Physiotherapy Approach to Patients with Chronic Plantar Fasciitis : Comparison of the Effects of Specific Stretching Exercise and High-Load Strengthening Exercise

만성 발바닥 근막염 환자에 대한 물리치료적 접근법: 특이적 뻗침운동과 고부하 강화 운동의 효과 비교

  • Choo, Yeon-Ki (Dept. of Rehabilitation Therapy, Guposungshim Hospital) ;
  • Bae, Won-Sik (Dept. of Physical Therapy, Kyungnam College of Information & Technology)
  • 추연기 (구포성심병원 재활치료팀) ;
  • 배원식 (경남정보대학교 물리치료과)
  • Received : 2021.01.22
  • Accepted : 2021.02.19
  • Published : 2021.02.28


Purpose : This study was to investigate the effectiveness of ESWT and plantar fascia-specific stretching exercise vs ESWT and high-load strengthening exercise in patients with chronic plantar fasciitis. Methods : The subjects were randomized to extracorporeal shock wave therapy ( ESWT, for 3 weeks) and daily plantar-specific stretching (Group I: Stretch group) or ESWT and high-load progressive strength (Group II: Strength group) performed every second day. The main outcome measures were ultrasound, visual analogue scale (VAS), and Korean Foot Function Index (KFFI). The ultrasound (plantar fascia thickness), pain intensity I, II (the most painful of the day?, the pain when you first step in the morning?) and KFFI (functional performance) were compared between the groups. Results : No significant difference was observed between the groups in the plantar fascia thickness but pain intensity I, II was significantly lower in Group 2 than in Group 1 at only 12weeks and functional performance was also significantly increased in Group 2 compared to Group 1 at only 12 weeks. Conclusion : The high-load strengthening exercise consisting of the progressive exercise protocol, resulted in superior after 12 weeks compared with plantar-specific stretching. High-load strength exercise may aid in a quicker reduction in pain and improvements in functional performance.


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