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Sports (Basel). 2019 May 28;7(6). pii: E128. doi: 10.3390/sports7060128.

Effectiveness of Manual Therapy, Customised Foot Orthoses and Combined Therapy in the Management of Plantar Fasciitis-a RCT.

Author information

1
Department of Orthopaedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrueck GmbH, 49076 Osnabrueck, Germany. casper.grim@klinikum-os.de.
2
Physiopraxis Kramer, 49492 Westerkappeln , Germany. martin.engelhardt@klinikum-os.de.
3
Department of Orthopaedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrueck GmbH, 49076 Osnabrueck, Germany. martin.engelhardt@klinikum-os.de.
4
Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrueck, 49076 Osnabrueck, Germany. sjohn@uos.de.
5
Department of Orthopaedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrueck GmbH, 49076 Osnabrueck, Germany. thilo.hotfiel@klinikum-os.de.
6
Department of Orthopedic Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, 91054 Erlangen, Germany. thilo.hotfiel@klinikum-os.de.
7
Department of Orthopaedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrueck GmbH, 49076 Osnabrueck, Germany. matthias.hoppe@klinikum-os.de.
8
Department of Movement and Training Science, University of Wuppertal, 42119 Wuppertal, Germany. matthias.hoppe@klinikum-os.de.

Abstract

BACKGROUND:

Plantar fasciitis (PF) is one of the most common causes of plantar heel pain.

OBJECTIVE:

To evaluate the effectiveness of three different treatment approaches in the management of PF.

METHODS:

Sixty-three patients (44 female, 19 men; 48.4 ± 9.8 years) were randomly assigned into a manual therapy (MT), customised foot orthosis (FO) and a combined therapy (combined) group. The primary outcomes of pain and function were evaluated using the American Orthopaedic Foot and Ankle Society-Ankle Hindfoot Scale (AOFAS-AHS) and the patient reported outcome measure (PROM) Foot Pain and Function Scale (FPFS). Data were evaluated at baseline (T0) and at follow-up sessions after 1 month, 2 months and 3 months (T1-T3).

RESULTS:

All three treatments showed statistically significant (p < 0.01) improvements in both scales from T0 to T1. However, the MT group showed greater improvements than both other groups (p < 0.01).

CONCLUSION:

Manual therapy, customised foot orthoses and combined treatments of PF all reduced pain and function, with the greatest benefits shown by isolated manual therapy.

KEYWORDS:

back pain; customised orthoses; heel pain; insoles; joint mobilization; manual therapy; plantar fasciitis

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