Boob Manali A, Phansopkar Pratik, Somaiya Kamya J
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
Cureus. 2023 Jul 31;15(7):e42740. doi: 10.7759/cureus.42740. eCollection 2023 Jul.
The foot and the lower leg comprise the ankle joint complex. The foot is crucial for the maintenance of posture. Frequently, overuse or repeated microtrauma to the fascia causes plantar fasciitis. This review aims to suggest the efficacy of various plantar fasciitis (PF) interventions based on modifications in clinical results. This review included studies from 2019 to March 2023 identified through a systematic literature search. The measures used to predict improvement in pain, discomfort, and foot function symptoms included the Visual Analog scale, Numerical Pain Rating Scale, Pressure Point Threshold by algometer, Weight-Bearing Lunge Test by inch tape, and range of motion. The review included 20 studies that fulfilled the inclusion criteria. Therapeutic interventions included insoles, foot orthosis, foam roller stretching, manual stretching, muscle strengthening, intrinsic muscle activities, extracorporeal shock wave lithotripsy, dry needling, laser, ultrasound, and others, which resulted in pain reduction, improved foot function, and ease of everyday routine. All therapeutic strategies used impacts resulting from minimal to maximal recovery. Various advanced approaches are more effective than conventional physical therapy. In conclusion, conservative therapeutic strategies with manual techniques, orthoses, and alternative intervention strategies can be combined to effectively relieve pain and improve function and overall results. Further high-quality studies are essential to learn more about the ideal dose, treatment approaches, and long-term impacts of these therapies.
足部和小腿构成踝关节复合体。足部对于维持姿势至关重要。筋膜的过度使用或反复微创伤常常会导致足底筋膜炎。本综述旨在根据临床结果的改善情况，提示各种足底筋膜炎（PF）干预措施的疗效。本综述纳入了通过系统文献检索确定的2019年至2023年3月的研究。用于预测疼痛、不适和足部功能症状改善情况的测量指标包括视觉模拟量表、数字疼痛评分量表、压力痛觉计测量的压痛点阈值、英寸卷尺进行的负重弓步试验以及活动范围。该综述纳入了20项符合纳入标准的研究。治疗干预措施包括鞋垫、足部矫形器、泡沫轴拉伸、手法拉伸、肌肉强化、固有肌活动、体外冲击波碎石术、干针疗法、激光、超声等，这些措施可减轻疼痛、改善足部功能并使日常活动更轻松。所有使用的治疗策略都产生了从最小到最大程度恢复的效果。各种先进方法比传统物理治疗更有效。总之，手动技术、矫形器和替代干预策略等保守治疗策略可以结合起来，有效缓解疼痛、改善功能和整体效果。进一步的高质量研究对于更多地了解这些疗法的理想剂量、治疗方法和长期影响至关重要。
