Browse > Article
http://dx.doi.org/10.15268/ksim.2021.9.1.151

Physiotherapy Approach to Patients with Chronic Plantar Fasciitis : Comparison of the Effects of Specific Stretching Exercise and High-Load Strengthening Exercise  

Choo, Yeon-Ki (Dept. of Rehabilitation Therapy, Guposungshim Hospital)
Bae, Won-Sik (Dept. of Physical Therapy, Kyungnam College of Information & Technology)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.1, 2021 , pp. 151-161 More about this Journal
Abstract
Purpose : This study was to investigate the effectiveness of ESWT and plantar fascia-specific stretching exercise vs ESWT and high-load strengthening exercise in patients with chronic plantar fasciitis. Methods : The subjects were randomized to extracorporeal shock wave therapy ( ESWT, for 3 weeks) and daily plantar-specific stretching (Group I: Stretch group) or ESWT and high-load progressive strength (Group II: Strength group) performed every second day. The main outcome measures were ultrasound, visual analogue scale (VAS), and Korean Foot Function Index (KFFI). The ultrasound (plantar fascia thickness), pain intensity I, II (the most painful of the day?, the pain when you first step in the morning?) and KFFI (functional performance) were compared between the groups. Results : No significant difference was observed between the groups in the plantar fascia thickness but pain intensity I, II was significantly lower in Group 2 than in Group 1 at only 12weeks and functional performance was also significantly increased in Group 2 compared to Group 1 at only 12 weeks. Conclusion : The high-load strengthening exercise consisting of the progressive exercise protocol, resulted in superior after 12 weeks compared with plantar-specific stretching. High-load strength exercise may aid in a quicker reduction in pain and improvements in functional performance.
Keywords
chronic plantar fasciitis; extracorporeal shock wave therapy; high-load strengthening exercise; plantar-specific stretching exercise;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Kim SB, Lee KW, Lee JH, et al(2009). The effect of extracorporeal shock wave therapy in plantar fasciitis. J Korean Acad Rehabil Med, 33(3), 333-338.
2 Langberg H, Ellingsgaard H, Madsen T, et al(2007). Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. Scand J Med Sci Sports, 17(1), 61-66. https://doi.org/10.1111/j.1600-0838.2006.00522.x.   DOI
3 Lee DY, Kim YM, Lee JH, et al(2019). Validation of electronic Foot Function Index in patients with foot and ankle disease: a randomized, prospective multicenter study. J Korean Foot Ankle Soc, 23(1), 24-30. https://doi.org/10.14193/jkfas.2019.23.1.24.   DOI
4 Lee SM(2018). Effects of extracorporeal shock wave therapy on foot function and gait in patients with chronic plantar fasciitis. Graduate school of Daegu University, Republic of Korea, Master's thesis.
5 Lemont H, Ammirati KM, Usen N(2003). Plantar fasciitis: a degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc, 93(3), 234-237. https://doi.org/10.7547/87507315-93-3-234.   DOI
6 Malliaras P, Barton CJ, Reeves ND, et al(2013). Achilles and patellar tendinopathy loading programmes. Sports Med, 43(4), 267-286. https://doi.org/10.1007/s40279-013-0019-z.   DOI
7 McMillan AM, Landorf KB, Barrett JT, et al(2009). Diagnostic imaging for chronic plantar heel pain: a systematic review and meta-analysis. J Foot Ankle Res, 13(2), Printed Online. https://doi.org/10.1186/1757-1146-2-32.   DOI
8 Goff JD, Crawford R(2011). Diagnosis and treatment of plantar fasciitis. Am Fam Physician, 84(6), 676-682.
9 Gollwitzer H, Saxena A, DiDomenico LA, et al(2015). Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study. J Bone Joint Surg Am, 97(9), 701-708. https://doi.org/10.2106/JBJS.M.01331.   DOI
10 McPoil TG, Martin RL, Cornwall MW, et al(2008). Heel pain-plantar fasciitis: clinical practice guildelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther, 38(4), A1-A18. https://doi.org/10.2519/jospt.2008.0302.   DOI
11 Tsai WC, Hsu CC, Chen CP, et al(2006). Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance. J Clin Ultrasound, 34(1), 12-16. https://doi.org/10.1002/jcu.20177.   DOI
12 Skovdal Rathleff M, Molgaard C, Lykkegaard Olesen J(2011). Intra-and interobserver reliability of quantitative ultrasound measurement of the plantar fascia. J Clin Ultrasound, 39(3), 128-134. https://doi.org/10.1002/jcu.20787.   DOI
13 SooHoo NF, Samimi DB, Vyas RM, et al(2006). Evaluation of the validity of the Foot Function Index in measuring outcomes in patients with foot and ankle disorders. Foot Ankle Int, 27(1), 38-42. https://doi.org/10.1177/107110070602700107.   DOI
14 Stecco C, Corradin M, Macchi V, et al(2013). Plantar fascia anatomy and its relationship with Achilles tendon and paratenon. J Anat, 223(6), 665-676. https://doi.org/10.1111/joa.12111.   DOI
15 Grondal L, Brostrom E, Wretenberg P, et al(2006). Arthrodesis versus Mayo resection: the management of the first metatarsophalangeal joint in reconstruction of the rheumatoid forefoot. J Bone Joint Surg Br, 88(7), 914-919. https://doi.org/10.1302/0301-620X.88B7.17472.   DOI
16 In TS, Jung JH, Kim K, et al(2017). The reliability and validity of the Korean version of the Foot Function Index for patients with foot complaints. J Phys Ther Sci, 29(1), 53-56. https://doi.org/10.1589/jpts.29.53.   DOI
17 Jarde O, Diebold P, Havet E, et al(2003). Degenerative lesions of the plantar fascia: surgical treatment by fasciectomy and excision of the heel spur. A report on 38 cases. Acta Orthop Belg, 69(3), 267-274.
18 Kibler WB, Goldberg C, Chandler TJ(1991). Functional biomechanical deficits in running athletes with plantar fasciitis. Am J Sports Med, 19(1), 66-71. https://doi.org/10.1177/036354659101900111.   DOI
19 Rathleff MS, Molgaard CM, Fredberg U, et al(2015). High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scand J Med Sci Sports, 25(3), e292-e300. https://doi.org/10.1111/sms.12313.   DOI
20 Rathleff M, Thorborg K(2015). 'Load me up, Scotty': mechanotherapy for plantar fasciopathy (formerly known as plantar fasciitis). Br J Sports Med, 49(10), 638-639. https://doi.org/10.1136/bjsports-2014-094562.   DOI
21 Riddle DL, Pulisic M, Pidcoe P, et al(2003). Risk factors for plantar fasciitis: a matched case-control study. J Bone Joint Surg Am, 85(5), 872-877. https://doi.org/10.2106/00004623-200305000-00015.   DOI
22 Rompe JD, Furia J, Cacchio A, et al(2015). Radial shock wave treatment alone is less efficient than radial shock wave treatment combined with tissue-specific plantar fascia-stretching in patients with chronic plantar heel pain. Int J Surg, 24(Pt B), 135-142. https://doi.org/10.1016/j.ijsu.2015.04.082.   DOI
23 Schwartz EN, Su J(2014). Plantar fasciitis: a concise review. Perm J, 18(1), e105-107. https://doi.org/10.7812/TPP/13-113.   DOI
24 Baravarian B(2009). Platelet rich plasma: Can it have an impact for tendinosis and plantar fasciosis?. Podiatry Today, 17, 66-68.
25 Patel A, DiGiovanni B(2011). Association between plantar fasciitis and isolated contracture of the gastrocnemius. Foot Ankle Int, 32(1), 5-8. https://doi.org/10.3113/FAI.2011.0005.   DOI
26 Bal A, Aydog E, Aydog ST, et al(2006). Foot deformities in rheumatoid arthritis and relevance of foot function index. Clin Rheumatol, 25(5), 671-675. https://doi.org/10.1007/s10067-005-0115-z.   DOI
27 Ball EM, McKeeman HM, Patterson C, et al(2013). Steroid injection for inferior heel pain: a randomised controlled trial. Ann Rheum Dis, 72(6), 996-1002. https://doi.org/10.1136/annrheumdis-2012-201508.   DOI
28 Buchbinder R(2004). Plantar fasciitis. N Engl J Med, 350(21), 2159-2166. https://doi.org/10.1056/NEJMcp032745.   DOI
29 Budiman-Mak E, Conrad KJ, Roach KE(1991). The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol, 44(6), 561-570. https://doi.org/10.1016/0895-4356(91)90220-4.   DOI
30 Davis PF, Severud E, Baxter DE(1994). Painful heel syndrome: results of nonoperative treatment. Foot Ankle Int, 15(10), 531-535. https://doi.org/10.1177/107110079401501002.   DOI
31 Digiovanni BF, Nawoczenski DA, Malay DP, et al(2006). Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis: a prospective clinical trial with two-year follow-up. J Bone Joint Surg Am, 88(8), 1775-1781. https://doi.org/10.2106/JBJS.E.01281.   DOI
32 Digiovanni BF, Nawoczenski DA, Lintal ME, et al(2003). Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain: a prospective, randomized study. J Bone Joint Surg Am, 85(7), 1270-1277. https://doi.org/10.2106/00004623-200307000-00013.   DOI