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Stretching or Strengthening for Plantar Fasciitis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Aug 22, 2014.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up
    M. S. Rathleff, C. M. Mølgaard, U. Fredberg, S. Kaalund, K. B. Andersen, T. T. Jensen, S. Aaskov andJ. L. Olesen
    Scandinavian Journal of Medicine & Science in Sports; Early View
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    For those been to a recent Boot Camp, this was the study I was talking about... but, now I read the details ...

    No freakin control group!!! The strengthening was better than the stretching, but we have no idea if they were better than a placebo. Look at the RCT's on plantar fasciitis that do have a control group and that group does get better. We have no way of knowing in this study if that was the case or not!

    ...also many minor issues ... will have a blog post up tomorrow.

    The author of the study has written abut it on Tom Goon's blog:
    http://www.running-physio.com/pf-new-research/
     
  4. Craig Payne

    Craig Payne Moderator

    Articles:
    8
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Self-dosed and pre-determined progressive heavy-slow resistance training have similar effects in people with plantar fasciopathy: a randomised trial
    HenrikRielaMartin BachJensenaJens LykkegaardOlesenaBillVicenzinobMichael SkovdalRathleffacd
    Journal of Physiotherapy; 13 June 2019
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effects of Strengthening and Stretching Exercises
    on the Temporospatial Gait Parameters in
    Patients With Plantar Fasciitis:
    A Randomized Controlled Trial

    Suthasinee Thong-On et al
    Ann Rehabil Med 2019;43(6):662-676
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Physiotherapy Approach to Patients with Chronic Plantar Fasciitis : Comparison of the
    Effects of Specific Stretching Exercise and High-Load Strengthening Exercise

    Yeon-Ki Choo, et al
    Journal of The Korean Society of Integrative Medicine, 2021, 9(1), 151~161
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Development of a foot and ankle strengthening program for the treatment of plantar heel pain: a Delphi consensus study
    John W. A. Osborne, Hylton B. Menz, Glen A. Whittaker & Karl B. Landorf
    Journal of Foot and Ankle Research volume 16, Article number: 67 (2023)
     
  10. scotfoot

    scotfoot Well-Known Member

    Here are the agreed upon exercises (below) .

    Of all the exercises mentioned likely "digital platarflexion banded" is the only one that will produce meaningful results. Ironically ,this exercises was missed out in a recent paper that compared isolated foot exercises with functional exercises.

    Versions of the short foot exercise that do not allow the ball of the foot to lift are not about the intrinsic foot muscles . Recent research graphically shows that electrical stimulation of the abductor hallucis will see the foot shorten and the ball of the foot lift clear of the ground . A video shows this clear as day .


    Vignette (patient)StageExerciseSetsRepetitionsWeightFrequency
    1. Younger athletic adultStage 1Hallux plantarflexion banded46 to 128 RMDaily
    Digital plantarflexion banded46 to 128 RMDaily
    Heel raise46 to 128 RMDaily
    Short foot exercise seated48 to 15BWDaily
    Stage 2Toe spread out38 to 15BWDaily
    Heel raise standing digits dorsiflexed56 to 108 RMDaily
    Short foot exercise standing single leg38 to 15BWDaily
    Stage 3Heel raise standing single leg digits dorsiflexed58 to 1510 RMDaily
    Walking lunges312 to 2520 RMDaily
    2. Overweight middle-aged adultStage 1Short foot exercise seated48 to 1210 RM2nd daily
    Hallux plantarflexion banded36 to 108 RM2nd daily
    Lesser digit plantarflexion banded32 minBW2nd daily
    Stage 2Toe spread out36 to 108 RM2nd daily
    Heel raise standing digits dorsiflexed56 to 108 RM2nd daily
    Short foot exercise standing36 to 108 RM2nd daily
    Stage 3Heel raise standing digits dorsiflexed56 to 108 RM2nd daily
    Walking lunges312 to 2015 RM2nd daily
    3. Older adultStage 1Digital plantarflexion banded48 to 1210 RM2nd daily
    Short foot exercise seated48 to 1210 RM2nd daily
    Single leg standing22 minBW2nd daily
    Stage 2Toe spread out36 to 108 RM2nd daily
    Heel raise seated56 to 108 RM2nd daily
    Digital plantarflexion banded36 to 108 RM2nd daily
    Stage 3Heel raise standing36 to 108 RM2nd daily
    Chair squat
     
  11. scotfoot

    scotfoot Well-Known Member

    Here is a link to that "clear as day" video on twitter.
    https://twitter.com/i/status/1624819118464503808

    There are two exercises out there, strict short foot, in which there is no toe flexion and which exercises the tib post, tib ant, and the peroneals, and doming, a short foot variant which also involves the IFM and which sees the ball of the foot leave the ground . Nobody seems to want to properly define these exercises and so confusion reigns.
     
  12. Why not write a letter to the Editor/ authors in response to the paper and send to the Journal?
     
  13. scotfoot

    scotfoot Well-Known Member

    Not a bad idea . I did exchange a few words about the paper with John Osborne via Twitter, and I passed on details of a recent study that shows single leg calf raises are really a non starter when it comes to strengthening the toe flexor muscles. This even with an exercise progression lasting 11 weeks and involving ever increasing weight across test subjects shoulders.

    I have no idea why the experts think dorsiflexing the toes will make any difference to the calf raise exercise and there is no evidence to support a "consensus acceptance" of calf raises that I am aware of . It is really just "groupthink", IMO.

    Toe flexion against resistance bands is at least included, and programs that include this are likely not to be a complete waste of time.
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Comparing High-Load Strength Training with Plantar-Specific Stretch and Manual Therapy for Plantar Fasciitis Pain.
    R., Divya Bharathy; Kamalakannan M.; Ramana K.; Anitha A.
    Indian Journal of Physiotherapy & Occupational Therapy, 2024, Vol 18, p20
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effectiveness of High Load Plantar Fascia Resistance Training among Athletes with Plantar Fasciitis.
    Ramya D.; Anitha A.; Ramana K.; Kamalakannan M.
    Indian Journal of Physiotherapy & Occupational Therapy, 2024, Vol 18, p749
     
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