IJPR.2022.159

Type of Article:  Original Research

Volume 10; Issue 5 (October 2022)

Page No.: 4382-4388

DOI: https://dx.doi.org/10.16965/ijpr.2022.159

Effect of MFR Technique Versus Static Stretching on Pain Among Adults with Plantar Fasciitis

Suvinlal Stalin Russel *, Sahu Deepali Nilanchal, RahulKrishnan, Priya Kesar.

Department of Physiotherapy, Faculty of Health Sciences, MAHSA University, Malaysia.

Address for Correspondence: uvinlal Stalin Russel, Department of Physiotherapy, Faculty of Health Sciences, MAHSA University, Jln SP 2, Bandar Saujana Putra, 42610 Jenjarom, Selangor, Malaysia. E-Mail: suvinlal@mahsa.edu.my

Suvinlal Stalin Russel: 0000-0002-9290-4327

Rahul Krishnan Kutty: 0000-0001-7819-6005

Priya Kesar: 0000-0003-2315-446X

ABSTRACT

Background: Disorder of plantar fascia caused from overuse, excessive overload or prolonged standing time is called plantar fasciitis. Conservative treatment is a primary choice of treatment for plantar fasciitis and physiotherapist play a vital role. Interventions such as ultrasound, soft tissue massage, orthotics, taping, hot pack, cold pack, stretching and strengthening exercises are used by physiotherapists for treatment of this condition.

Objectives: This study is aimed to evaluate and compare the effectiveness of myofascial release technique and static stretching of plantar fascia, on pain among adults with plantar fasciitis.

Methods: All the subjects were screened as per the inclusion & exclusion criteria. After getting their written consent, a total of 42 plantar fasciitis patients with mean age of 28 years were included in the study. They were randomly allocated into two groups with n= 21 in each group. Group A was given Myofascial Release Technique whereas Group B was given Static Stretching on the affected plantar fascia. The interventions were carried out for twice a week for two weeks. Visual Analogue Scale was used as the outcome measure and it was measured pre- and post-intervention at baseline during week one and at the end of treatment at week two.

Results:  The study demonstrated statistically significant difference between pre-treatment and post-treatment visual analogue scale scores, in both groups: MFR (p < .0001) and Static Stretching (p < .0011).

Conclusion: Both MFR as well as static stretching are effective in reducing pain in plantar fasciitis patients.

Key words: Plantar Fasciitis, Static Stretching, Myofascial Release, Pain, Visual Analogue Scale.

REFERENCES

[1] Buchanan BK, Kushner D. Plantar Fasciitis [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2020.
[2] Beeson P. Plantar fasciopathy: Revisiting the risk factors. Foot and Ankle Surgery. 2014 Sep;20(3):160–5.
[3] Zhang J, Nie D, Rocha JL, Hogan MV, Wang JH-C. Characterization of the structure, cells, and cellular mechanobiological response of human plantar fascia. Journal of Tissue Engineering [Internet]. 2018 Oct 3 [cited 2021 Jan 7];9.
[4] Latt LD, Jaffe DE, Tang Y, Taljanovic MS. Evaluation and Treatment of Chronic Plantar Fasciitis. Foot & Ankle Orthopaedics. 2020 Jan 1;5(1):247301141989676.
[5] Neufeld SK, Cerrato R. Plantar Fasciitis: Evaluation and Treatment. Journal of the American Academy of Orthopaedic Surgeons. 2008 Jun;16(6):338–46.
[6] Yelverton C, Rama S, Zipfel B. Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches. Health SA Gesondheid. 2019 Sep 25;24.
[7] Steinmetz M. Treatment choices for plantar fasciitis. American Family Physician [Internet]. 1999.
[8] Chitara V. To Compare the Effectiveness of Muscle Energy Technique versus Myofasial Release in Pain and Lower Limb Functional Activity in Subjects Having Planter Fasciitis -A Randomized Control Trial. International Journal of Science and Research (IJSR) ISSN [Internet]. 2015 [cited 2021 Oct 31];6:2319–7064.
[9] Kisner C, Lynn Allen Colby, Borstad J. Therapeutic exercise: foundations and techniques. 7th ed. Philadelphia: F. A. Davis Company, Cop; 2018.
[10] Tandel HI, Shukla . Effect of Myofascial Release Technique in Plantar Fasciitis on Pain and Function- An Evidence Based Study. International Journal of Science and Healthcare Research. 2021 Jun 29;6(2):332–7
[11] Cheung JT-M, An K-N, Zhang M. Consequences of Partial and Total Plantar Fascia Release: A Finite Element Study. Foot & Ankle International. 2006 Feb;27(2):125–32.
[12] Pattanshetty RB, Raikar AS. Immediate Effect of Three Soft Tissue Manipulation Techniques On Pain Response And Flexibility In Chronic Plantar Fasciitis: A Randomized Clinical Trial. International Journal of Physiotherapy and Research. 2015 Feb 11;3(1):875–84
[13] Renan-Ordine R, Alburquerque-SendÍn F, Rodrigues De Souza DP, Cleland JA, Fernández-de-las-PeÑas C. Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy. 2011 Feb;41(2):43–50.
[14] Rompe JD, Cacchio A, Weil L, Furia JP, Haist J, Reiners V, et al. Plantar Fascia-Specific Stretching Versus Radial Shock-Wave Therapy as Initial Treatment of Plantar Fasciopathy. The Journal of Bone and Joint Surgery-American Volume [Internet]. 2010 Nov [cited 2019 May 30];92(15):2514–22. Available from: http://www.sitod.it/sites/default/files/articoli/fascite%20plantare%20radiali.pdf
[15] Tahririan MA, Motififard M, Tahmasebi MN, Siavashi B. Plantar fasciitis. Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences [Internet]. 2012;17(8):799–804. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3687890/
[16] DiGiovanni BF, Nawoczenski DA, Lintal ME, Moore EA, Murray JC, Wilding GE, et al. Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain. A prospective, randomized study. The Journal of Bone and Joint Surgery American Volume [Internet]. 2003 Jul 1 [cited 2020 Jul 25];85(7):1270–7. Available from: https://pubmed.ncbi.nlm.nih.gov/12851352/
[17] Rathleff MS, Mølgaard CM, Fredberg U, Kaalund S, Andersen KB, Jensen TT, et al. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scandinavian journal of medicine & science in sports [Internet]. 2015;25(3):e292-300.
[18] Kocaman AA, Yildiz S, Bek, N. Plantar Fasciitis and Current Treatment Approaches. Clin Surg. [Internet}. 2017
[19] Thong-On S, Bovonsunthonchai S, Vachalathiti R, Intiravoranont W, Suwannarat S, Smith R. Effects of Strengthening and Stretching Exercises on the Temporospatial Gait Parameters in Patients With Plantar Fasciitis: A Randomized Controlled Trial. Annals of Rehabilitation Medicine [Internet]. 2019 Dec 1 [cited 2020 Jun 27];43(6):662–76.
[20] Malanga GA, Nadler S. Musculoskeletal physical examination : an evidence-based approach. Philadelphia, Pa: Elsevier Mosby; 2006.
[21] De Garceau D, Dean D, Requejo SM, Thordarson DB. The Association between Diagnosis of Plantar Fasciitis and Windlass Test Results. Foot & Ankle International. 2003 Mar;24(3):251–5
[22] Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF. Arthritis Care & Research. 2011 Nov;63(S11):S240–52.
[23] Joyce CR, Zutshi DW, Hrubes V, Mason RM. Comparison of fixed interval and visual analogue scales for rating chronic pain. European Journal of Clinical Pharmacology [Internet]. 1975 Aug 14 [cited 2021 Nov 2];8(6):415–20.
[24] Begum MR. VALIDITY AND RELIABILITY OF VISUAL ANALOGUE SCALE (VAS) FOR PAIN MEASUREMENT. Journal of Medical Case Reports and Reviews [Internet]. 2019 Nov 8;2(11).
[25] Black K. Business statistics : for contemporary decision making. Hoboken: Wiley; 2019.
[26] Sharma G. Pros and cons of different sampling techniques. [Internet]. International journal of applied research. 2017 [cited 2021].
[27] Carter RE, Lubinsky J & Domholdt, E. Rehabilitation research: Principles and applications. St. Louis, Mo: Elsevier Saunders, 2011.
[28] Kuhar S, Subhash K, Chitra J. Effectiveness of myofascial release in treatment of plantar fasciitis: A RCT. Indian Journal of Physical Therapy and Occupational Therapy [Internet]. 2007 [cited 2021];1(3):221–5.
[29] Digiovanni BF, Nawoczenski DA, Malay DP, Graci PA, Williams TT, Wilding GE, et al. Plantar Fascia-Specific Stretching Exercise Improves Outcomes in Patients with Chronic Plantar Fasciitis. The Journal of Bone & Joint Surgery. 2006 Aug;88(8):1775–81.

Cite this article: Suvinlal Stalin Russel, Sahu Deepali Nilanchal, RahulKrishnan, Priya Kesar.  Effect of MFR Technique Versus Static Stretching on Pain Among Adults with Plantar Fasciitis. Int J Physiother Res 2022;10(5):4382-4388. DOI: 10.16965/ijpr.2022.159