A Comparitive Study to find the Effectiveness of Ultrasound and Myofascial Release Therapy in Plantar Heel Pain and Foot Function among Marathon Runners

BACKGROUND: Plantar fascitis or plantar heel pain is one of the most common orthopeadic complaints, relating to foot. It is especially seen among older individuals between 40 and 60 years of age. This disease is more common in runners, volley ball players with symptoms of arch pain. Plantar fascitis is defined as the inflammation to the plantar fascia on the medical process of the calcaneal tuberosity. The pain may be substantial, resulting in the alteration of the daily activities. OBJECTIVES: To study the effects of ultrasound therapy and myofascial release in the management of pain and foot function on plantar heal pain in marathon runners. METHOD: Ultrasound therapy is one of the most commonly used treatment modality in management of soft tissue lesion, Myofascial release is a soft tissue mobilization technique, if the condition is treated in the acute stage then the symptoms will be aggravated, if treated in chronic stage the symptom will be alleviating. CONCLUSION: An experimental study was conducted to investigate the effectiveness of ultrasound therapy and myofascial therapy in the management of plantar heel pain in marathon runners

Barefoot Rehabilitation Of Type II Posterior Tibialis Tendon Dysfunction In A Veteran: A Case Report

The purpose of this case report was to examine barefoot training and foot intrinsic musculature strengthening within a comprehensive PT plan of care for type II PTTD. Posterior Tibialis Tendon Dysfunction (PTTD) affects ~10% of the population, where Stage I: medial arch pain, possible pain with heel elevation, and mild ankle/foot swelling, Stage II: Stage I + flexible flatfoot deformity, Stage III: Stage I + fixed flatfoot deformity, Stage IV: tibiotalar degeneration stemming from valgus tilt of talus in ankle mortise. Barefoot training increased plantar surface proprioception, increased activation of foot intrinsic musculature, decreased running injuries. Foot Intrinsic Musculature Strengthening with Short-foot Exercise showed highest EMG for intrinsic musculature improved balance scores in patients with chronic ankle instability, decreased navicular drop in patients with pes planus and hyper-pronation, and increased support of the medial longitudinal arch. Three randomized controlled trials showed positive outcomes with comprehensive plan of care. Studies have yet to include barefoot training or intrinsic foot musculature strengthening in conservative management of PTTD.https://dune.une.edu/pt_studcrposter/1148/thumbnail.jp

Associations of region-specific foot pain and foot biomechanics: the framingham foot study

BACKGROUND. Specific regions of the foot are responsible for the gait tasks of weight acceptance, single-limb support, and forward propulsion. With region foot pain, gait abnormalities may arise and affect the plantar pressure and force pattern utilized. Therefore, this study’s purpose was to evaluate plantar pressure and force pattern differences between adults with and without region-specific foot pain. METHODS. Plantar pressure and force data were collected on Framingham Foot Study members while walking barefoot at a self-selected pace. Foot pain was evaluated by self-report and grouped by foot region (toe, forefoot, midfoot, or rearfoot) or regions (two or three or more regions) of pain. Unadjusted and adjusted linear regression with generalized estimating equations was used to determine associations between feet with and without foot pain. RESULTS. Individuals with distal foot (forefoot or toes) pain had similar maximum vertical forces under the pain region, while those with proximal foot (rearfoot or midfoot) pain had different maximum vertical forces compared to those without regional foot pain (referent). During walking, there were significant differences in plantar loading and propulsion ranging from 2% to 4% between those with and without regional foot pain. Significant differences in normalized maximum vertical force and plantar pressure ranged from 5.3% to 12.4% and 3.4% to 24.1%, respectively, between those with and without regional foot pain. CONCLUSIONS. Associations of regional foot pain with plantar pressure and force were different by regions of pain. Region-specific foot pain was not uniformly associated with an increase or decrease in loading and pressure patterns regions of pain

Pengaruh Pemberian Active Stretching Terhadap Nyeri Plantar Fasciitis pada Sales Promotion Girls di Matahari Departement Store Solo Grand Mall Surakarta

Foot health is an important component in performing daily activities because of the foot as the body support. Incorrect use of footwear can cause problems, such as in SPG experiencing heel pain due to high heels. Based on Defour's research that 1901 women experienced heel pain and pain in the lower surface of the foot (arch pain) of 29%. Complaints of pain that often occur are plantar fasciitis pain in women high heel users. Plantar fasciitis is a discomfort/ pain due to inflammation of the plantary facsia that affects the anteromedial tuberosity of the calcaneus due to the overgrowth of the plantaris fascia. One of plantar fasciitis treatment is active stretching on gastrocnemius, soleus, plantar flexor, and plantar fascia. Research Objectives: To determine the effect of active stretching of plantar fasciitis pain on sales promotion girls at Matahari Department Store Solo Grand Mall Surakarta. Research Method: The type of research used was pre-experimental, with one group pretest-posttest design. The sampling technique used in this research is using purposive sampling technique. Plantar fasciitis pain measured using Visual Analogue Scale (VAS). Result of Research: Based on the result of paired sample t-test, the result of the value of silent pain, motion pain, and tenderness with sig p-value 0,000<0,05. Conclusion: There is an effect of active stretching on plantar fasciitis pain in sales promotion girls at Matahari Department Store Solo Grand Mall Surakarta

Categorisation of Foot Complaints in Systemic Lupus Erythematosus (SLE) From a New Zealand Cohort

Background: Foot complaints have been shown to be common in systemic lupus erythematosus (SLE) and heterogeneous in nature. We aimed to categorize self-reported foot complaints in people with SLE and foot symptoms. Methods: A self-administered validated questionnaire was posted to 406 people with SLE attending adult rheumatology clinics across three health boards in Auckland, New Zealand. In addition to foot pain, vascular complaints, dermatological lesions and neurological symptoms were included in the analysis. Pairwise correlations among the variables were undertaken followed by factor analysis to identify and categorise associations between reported foot complaints. Results: From the questionnaires returned, 93 full datasets were analysed. Participants’ were predominantly female (n = 87, 93.7%), with mean (SD) age of 50.4 (14.3) years and a mean (SD) disease duration of 13.1 (11) years. Three categories of foot complaint were determined: ‘foot pain’, ‘skin disorders’ and ‘vascular insufficiency’. These three groups provided the best fit (0.91) to describe the wide range of foot complaints reported by those with SLE. Factor analysis for foot pain demonstrated a high positive loading for the inter-correlation of foot pain in past month (0.83), foot pain today (0.71), intermittent claudication (0.71), numbness (0.62), loss of balance (0.81), swelling (0.59), foot joint pain (0.77), arch pain (0.68) and tendon pain (0.77). Skin disorders demonstrated a very high positive loading for 3 factors skin rash (0.82), blistering skin rash (0.95) and foot ulceration (0.88). In vascular insufficiency a high positive loading for cold feet (0.83), chilblains (0.76) and Raynaud’s phenomenon (0.70). Conclusions: This work suggests people with SLE report three independent categories of foot complaints; foot pain, skin disorders or vascular insufficiency

Running smoothly

Sarah Catlow, MFHT and Lance Doggart, MFHT discuss running injuries and prevention strategies

ArchFlux Technology

http://deepblue.lib.umich.edu/bitstream/2027.42/69276/1/kimnf_1271878874_Freiburger_IPthesis01.pd

Effect of work boot type on work footwear habits, lower limb pain and perceptions of work boot fit and comfort in underground coal miners

Lower limb injuries are highly prevalent in underground coal mining. Wearing gumboots with inadequate ankle support was thought to contribute to these injuries. Despite the uptake of leather lace-up boots, which provide more ankle support, no recent research could be found investigating the effect of this alternative work boot in underground coal mining. Consequently, this study aimed to determine whether boot type (gumboot, leather lace-up boot) influenced work footwear habits, foot problems, lower limb pain, lower back pain, or perceptions of work boot fit and comfort in underground coal miners. Chi-squared tests were applied to 358 surveys completed by underground coal miners to determine whether responses differed significantly (p \u3c 0.05) according to boot-type. There were no significant between-boot differences in regards to the presence of foot problems, lower limb pain or lower back pain. However, the types of foot problems and locations of foot pain differed according to boot type. Gumboot wearers were also more likely to state that their work boot comfort was either uncomfortable or indifferent, their work boot fit was poor and their current boot did not provide enough support. The introduction of more structured leather lace-up boots appears to have positively influenced the support and fit provided by mining work boots, although foot problems, lower limb pain and lower back pain continue to be reported. Further investigation is recommended to identify which specific boot design features caused these observed differences in work boot fit, comfort and locations of foot pain and how these design features can be manipulated to create an underground coal mining work boot that is comfortable and reduces the high incidence of foot problems and lower limb pain suffered by underground coal miners

PLANTAR FASCIITIS: AN UPDATE ON CLINICAL AND BIOMECHANICAL FEATURES

Plantar fasciitis is an inflammatory condition, characterized by pain in the medial, central and lateral plantar compartments, accompanied by stiffness. The purpose of this study is to compared 30 runner affected by plantar fasciitis to a. control group and to point out 1) the different areas of pain and referred pain, 2) the isokinetic muscular performance of the plantar flexor muscle, by means of a Cibex 6000 isokinetic dynamometer and tests performed concentrically and eccentrically at 30, 60, 90, 180 deg/sec. 3) the data of the foot-ground reaction got by means of a. dynamometric platform. Results: In all the three sectors of plantar fascia there are different areas of pain and referred pain. An high incidence of plantar flexor muscle strength deficits has been showed both during concentric and eccentric contraction, and in addition the ankle range of motion is reduced. The gait analysis has shown a persistent alteration of the foot-ground reaction's parameters. The Aa. present the results of the treatment based on the correction of biomechanical deficits with follow-up of three years