Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Stretching of the plantar fascia and calf muscles for plantar fasciitis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Oct 7, 2017.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

    Members do not see these Ads. Sign Up.
    Effectiveness of the Simultaneous Stretching of the Achilles Tendon and Plantar Fascia in Individuals With Plantar Fasciitis
    Phoomchai Engkananuwat, PT, BSc, Rotsalai Kanlayanaphotporn, PT, PhD, Nithima Purepong, PT, PhD First Foot & Ankle International October 6, 2017
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. Damien Howell

    Damien Howell Member

    Not having access to full text of this article my comments are based on reading information in abstract. The abstract does not report whether there was change in range of motion of first MTP joint (length test for plantar aponeurosis. Chang has reported there is greater peak first MTPJ dorsiflexion when walking in individuals with plantar heel pain compared to controls 51.2° to 39°. [1] This raises the question whether objective signs of increased motion in subjects with painful heels warrant stretching the plantar aponeurosis. Majority of controlled clinical trials regarding plantar heel pain as well as this study fail to use a control group which does not stretch. [2]

    This study did measure pressure pain threshold, or level of tolerance. Majority of controlled clinical trials regarding plantar heel pain use outcome measure of a self-report pain measure or self-report perceived disability measure. Weppler has proposed the positive benefits from stretching exercises may be modifying the individual’s sensation as opposed to increasing muscle extensibility. [3] The positive results from aggressive stretching for plantar heel pain may be “it hurts so bad it feels good”. Can we achieve faster results if we avoid stretching exercises if the evidence is the first MTPJ dorsiflexion and ankle dorsiflexion are normal or loose? Arguments can occur as to what are best methods of measurement and what normal values of dorsiflexion, are, but at a minimal level of evidence compare the range of motion values to the non-symptomatic side if available.

    A better outcome measure would be pain measure during observed physical performance measurement. This concept has been applied to other joints the Dynamic Weight Bearing Pain Assessment Test for Knee. [4] Saban has proposed a performance measure for individuals with plantar heel pain that can be observed. [5] Standardized, valid, reliable, efficient physical performance measures which include pain measurement during the data collection are needed for plantar heel pain and foot problems.

    Damien Howell PT, DPT, OCS

    1. Chang R, Rodrigues PA, Van Emmerik RE, Hamill J: Multi-segment foot kinematics and ground reaction forces during gait of individuals with plantar fasciitis. J Biomech 2014, 47(11):2571-2577.
    2. Sweeting D, Parish B, Hooper L, Chester R: The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review. J Foot Ankle Res 2011, 4:19.
    3. Weppler CH, Magnusson SP: Increasing muscle extensibility: a matter of increasing length or modifying sensation? Phys Ther 2010, 90(3):438-449.
    4. Klokker L, Christensen R, Waehrens EE, Bandak E, Bartholdy C, Bliddal H, Henriksen M: Dynamic weight-bearing assessment of pain in knee osteoarthritis: construct validity, responsiveness, and interpretability in a research setting. Health Qual Life Outcomes 2016, 14:91.
    5. Saban B, Masharawi Y: Three single leg standing tests for clinical assessment of chronic plantar heel pain syndrome: static stance, half-squat and heel rise. Physiotherapy 2016.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    To Compare the Effectiveness of tendo-achilles and Plantar Fascia stretching with Ultrasound with Planta Fascia stretching and Ultrasound in Plantar Fasciitis
    Kulkarni Shweta et al
    Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
    Year : 2018, Volume : 12, Issue : 1

     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A Prospective Randomized Controlled Trial Comparing Physical Therapy with Independent Home Stretching for Plantar Fasciitis
    Philip B. Kaiser, MD, Alexander M. Crawford, MD, Eric M. Bluman, MD, ...
    Foot & Ankle Orthopaedics October 28, 2019
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Which Stretching Method is Superior in Plantar Fasciosis?
    John Butarbutar, MD, PhD
    Orthopaedic Journal of Sports Medicine November 27, 2019
     
Loading...

Share This Page