Abstract
To compare the effectiveness of subtalar mobilisation technique on pain and functional disability compared to conventional physiotherapy in patients with plantar fasciitis. The randomised controlled trial was conducted at the Prime Care Hospital, Faisalabad, Pakistan, from January to August 2017, and comprised patients of either gender aged 30-60 years presenting with complaints of heel and foot pain, a limited range of motion at the ankle joint due to heel pain, and pain in the morning when taking the first steps or after prolonged rest. The participants were randomly assigned to intervention group A, that received subtalar mobilisation, and control group B treated with therapeutic ultrasound. The groups received two treatment sessions per week over 3 weeks. Patients in both the groups received stretching and rigid tapping as standard treatment. Visual analogue scale and the foot and ankle disability inventory were used to measure pain and functional disability. Data was analysed using SPSS 20. Of the 60 patients enrolled, 8(13.3%) were lost to follow-up, while 52(86.6%) completed the study. Of the 52 subjects, there were 25(48%) in group A with a mean age of 32.40±8.02 years, while in group B there were 27(52%) subjects with a mean age of 32.59±7.00 years. Group A had 11(44%) males and 14(56%) females, while group B had 16(59.3%) males and 11(40.7%) females. Mean body mass index for group A was 25.35±3.8 compared to 25.67±3.25 for group B. There were significant differences in terms of pain between the two groups (p<0.05). Group A showed more reduction in functional disability than group B (p<0.05). Subtalar mobilisation with movement was found to be effective in reducing pain and functional disability than conventional treatment in patients with plantar fasciitis. 20200221046567N2 dated April 18, 2020. URL:https://www.irct.ir/trial/46988.with the World Health Organisation (WHO)-recognised Iranian Registry of Clinical Trials.
Highlights
Plantar fasciitis (PF) is the most common cause of heel pain that affects 10-15% of the general population during their lifetime.[1]
25.35±3.8 compared to 25.67±3.25 for group B
Subtalar mobilisation with movement was found to be effective in reducing pain and functional disability than conventional treatment in patients with plantar fasciitis
Summary
Plantar fasciitis (PF) is the most common cause of heel pain that affects 10-15% of the general population during their lifetime.[1] As non-inflammatory component is identified in recent literature in PF, the term may be modified as ‘fasciosis’ for a more appropriate description rather than ‘fasciitis’ that contains an inherent inflammatory component[2]. A study conducted in Peshawar reported a prevalence of 13.2%. In the security population[4]. Another study conducted among Pakistani teachers reported a 34.7% PF prevalence[5]. Overweight individuals, middle-aged women, athletes and male runners are mostly prone to plantar heel pain[6]. There is an ongoing debate in literature about the causative factors of PF. Excessive loading of the plantar aponeurosis sometimes causes plantar fasciopathy[7]
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