2024, Vol. 5, Issue 1, Part B
Effectiveness of subtalar, ankle and midfoot joint mobilisation on pain, range of motion and functional activities among chronic plantar fasciitis subjects a pilot study
Author(s): Sini Gopalakrishnan, Bindhya Chandrasekaran, Sivakumar Chinnusamy and Pradeepa Mani
Abstract: Background: Plantar fasciitis is an aseptic inflammation of the plantar fascia. It leads to pain in the foot anterior to the attachment of the plantar fascia. Each year approximately 1 million office based physician result in a diagnosis of plantar fasciitis. The peak incidence of plantar fasciitis occurs in persons aged between 45 to 64 years and it is more common among women. In Indian population the incidence of patients with heel pain and calcaneal spur is to be 59%. The causative factors for plantar fasciitis include, overweight, walking, running or standing for long period of time, Faulty alignment of foot, old worn shoes with insufficient arch support. The patient complains of pain in the heel, which is more in morning. It gradually subsides as the patient takes a few steps. The pain increases on prolonged standing, walking etc. Tenderness can be elicited on the medial aspect of the calcaneum. Objectives: The study’s primary objective was to find out the effectiveness of subtalar, ankle, mid-foot joint mobilisation and stretching on pain, range of motion and functional activities in chronic plantar fasciitis subjects.Subjects and Methods: The study design was a pilot study. 15 chronic plantar fasciitis subjects were selected based on selection criteria using purposive sampling method. All received joint mobilisation and stretching techniques for 3 days in a week for about 4 weeks. The total study duration was 3 months. The pre-test and post test score values of pain, range of motion and functional activities were measured by using Numerical Pain Rating scale, Goniometer and Lower Extremity Functional scale and the values were recorded for statistical analysis.Result: The statistical analysis showed that the calculated ‘t’ value using the paired ‘t’ test for pain on numerical pain rating scale, range of motion of dorsiflexion, plantarflexion, inversion, eversion, subtalar inversion, subtalar eversion, midfoot supination, midfoot pronation on goniometer, functional activities on lower extremity functional scale was greater than the table value of 2.145 with p<0.05. Thus, the resultant of the study shows that there was significant reduction of pain, improvement of range of motion and functional activities among chronic plantar fasciitis subjects. Conclusion: The study concluded that subtalar, ankle and midfoot joint mobilisation along with stretching was found to be effective in reducing pain, improving range of motion and functional activities among chronic plantar fasciitis subjects.Clinical implications: The subtalar, ankle and midfoot joint mobilisation along with stretching reduces pain and improves range of motion and functional activities in chronic plantar fasciitis subjects. Increasing range of motion and functional activities controls plantar fasciitis symptoms and improves function.
Pages: 88-93 | Views: 43 | Downloads: 25
Download Full Article: Click Here
How to cite this article:
Sini Gopalakrishnan, Bindhya Chandrasekaran, Sivakumar Chinnusamy and Pradeepa Mani. Effectiveness of subtalar, ankle and midfoot joint mobilisation on pain, range of motion and functional activities among chronic plantar fasciitis subjects a pilot study. International Journal of Childhood and Development Disorders. 2024; 5(1): 88-93.
Other Journals