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Man Ther. 2016 Jun;23:76-82. doi: 10.1016/j.math.2015.10.006. Epub 2015 Oct 30.

Effect of stretching with and without muscle strengthening exercises for the foot and hip in patients with plantar fasciitis: A randomized controlled single-blind clinical trial.

Author information

1
Department of Bioscience, Universidade Federal de São Paulo, Santos, SP, Brazil. Electronic address: fisiot.danilo@hotmail.com.
2
Department of Bioscience, Universidade Federal de São Paulo, Santos, SP, Brazil. Electronic address: geiseane.agoncalves@gmail.com.
3
Department of Bioscience, Universidade Federal de São Paulo, Santos, SP, Brazil. Electronic address: liuchiaoyi@yahoo.com.br.
4
Department of Human Movement Sciences, Universidade Federal de São Paulo, Santos, SP, Brazil. Electronic address: imperiolombardi@ig.com.br.

Abstract

OBJECTIVE:

To compare the effect of stretching with and without muscle strengthening of the foot alone or foot and hip on pain and function in patients with plantar fasciitis.

DESIGN:

Single blind randomized controlled trial.

METHOD:

Eighty-three patients with plantar fasciitis were allocated to one of three treatment options for an eight-week period: Foot Exercise Group (FEG - extrinsic and intrinsic foot muscles), Foot and Hip Exercise Group (FHEG - abductor and lateral rotator muscles) and Stretching Alone Exercise Group (SAEG).

MAIN MEASURES:

A visual analog scale for pain, the Foot and Ankle Outcome Score and the Star Excursion Balance Test. All evaluations were performed before treatment and after the last treatment session.

RESULTS:

Improvements were found in all groups regarding the visual analog scale, the pain, activities of daily living, sports and recreation, quality of life (p < 0.001) and other symptoms (p < 0.01) subscales of the Foot and Ankle Outcome Score as well as posterolateral movement, posteromedial movement and composite score (p < 0.001) on the Star Excursion Balance Test. No time-group interactions were found for any of the variables (p > 0.05).

CONCLUSIONS:

All three exercise protocols analyzed led to improvements at eight-week follow-up in pain, function and dynamic lower limb stability in patients with plantar fasciitis.

KEYWORDS:

Muscle stretching exercises; Plantar fasciitis; Randomized controlled trial; Resistance training

PMID:
26654252
DOI:
10.1016/j.math.2015.10.006
[Indexed for MEDLINE]

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