Abstract
Flat foot pain is a common complaint that requires therapeutic intervention. Currently, myofascial release techniques are often used in the therapy of musculoskeletal disorders. A group of 60 people suffering from flat feet with associated pain. Patients were assigned to four groups (15 people each): MF—myofascial release, E—the exercise program, MFE—myofascial release and the exercise program, C—no intervention. The rehabilitation program lasted 4 weeks. The NRS scale was used to examine pain intensity and FreeMed ground reaction force platform was used to examine selected static and dynamic foot indicators. Statistically significant pain reduction was obtained in all research. A static test of foot load distribution produced statistically significant changes only for selected indicators. In the dynamic test, statistically significant changes were observed for selected indicators, only in the groups subjected to therapeutic intervention. Most such changes were observed in the MF group. In the dynamic test which assessed the support phase of the foot, statistically significant changes were observed only for selected subphases. Most such changes were observed in the MFE group. Both exercise and exercise combined with myofascial release techniques, and especially myofascial release techniques alone, significantly reduce pain in a flat foot. This study shows a limited influence of both exercises and myofascial release techniques on selected static and dynamic indicators of a flat foot.
Highlights
Flat foot pain is a common complaint that requires therapeutic intervention
We observed a statistically significant reduction in the intensity of pain experienced by the patients in both feet. These changes only occurred in the therapeutic intervention groups
Because there was a significant difference in pain intensity before and after therapy in the myofascial release (MF), E and MFE groups, but no significant differences in pain levels were found in the comparisons between the control group and the treatment groups, the sample size was calculated to make significant differences appear
Summary
Flat foot pain is a common complaint that requires therapeutic intervention. Currently, myofascial release techniques are often used in the therapy of musculoskeletal disorders. Statistically significant changes were observed for selected indicators, only in the groups subjected to therapeutic intervention. Most such changes were observed in the MF group. In the dynamic test which assessed the support phase of the foot, statistically significant changes were observed only for selected subphases Most such changes were observed in the MFE group. This study shows a limited influence of both exercises and myofascial release techniques on selected static and dynamic indicators of a flat foot. Manual therapy used for flat foot pain includes both soft tissue methods and joint mobilization In clinical practice, these two techniques are often combined to achieve a faster and better therapeutic outcome[15]. Myofascial release techniques, which are used in the treatment of various dysfunctions of the musculoskeletal system, such as pain of muscular origin or limitations of the range of motion
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