Calf stretching and plantar fascia-specific stretching for plantar fasciitis: A systematic review and meta-analysis

Siriphorn, Akkradate; Eksakulkla, Sukanya

doi:10.1016/j.jbmt.2020.06.013

Cited by 35 publications

(20 citation statements)

References 31 publications

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“…Of these, two studies that focused on plantar heel pain provided preliminary evidence supporting the use of static plantar fascia stretching in improving pain and function, but no support for static calf stretching. These findings were largely consistent with report by Siriphorn et al who conducted a systematic review with meta-analysis of eight RCTs and found that there was moderate quality evidence in favor of plantar fascia-specific stretching (PFSS) over the Achilles tendon or calf stretching (CS) reducing pain in the short term (less than 3 months [89].…”

supporting

confidence: 89%

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A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis

Rhim

Kwon

Park

et al. 2021

Life

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The number of systematic review and meta-analyses on plantar fasciitis is expanding. The purpose of this review was to provide a comprehensive summary of reviews on the topic pertaining to plantar fasciitis, identify any conflicting and inconsistent results, and propose future research direction. A qualitative review of all systematic reviews and meta-analyses related to plantar fasciitis up to February 2021 was performed using PubMed, Embase, Web of Science, and the Cochrane Database. A total of 1052 articles were initially identified and 96 met the inclusion criteria. Included articles were summarized and divided into the following topics: epidemiology, diagnosis, and treatment. While the majority of reviews had high level of heterogeneity and included a small number of studies, there was general consensus on certain topics, such as BMI as a risk factor for plantar fasciitis and extracorporeal shockwave therapy as an effective mode of therapy. A qualitative summary of systematic reviews and meta-analyses published on plantar fasciitis provides a single source of updated information for clinicians. Evidence on topics such as the epidemiology, exercise therapy, or cost-effectiveness of treatment options for plantar fasciitis are lacking and warrant future research.

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supporting

confidence: 89%

“…Stretching: Three studies investigated the effects of stretching in the treatment of plantar fasciitis [88][89][90]. Sweeting et al conducted a systematic review of six studies comparing stretching with other conservative treatments or without intervention/natural history [88].…”

mentioning

confidence: 99%

A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis

Rhim

Kwon

Park

et al. 2021

Life

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“…This may be related to the different activity patterns and exercise intensity between the PF group and healthy group. According to previous studies, the more activity or exercise intensity, the greater the stiffness of AT (Engkananuwat et al, 2018;Schneider et al, 2018;Zhou et al, 2019a,b;Liu et al, 2020;Siriphorn and Eksakulkla, 2020).…”

Section: Optimal Cut-off Point In Assessing Chronic Pf Patients With Swementioning

confidence: 91%

“…Plantar fasciitis (PF) is a common disorder of the foot, with an incidence of approximately 1% ( Siriphorn and Eksakulkla, 2020 ). Although PF pain can be alleviated by conservative management, such as a variety of stretching methods, including the Achilles tendon (AT) and plantar fascia, relapse can easily occur.…”

Section: Introductionmentioning

confidence: 99%

Elasticity of the Achilles Tendon in Individuals With and Without Plantar Fasciitis: A Shear Wave Elastography Study

et al. 2021

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The elastic properties of the Achilles tendon (AT) are altered in local injury or other diseases and in response to changes in mechanical load. Recently, elastography has been used to evaluate variations in tendon elastic properties, mainly among healthy individuals or athletes. Therefore, this study evaluated the biomechanical changes in ATs in individuals with and without plantar fasciitis (PF). The purposes were as follows: (1) to evaluate the passive stiffness of three regions of the AT which defined as 0 (AT0 cm), 3 (AT3 cm), and 6 cm (AT6 cm) above the calcaneal tuberosity in participants with and without PF, (2) to investigate the interplay between the passive stiffness in patients with PF and pain, (3) to detect optimal cut-off points of stiffness of the AT in assessing individuals with chronic PF, and (4) to determine the correlation between the plantar fascia thickness (PFT) and pain. This cross-sectional study included 40 participants (mean age = 51 ± 13 years). When the ankle was in a relaxed position, patients with PF experienced increased passive stiffness in AT0 cm (p = 0.006) and AT3 cm (P = 0.003), but not in the neutral position. Significant correlations were observed between pain and stiffness of AT (AT0 cm r = 0.489, P = 0.029; AT3 cm r = 487, P = 0.030; AT6 cm r = 0.471, P = 0.036), but not in the PFT (P = 0.557). Optimal cut-off stiffness was AT (452 kPa) in the relaxed ankle position. The plantar fascia of patients with PF was significantly thicker than that of the controls (P < 0.001). Findings from the present study demonstrate that tendon stiffness is a good indicator of the clinical situation of patients with PF. Monitoring passive tendon stiffness may provide additional information to assess severity of the condition and guide therapeutic. The treatment programs for PF should also be tailored to the distal AT, as conventional therapy might not be targeted to tight tendons.

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“…Лечебный эффект растяжки был большим и сопоставимым с другими методами лечения. Будущие исследования более высокого качества необходимы для уточнения или подтверждения выводов [6]. В то же время некоторые наблюдения медиков европейских стран свидетельствуют о предпочтении физических упражнений над другими методами лечения.…”

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Non-Drug Treatment of Plantar Fasciitis

Malinskiу¹,

Bezgodkov²

2022

НО МН (SR MS)

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Среди общего объема патологий стопы центральное место занимает плантарный (подошвенный) фасциит. Предполагаемыми этиологическими факторами воспаления плантарной фасции являются лишний вес, чрезмерные физические нагрузки, плосковальгусная деформация стоп, неправильно подобранная обувь. Исследования показали взаимосвязь степени гибкости подошвенных мышц, индекса массы тела и объема нагрузок на подошвенные поверхностные структуры. Клинические проявления подошвенного фасциита связаны с патогномоничным симптомом первичной утренней боли пораженной стопы. На сегодняшний день немедикаментозная терапия подошвенного фасциита применяется наряду с другими методами консервативного и хирургического лечения. В статье проведен обзор наиболее используемых немедикаментозных средств терапии плантарного фасциита, также описан распространенный в западных странах метод кинезиотейпирования, применяемый в том числе в спорте высших достижений. Хорошую эффективность показали физические упражнения, изолированно воздействующие на фасцию, и упражнения, направленные на расслабление задней части мышц голени, а также методы экстракорпоральной ударно-волновой терапии. Несмотря на широкое применение в клинической практике аппаратов экстракорпоральной ударно-волновой терапии (ЭУВТ), существует объективная сложность исследования эффективности ЭУВТ, из-за различия в протоколах использования аппаратов ЭУВТ, возможности выбора различных типов воздействия непосредственно на локализацию патологического процесса, а также на его интенсивность.

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Calf stretching and plantar fascia-specific stretching for plantar fasciitis: A systematic review and meta-analysis

Cited by 35 publications

References 31 publications

A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis

A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis

Elasticity of the Achilles Tendon in Individuals With and Without Plantar Fasciitis: A Shear Wave Elastography Study

Non-Drug Treatment of Plantar Fasciitis

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