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J Orthop Sports Phys Ther. 2011 Apr;41(4):221-31. doi: 10.2519/jospt.2011.3348. Epub 2011 Feb 2.

The short-term effects of treating plantar fasciitis with a temporary custom foot orthosis and stretching.

Author information

1
Chugach Physical Therapy, Anchorage, AK, USA. mdrake@alaska.net

Abstract

STUDY DESIGN:

Prospective single-group cohort study.

OBJECTIVES:

To identify the effectiveness of a temporary custom foot orthosis (TCFO), followed by a stretching program, for the treatment of plantar fasciitis (PF).

BACKGROUND:

PF, a common cause of heel pain, often leads to disability. Optimal treatment for this often challenging clinical condition is still unknown.

METHODS:

Fifteen individuals with PF were recruited from the general public. All participants received a TCFO and were instructed to wear it for 2 weeks while weight bearing. Following the initial 2 weeks, participants were weaned off of the TCFO and instructed to begin a daily stretching program. Follow-up appointments occurred at 2, 4, and 12 weeks. The primary outcome measures included first-step heel pain via numeric pain rating scale (NPRS), the Foot and Ankle Ability Measure activities of daily living subscale (FAAM-A), and the Foot and Ankle Ability Measure sports subscale (FAAM-S). Secondary outcome included the global rating of change (GRC) score.

RESULTS:

Individuals with a primary complaint of plantar foot pain entered and completed this study. Repeated-measures ANOVAs for the NPRS, FAAM-A, and FAAM-S showed statistically significant changes (P<.001). Post hoc analysis using paired t tests demonstrated statistically and clinically significant change at all follow-up times, compared to the initial intervention (P<.001). Mean GRC scores at 2, 4, and 12 weeks were 4.4, 4.5, and 4.2, respectively.

CONCLUSION:

In treating PF, a TCFO used for 2 weeks, followed by a stretching program, provided preliminary evidence that first-step heel pain and foot and ankle function improve in the short term and up to 12 weeks.

LEVEL OF EVIDENCE:

Therapy, level 2b.

PMID:
21289459
DOI:
10.2519/jospt.2011.3348
[Indexed for MEDLINE]

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