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Órgano Oficial del Hospital Angeles Health System

2007, Number 1

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Acta Med 2007; 5 (1)

Rehabilitation of chronic plantar fasciitis

Domínguez CLG, Leos ZH, Arellano AJG

Language: Spanish
References: 50
Page: 9-16
PDF size: 179.77 Kb.


ABSTRACT

Objective: To evaluate calf muscles and plantar fascia stretching exercises on patients with chronic fasciitis plantar (CFP) in a clinical essay, autocontrolled and prospective study. Material and methods: 28 patients with CFP of ≥ 6 months evolution. Measurements: MCI, posture, plantar sole graphic, extremities mobility arches, pain in AVS, analgesic use daily quantification and 12 months control outcomes. Intervention: Calf muscles and fascia plantar stretching exercises (10 movements of 20 seconds each by 6 weeks) on step platform. Results: age mean and SD 55.4 years ± 6.5; female sex 60.7% and male sex 39.3%; Findings: hallux valgus 60%, genu valgus and flatfoot 46%; pronation heel 71%; psoas major, iliacus, semimembranosus, semitendinosus, biceps femoris, gastrocnemius and soleus contractures. At 6th week: 43% asymptomatic patients; 50% with pain ≤ 3 correlated with analgesic diminish or not used. Outcomes at 12 months: 78.5% (n = 22) asymptomatic, two patients doing sporadic exercise; 3 patients were lost and 1 patient required surgery. Conclusions: Calf and fascia plantar stretching is an effective treatment of CFP.


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