Comparison of the Effects of Therapeutic Ultrasound V/s Myofascial Release Technique in Treatment of Plantar Fasciitis
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Background
Plantar fascia acts as a truss, maintaining the medial longitudinal arch of foot&assists during gait cycle, facilitates shock absorption during weight bearing activities. Plantar fasciitis (PF) is most common cause of inferior heel pain. Therapeutic ultrasound (U.S) is the most common treatments used in management of soft tissue lesions. Myofascial release (MFR) is a non invasive & safe technique with virtually no side effects; it comes with a record of good results.
Aim
To compare effects of U.S v/s MFR technique in treatment of PF.
Setting & Design
A Prospective experimental study was undertaken to compare effects of U.S v/s MFR in treatment of PF.
Methods and Material
60 subjects were alternately allocated into two groups U.S (Group A-30 subjects) & MFR technique (Group B-30 subjects). Conventional exercises were common. Outcome measures were recorded on first & tenth day using Visual analog Scale (VAS) for pain intensity & Foot Function Index (FFI) for functional outcome.
Statistical Analysis
For intergroup comparison of sex distribution, Chi-Square test was used. For intragroup comparison of VAS & FFI, Wilcoxon Signed Rank test was used & for intergroup comparisons of VAS & FFI, Mann-Whitney U test was used.
Result
60 Subjects were divided into two groups & their age & sex were matched which was found non significant p=0.1405. VAS on first day was non significant for both groups with p=0.981 were as on tenth day both groups showed statistically significant difference in reduction of pain on VAS p=0.023 but intergroup analysis showed that group B is statistically more significant. Same for FFI p=0.272 on first day were as on tenth day both groups showed statistically significant difference in improvement of functional outcome on FFI p=0.023 but intergroup analysis showed group B is statistically more significant.
Conclusion
U.S & MFR technique were found to be effective but MFR technique was more effective than U.S.
Keywords
- Kisner C, Colby LA. The ankle and foot. Therapeutic exercise-Foundation and Techniques, 5th edition. New Delhi, Jaypee Brothers, 2007; 776-7.
- Barnes, J F. Mind and Body Bioenergy of healing, PT and OT Today, 1996.
- Travell, J. Simons. Myofascial pain and dysfunction. The trigger point manual. Vol.1. Williamsand Willkins.Baltimore. 1983.
- Kuhar S, Khatri S, Jeba C. Effectiveness of Myofascial Release in Treatment of Plantar Fasciitis: A RCT.IJOPT 2007;1.
- Young SR and Dyson M. Macrophages responsiveness to therapeutic ultrasound. Ultrasound in medicine and Biology. 1990; 16,261-9.
- Budiman -Mak E, Conrad KJ, Roach K. The foot function index: A measure of foot pain and disability. Jr. Clinical Epidemiology. 4:561-70, 91.
- Crowford F. Snaith M. How effective is therapeutic ultrasound in the treatment of heel pain? Ann Rheum Dis.1996; 55:265-7.
- Young S. Ultrasound therapy. In: Kitchen S. and Bazin S. (Eds) Clayton’s Electrotherapy, 10th edition. Philadelphia, WB Saunders, 1996; 243-67.
- Roberts VJ, Baker KG. A review of therapeutic ultrasound: Effectiveness studies? Physical Therapy 2001; 81:1339-50.
- DiGiovanna EL., Schionitz S. Principles of manipulative techniques. In: Spinaris T, DiGiovanna EL, Eds. An osteopathic approach to diagnoses and treatment, 2nd edition. Philadelphia, Lippincott-Raven, 1997; 83-5.
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