What are the manipulation mobilization techniques effective for plantar fascitis?
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The Foot
Volume 34, March 2018, Pages 11-16
Review
Manual therapy for plantar heel pain
Author links open overlay panelYosefaPollacka1LeonidKalichmana1
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Highlights
•
Soft tissue restrictions may be a part of etiology of plantar heel pain.
•
Soft tissue mobilizations is an effective modality for treating plantar heel pain.
•
Outcomes relating to joint mobilizations are controversial.
•
Further studies are needed to evaluate the effect of soft tissue mobilizations.
Abstract
Background
Manual therapy employed in the treatment of plantar heel pain includes joint or soft tissue mobilizations. Efficacy of these methods is still under debate.
Aims
To determine whether manual therapy, consisting of deep massage, myofascial release or joint mobilization is effective in treating plantar heel pain.
Methods
A critical review of all available studies with an emphasis on randomized controlled trials (RCTs) was performed. PubMed, PEDro, and Google Scholar databases were searched for keywords relating to plantar heel pain, joint, and soft tissue mobilizations. There were no search limitations or language restrictions. The reference lists of all retrieved articles were searched. The PEDro score was used to assess the quality of the reviewed papers.
Results
A total of six relevant RCTs were found: two examined the effectiveness of joint mobilization on plantar heel pain and four the effectiveness of soft tissue techniques. Five studies showed a positive short-term effect after manual therapy treatment, mostly soft tissue mobilizations, with or without stretching exercises for patients with plantar heel pain, compared to other treatments. One study observed that adding joint mobilization to the treatment of plantar heel pain was not effective. The quality of all studies was moderate to high.
Conclusions
According to reviewed moderate and high-quality RCTs, soft tissue mobilization is an effective modality for treating plantar heel pain. Outcomes of joint mobilizations are controversial. Further studies are needed to evaluate the short and long-term effect of different soft tissue mobilization techniques.
Volume 34, March 2018, Pages 11-16
Review
Manual therapy for plantar heel pain
Author links open overlay panelYosefaPollacka1LeonidKalichmana1
Show more
Highlights
•
Soft tissue restrictions may be a part of etiology of plantar heel pain.
•
Soft tissue mobilizations is an effective modality for treating plantar heel pain.
•
Outcomes relating to joint mobilizations are controversial.
•
Further studies are needed to evaluate the effect of soft tissue mobilizations.
Abstract
Background
Manual therapy employed in the treatment of plantar heel pain includes joint or soft tissue mobilizations. Efficacy of these methods is still under debate.
Aims
To determine whether manual therapy, consisting of deep massage, myofascial release or joint mobilization is effective in treating plantar heel pain.
Methods
A critical review of all available studies with an emphasis on randomized controlled trials (RCTs) was performed. PubMed, PEDro, and Google Scholar databases were searched for keywords relating to plantar heel pain, joint, and soft tissue mobilizations. There were no search limitations or language restrictions. The reference lists of all retrieved articles were searched. The PEDro score was used to assess the quality of the reviewed papers.
Results
A total of six relevant RCTs were found: two examined the effectiveness of joint mobilization on plantar heel pain and four the effectiveness of soft tissue techniques. Five studies showed a positive short-term effect after manual therapy treatment, mostly soft tissue mobilizations, with or without stretching exercises for patients with plantar heel pain, compared to other treatments. One study observed that adding joint mobilization to the treatment of plantar heel pain was not effective. The quality of all studies was moderate to high.
Conclusions
According to reviewed moderate and high-quality RCTs, soft tissue mobilization is an effective modality for treating plantar heel pain. Outcomes of joint mobilizations are controversial. Further studies are needed to evaluate the short and long-term effect of different soft tissue mobilization techniques.
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According to reviewed moderate and high-quality RCTs, soft tissue mobilization is an effective modality for treating plantar heel pain. Outcomes of joint mobilizations are controversial. Further studies are needed to evaluate the short and long-term effect of different soft tissue mobilization techniques.
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