TY - JOUR
T1 - Effect of monophasic pulsed current on inferior heel symptoms associated with plantar fasciitis
AU - Alotaibi, A.
AU - Petrofsky, J.
AU - Daher, N.
AU - Lohman, E.
AU - Syed, Hasan M.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Background: Plantar fasciitis (PF) is a soft tissue disorder and considered one of the most common causes of inferior heel. Monophasic pulsed current (MPC) is a method of electrical stimulation (ES) clinically used to promote and accelerate wounds and pressure ulcers healing processes. Purpose: The aim of this prospective clinical trial was to investigate the effect of MPC and MPC coupled with plantar fascia specific stretching exercises (SE) in the treatment of plantar fasciitis. Methods: Forty four participants (22 were women; 22 were men, with a mean age of 49 years) diagnosed with PF were randomly allocated to receive MPC (n = 22) or MPC coupled with plantar fascia specific stretching exercises (SE) (n = 22). Subjects were 18 to 65 years of age with clinical diagnose of PF with complaint of heel pain greater than or equal to 3 on a 1 to 10 VAS scale. Prior to each treatment, participants underwent baseline evaluation, heel pain was evaluated using the visual analogue scale (VAS), heel tenderness threshold was quantified using a handheld pressure algometer (PA), and the functional activities level was assessed using the Activities of Daily Living subscale of the Foot and Ankle Ability Measure (ADL/FAAM). Following treatment, post intervention evaluation was performed using the same outcome measures. Results: This study demonstrated that the two groups experienced significant improvement in all outcome measures after treatment. First, heel pain scores showed a significant reduction in both groups compared to baseline VAS scores (P < 0.001). Second, heel tenderness improved significantly in both groups compared with baseline PA scores (P < 0.001). Lastly, functional activities levels improved significantly in both groups compared with baseline (ADL/FAAM) scores (P < 0.001). However, no significant differences existed between the two treatment groups in all post intervention outcome measures. Conclusion(s): This trial showed the capacity of MPC to reduce heel pain, improve heel tenderness, and ameliorate functional activities level associated with PF. Both MPC and MPC coupled with plantar fascia SE had similar effectiveness on the treatment of PF. Implications: At evidence for physical therapy modality in treating heel symptoms associated with PF.
AB - Background: Plantar fasciitis (PF) is a soft tissue disorder and considered one of the most common causes of inferior heel. Monophasic pulsed current (MPC) is a method of electrical stimulation (ES) clinically used to promote and accelerate wounds and pressure ulcers healing processes. Purpose: The aim of this prospective clinical trial was to investigate the effect of MPC and MPC coupled with plantar fascia specific stretching exercises (SE) in the treatment of plantar fasciitis. Methods: Forty four participants (22 were women; 22 were men, with a mean age of 49 years) diagnosed with PF were randomly allocated to receive MPC (n = 22) or MPC coupled with plantar fascia specific stretching exercises (SE) (n = 22). Subjects were 18 to 65 years of age with clinical diagnose of PF with complaint of heel pain greater than or equal to 3 on a 1 to 10 VAS scale. Prior to each treatment, participants underwent baseline evaluation, heel pain was evaluated using the visual analogue scale (VAS), heel tenderness threshold was quantified using a handheld pressure algometer (PA), and the functional activities level was assessed using the Activities of Daily Living subscale of the Foot and Ankle Ability Measure (ADL/FAAM). Following treatment, post intervention evaluation was performed using the same outcome measures. Results: This study demonstrated that the two groups experienced significant improvement in all outcome measures after treatment. First, heel pain scores showed a significant reduction in both groups compared to baseline VAS scores (P < 0.001). Second, heel tenderness improved significantly in both groups compared with baseline PA scores (P < 0.001). Lastly, functional activities levels improved significantly in both groups compared with baseline (ADL/FAAM) scores (P < 0.001). However, no significant differences existed between the two treatment groups in all post intervention outcome measures. Conclusion(s): This trial showed the capacity of MPC to reduce heel pain, improve heel tenderness, and ameliorate functional activities level associated with PF. Both MPC and MPC coupled with plantar fascia SE had similar effectiveness on the treatment of PF. Implications: At evidence for physical therapy modality in treating heel symptoms associated with PF.
UR - http://linkinghub.elsevier.com/retrieve/pii/S0031940615002114
U2 - 10.1016/j.physio.2015.03.181
DO - 10.1016/j.physio.2015.03.181
M3 - Article
VL - 101
SP - e60-e61
JO - Physiotherapy
JF - Physiotherapy
ER -