Kaltenborn Mobilisations for Plantar Fasciitis

NewsBot · Sep 30, 2015

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EFFECT OF IMPAIREMENT-BASED KALTENBORN TECHNIQUE FOR
PLANTAR FASCIITIS: A RANDOMIZED CONTROL TRIAL
Anand B Heggannavar, Swathi Kandada
Int J Physiother Res 2015, Vol 3(4):1117-21

Relevance: Plantar fasciitis, the most common cause of heel pain, is due to repetitive strain injury to the medial
arch and the heel, causing functional disabilities. Any biomechanical alteration in the lower extremity has its
effect on plantar fascia. Kaltenborn mobilization techniques have been proved effective in improving the range
of motion of the affected joints. There is a need to evaluate these techniques in plantar fasciitis by treating
whole lower extremity.
Participants: 20 subjects with the mean age (23.80?2.71) with primary heel pain are recruited in the study.
Method: Subjects of randomized controlled trial were randomly allocated into two groups, Group A (n=10)
received therapeutic ultrasound, stretching?s and exercises and Group B ( n=10 ) received therapeutic ultra
sound, Kaltenborn mobilizations to the affected joints of lower extremity, stretching and exercises. The outcome
measures are visual analogue scale ( VAS ), foot function index ( FFI ) and range of motion measured by
Goniometer assessed on day 1 pre-treatment and day 12 post treatment.
Analysis: It was done using Mann Whitney U test and Wilcoxon matched pairs test using SPSS software.
Results: The intra-group mean differences in pre and post values for group-A are 1.80?2.39, 2.50?2.64, 3.40?1.84,
and 19.75?8.16 for ankle dorsiflexion, plantarflexion, VAS and FFI respectively, and in group-B are 1.00?2.11,
10.50?8.32, 4.70?0.67and 28.07?8.26 for ankle dorsiflexion, plantarflexion, VAS and FFI respectively. The intragroup
comparison had shown statistical significance with p<0.05 and whereas in between comparison groupB
had shown better improvement than group-A.
Conclusion: Kaltenborn mobilizations along with therapeutic ultrasound, stretches and exercises have shown
better improvement compared to the control group.
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Craig Payne · Sep 30, 2015

Randomized, but ended up with equal number in both groups: not impossible but a red flag

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Craig Payne Moderator

Mobilisations, foot and leg massage and falls

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