The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지

Change of Plantar Fascia Thickness in Hemiplegic Patients

편마비 환자에서 족저근막의 두께 변화

  • Park, Ji-Won (Department of Physical Therapy, College of Health Science, University of Daegu Catholic) ;
  • Park, Sung-Hee (Department of Physical Medicine and Rehabilitation, Institute for Medical Science, and Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Ko, Myoung-Hwan (Department of Physical Medicine and Rehabilitation, Institute for Medical Science, and Research Institute of Clinical Medicine, Chonbuk National University Medical School)
  • 박지원 (대구가톨릭대학교 보건과학대학 물리치료학과) ;
  • 박성희 (전북대학교 의학전문대학원 재활의학교실, 의과학 연구소 및 임상의학 연구소) ;
  • 고명환 (전북대학교 의학전문대학원 재활의학교실, 의과학 연구소 및 임상의학 연구소)
  • Received : 2009.07.04
  • Accepted : 2009.09.11
  • Published : 2009.09.25
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Abstract

Purpose: This study investigated the change in plantar fascia thickness in hemiplegic and non-hemiplegic feet in stroke patients using an ultrasonographic evaluation. Methods: Sixteen hemiplegic and non-hemiplegic feet from 16 hemiplegic patients (patient group) and 16 feet from 8 healthy subjects (control group) were evaluated by ultrasonography. The sagittal sonograms were obtained in the prone position, and the plantar fascia thickness was measured at its insertion into the calcaneus. Results: The mean plantar fascia thickness was measured to be $4.5\pm0.8$mm in hemiplegic feet of the patient group, $3.4\pm1.0$mm for the contralateral non-hemiplegic feet and $2.8\pm0.3$mm for the control group. There was a statistically significant difference in plantar fascia between the hemiplegic feet and contralateral non-hemiplegic feet as well as between the contralateral non-hemiplegic feet and control group (p<0.01 and p<0.05, respectively). The plantar fascia thickness according to the Brunnstrom stage and modified Ashworth scale was increased significantly in the hemiplegic feet (p<0.01). Conclusion: These results show that the plantar fascia is overloaded in the hemiplegic and non-hemiplegic feet of stroke patients. A therapeutic approach should be considered for these patients.

Keywords

References

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