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Open AccessArticle

Effectiveness of Manual Therapy, Customised Foot Orthoses and Combined Therapy in the Management of Plantar Fasciitis—A RCT

1
Department of Orthopaedic, Trauma, Hand and Neuro Surgery, Klinikum Osnabrueck GmbH, 49076 Osnabrueck, Germany
2
Physiopraxis Kramer, 49492 Westerkappeln, Germany
3
Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrueck, 49076 Osnabrueck, Germany
4
Department of Orthopedic Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, 91054 Erlangen, Germany
5
Department of Movement and Training Science, University of Wuppertal, 42119 Wuppertal, Germany
*
Author to whom correspondence should be addressed.
Sports 2019, 7(6), 128; https://doi.org/10.3390/sports7060128
Received: 30 March 2019 / Revised: 24 May 2019 / Accepted: 26 May 2019 / Published: 28 May 2019
(This article belongs to the Special Issue Maximising Triathlon Health and Performance: the State of the Art)
Background: Plantar fasciitis (PF) is one of the most common causes of plantar heel pain. Objective: To evaluate the effectiveness of three different treatment approaches in the management of PF. Methods: Sixty-three patients (44 female, 19 men; 48.4 ± 9.8 years) were randomly assigned into a manual therapy (MT), customised foot orthosis (FO) and a combined therapy (combined) group. The primary outcomes of pain and function were evaluated using the American Orthopaedic Foot and Ankle Society-Ankle Hindfoot Scale (AOFAS-AHS) and the patient reported outcome measure (PROM) Foot Pain and Function Scale (FPFS). Data were evaluated at baseline (T0) and at follow-up sessions after 1 month, 2 months and 3 months (T1–T3). Results: All three treatments showed statistically significant (p < 0.01) improvements in both scales from T0 to T1. However, the MT group showed greater improvements than both other groups (p < 0.01). Conclusion: Manual therapy, customised foot orthoses and combined treatments of PF all reduced pain and function, with the greatest benefits shown by isolated manual therapy. View Full-Text
Keywords: plantar fasciitis; heel pain; manual therapy; joint mobilization; customised orthoses; insoles; back pain plantar fasciitis; heel pain; manual therapy; joint mobilization; customised orthoses; insoles; back pain
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Grim, C.; Kramer, R.; Engelhardt, M.; John, S.M.; Hotfiel, T.; Hoppe, M.W. Effectiveness of Manual Therapy, Customised Foot Orthoses and Combined Therapy in the Management of Plantar Fasciitis—A RCT. Sports 2019, 7, 128.

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