Approximately 10% of patients with plantar fascitis could have developed a persistent and often disabling symptoms, yet little is known about its etiology. The purpose of the present study Was to use an objective easy and economic method to measure the windless mechanism and efficiency of a suggested treatment protocol used in this study for a period of one month.
Methods: Matched design was used, the matching criteria were age, weight, normal foot type, and gender. Fifty patients with unilateral plantar fasciitis who met the inclusion criteria and fifty normal subjects participated in the study.
A visual analog scale and foot function index (pain subscale) were used to measure level of pain, reliable goniometric method to measure weight bearing windlass and dorsiflexion and plantar flexion ranges o
motion, foot plantar pressure (static and dynamic measurements), and tape measurement of plantar aponeurosis length. All patients completed the assessment before the treatment and after the treatment protocol was completed. The treatment modalities included ultrasonic treatment, electrical heating pad, night splint, plantar aponeurosis and tendoacchiles stretching exercises, and extrinisic and intrinsic strengthening exercises. The patients were reevaluated after one month and compared with normal subjects.
Results: There was significant correlation between clinical measurement (tape measurement, windlass range of motion), and foot plantar pressure with great improvement in patients with plantar fasciits. Suggested treatment protocol was successful in 96% of patients.
Conclusion: The measuring technique is valid and objective for the windlass mechanism. The suggested treatment protocol proved to be effective in the treatment of patients with chronic plantar fasccitis.
Methods: Matched design was used, the matching criteria were age, weight, normal foot type, and gender. Fifty patients with unilateral plantar fasciitis who met the inclusion criteria and fifty normal subjects participated in the study.
A visual analog scale and foot function index (pain subscale) were used to measure level of pain, reliable goniometric method to measure weight bearing windlass and dorsiflexion and plantar flexion ranges o
motion, foot plantar pressure (static and dynamic measurements), and tape measurement of plantar aponeurosis length. All patients completed the assessment before the treatment and after the treatment protocol was completed. The treatment modalities included ultrasonic treatment, electrical heating pad, night splint, plantar aponeurosis and tendoacchiles stretching exercises, and extrinisic and intrinsic strengthening exercises. The patients were reevaluated after one month and compared with normal subjects.
Results: There was significant correlation between clinical measurement (tape measurement, windlass range of motion), and foot plantar pressure with great improvement in patients with plantar fasciits. Suggested treatment protocol was successful in 96% of patients.
Conclusion: The measuring technique is valid and objective for the windlass mechanism. The suggested treatment protocol proved to be effective in the treatment of patients with chronic plantar fasccitis.
Other data
| Title | PREDICTIVE MEASUREMENT OF WINDLASS MECHANISM AND SUGGESTED TREATMENT IN PLANTAR FASCIITIS | Other Titles | القياس التوقعى لآلية رافعة قوس القدم والعلاج المقترح لإلتهاب صفاق الأخمص بالقدم | Authors | Sahar Ahmed Abd AI-Bary | Issue Date | 2009 |
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