초록

Background: Plantar fasciitis is one of the most common conditions of the lower limbs. The present study aimed to compare the effect of hip muscle strengthening exercise and stretching of lower extremity in plantar fasciitis, with regard to pain, navicular drop and foot and ankle functional ability. Methods: A total of 42 patients diagnosed with plantar fasciitis were randomly assigned to the experimental group (n=21) that applied the hip muscle strengthening exercise and the control group(n=21) that applied the general lower limb stretching. The intervention period was 6 weeks. Results: The results of the experiment showed that the exercises for strengthening the hip muscle had significant effects on pain, navicular drop and foot and ankle functional ability In addition, lower extremity stretching showed improvement effects in pain, navicular drop and foot and ankle functional ability, however, the difference between the groups except navicular drop did not reach statistical significance Conclusion: Both interventions tested in this study were confirmed to be effective treatment options for patients with plantar fasciitis.

키워드

Hip muscle strengthening, Plantar fasciitis, Plantar fascia stretching

참고문헌(30)open

  1. [학술지] Aenumulapalli A / 2017 / Prevalence of flexible flat foot in adults: A cross-sectional study / J Clin Diagn Res 11 (6) : AC17 ~ AC20

  2. [학술지] Atkins D / 1999 / A systematic review of treatments for the painful heel / Rheumatology 38 (10) : 968 ~ 973

  3. [학술지] Bolgla LA / 2011 / Comparison of hip and knee strength and neuromuscular activity in subjects with and without patellofemoral pain syndrome / Int J Sports Phys Ther 6 (4) : 285 ~ 296

  4. [학술지] Yolanda Aranda Bolívar / 2013 / Relationship Between Tightness of the Posterior Muscles of the Lower Limb and Plantar Fasciitis / Foot & Ankle International 34 (1) : 42 ~ 48

  5. [학술지] Brody DM / 1982 / Techniques in the evaluation and treatment of the injured runner / Ortho Phys Ther Clin N Am 13 (3) : 541 ~ 558

  6. [학술지] Buchbinder R / 2004 / Plantar fasciitis / N Engl J Med 350 (21) : 2159 ~ 2166

  7. [학술지] Digiovanni BF / 2003 / Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain : A prospective, randomized study / JBJS 85 (7) : 1270 ~ 1277

  8. [학술지] Digiovanni BF / 2006 / Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis : A prospective clinical trial with two-year follow-up / JBJS 88 (8) : 1775 ~ 1781

  9. [학술지] Engkananuwat P / 2018 / Effectiveness of the simultaneous stretching of the Achilles tendon and plantar fascia in individuals with plantar fasciitis / Foot Ankle Int 39 (1) : 75 ~ 82

  10. [학술지] Goo YM / 2016 / The effects of gluteus maximus and abductor hallucis strengthening exercises for four weeks on navicular drop and lower extremity muscle activity during gait with flatfoot / Journal of Physical Therapy Science 28 (3) : 911 ~ 915

  11. [학술지] Gudeman SD / 1997 / Treatment of plantar fasciitis by lontophoresis of 0.4% dexamethasone: A randomized, double-blind, placebo-controlled study / Am J Sports Med 25 (3) : 312 ~ 316

  12. [학위논문] Ha SM / 2015 / Reliability & Validity of CAI Assessment Questionary: Korea version

  13. [학술지] Huang YC / 2004 / The relationship between the flexible flatfoot and plantar fasciitis : ultrasonographic evaluation / Chang Gung Medical Journal 27 (6) : 443 ~ 448

  14. [학술지] Kamonseki DH / 2016 / Effect of stretching with and without muscle strengthening exercises for the foot and hip in patients with plantar fasciitis: A randomized controlled single-blind clinical trial / Man Ther 23 : 76 ~ 82

  15. [학술지] Macadam P / 2015 / An examination of the gluteal muscle activity associated with dynamic hip abduction and hip external rotation exercise : A systematic review / Int J Sports Phys Ther 10 (5) : 573 ~ 591

  16. [학술지] RobRoy L. Martin / 2005 / Evidence of Validity for the Foot and Ankle Ability Measure (FAAM) / Foot & Ankle International 26 (11) : 968 ~ 983

  17. [학술지] Thomas G. McPoil / 2008 / Heel Pain—Plantar Fasciitis / Journal of Orthopaedic & Sports Physical Therapy 38 (4) : A1 ~ A18

  18. [단행본] Myers, TW / 2009 / Anatomy Trains-Myofascial Meridians for Manual and Movement Therapists, Churchill Livingstone / Elsevier

  19. [학술지] Neufeld SK / 2008 / Plantar fasciitis:Evaluation and treatment / JAAOS-Journal of the American Academy of Orthopaedic Surgeons 16 (6) : 338 ~ 346

  20. [학술지] Hilda Alcântara Veiga Oliveira / 2015 / Effectiveness of Total Contact Insoles in Patients with Plantar Fasciitis / The Journal of Rheumatology 42 (5) : 870 ~ 878

  21. [학술지] Martin J. O'Malley / 2000 / Endoscopic Plantar Fasciotomy for Chronic Heel Pain / Foot & Ankle International 21 (6) : 505 ~ 510

  22. [학술지] Renan-Ordine R / 2011 / Effectiveness of myofascial trigger point manual therapy combined with a self-stretching protocol for the management of plantar heel pain : A randomized controlled trial / J Orthop Sports Phys Ther 41 (2) : 43 ~ 50

  23. [학술지] Shirley Sahrmann / 2017 / Diagnosis and treatment of movement system impairment syndromes / Brazilian Journal of Physical Therapy 21 (6) : 391 ~ 399

  24. [학술지] Kecia E. Sell / 1994 / Two Measurement Techniques for Assessing Subtalar Joint Position: A Reliability Study / Journal of Orthopaedic & Sports Physical Therapy 19 (3) : 162 ~ 167

  25. [학술지] Neena K. Sharma / 2010 / Static Progressive Stretch Brace as a Treatment of Pain and Functional Limitations Associated With Plantar Fasciitis / Foot & Ankle Specialist 3 (3) : 117 ~ 124

  26. [학술지] Nili Steinberg / 2016 / The relationship of hip muscle performance to leg, ankle and foot injuries: a systematic review / The Physician and Sportsmedicine 45 (1) : 49 ~ 63

  27. [학술지] Taunton JE / 2002 / A retrospective case-control analysis of 2002 running injuries / Br J Sports Med 36 (2) : 95 ~ 101

  28. [학술지] Scott C Wearing / 2006 / The Pathomechanics of Plantar Fasciitis / Sports Medicine 36 (7) : 585 ~ 611

  29. [학술지] Young CC / 2001 / Treatment of plantar fasciitis / Am Fam Physician 63 (3) : 467 ~ 475

  30. [학술지] Wagner DR / 2007 / Reliability and utility of a visual analog scale for the assessment of acute mountain sickness / High Alt Med Biol 8 (1) : 27 ~ 31