The Short-Term Effects of Treating Plantar Fasciitis With a Temporary Custom Foot Orthosis and Stret

NewsBot · Feb 5, 2011

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The Short-Term Effects of Treating Plantar Fasciitis With a Temporary Custom Foot Orthosis and Stretching.
Drake M, Bittenbender C, Boyles RE.
J Orthop Sports Phys Ther. 2011 Feb 2. [Epub ahead of print]

STUDY DESIGN: Prospective single group cohort study.

OBJECTIVES: To identify the effectiveness of a temporary custom foot orthosis (TCFO), followed by a stretching program, for the treatment of plantar fasciitis (PF).

BACKGROUND: PF is a common cause of heel pain which often leads to disability. It is often a challenging clinical condition for which optimal treatment is still unknown.

METHODS: Fifteen individuals with PF were recruited from the general public. All participants received a TCFO and were instructed to wear it for 2 weeks when weight bearing. Following the initial 2 weeks, participants were weaned off of the TCFO and instructed to begin a daily stretching program. Follow up appointments occurred at 2 weeks, 4 weeks, and 12 weeks. Primary outcome measures included first step heel pain via numeric pain rating scale (NPRS), the Foot and Ankle Ability Measure Activities of Daily Living subscale (FAAM A), and the Foot and Ankle Ability Measure Sports subscale (FAAM S). Secondary outcome included the Global Rating of Change (GRC) score.

RESULTS: Individuals with a primary complaint of plantar foot pain entered and completed this study. Repeated measures ANOVAs for the NPRS, FAAM A, and FAAM S showed statistically significant changes (p< 0.001). Post hoc analysis using paired t-tests demonstrated statistically and clinically significant change at all times compared to the initial intervention (p< 0.001). Mean GRC scores at 2 weeks, 4 weeks, and 12 weeks were, 4.4, 4.5, and 4.2, respectively.

CONCLUSION: When used for treatment of plantar fasciitis, a TCFO followed by stretching provides preliminary evidence that first step heel pain and foot and ankle function improve in the short term and out to 12 weeks.
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