Effectiveness of mulligan’s taping for the short term management of plantar heel pain – Randomised control trial

Sonal Subhash Agrawal, Mangala G. Deshpande

Abstract


Introduction: Plantar fasciitis is one of the most common causes of plantar heel pain. Numerous nonsurgical interventions such as rest exercise & modalities focus on relieving the symptoms associated with plantar heel pain, however orthotics and taping techniques address the underlying problem of poor foot biomechanics. Till date there is scarcity of data investigating the acute effects of attempting to control the position and alignment of the calcaneus during weight bearing through the use of Mulligan’s taping.

Aim of study: To examine the effects of Mulligan’s taping on the symptoms of plantar heel pain

Methodology: Subjects (n= 30) were randomly assigned into 2 groups, A & B (15 subjects each). Group A (control group) received ultrasound, plantar fascia stretching & sham taping. Group B (experimental group) received ultrasound, plantar fascia stretching & Mulligan’s taping for plantar fasciitis.

Outcome measures: Visual analogue scale (VAS) for assessment of pain & Patient specific functional scale (PSFS) for assessment of functional activities. These were assessed pre & post one week of treatment.

Results: A significant difference was found post treatment among the groups for VAS (p=0.0265). A highly significant difference was found post treatment among the groups for PSFS (p= 0.0062). There were significant difference found between pre and post VAS & PSFS scores in both experimental & control group.

Conclusion: Mulligan’s taping is shown to be more effective tool for the relief of plantar heel pain than sham taping when given along with conventional physiotherapy.


Keywords


Plantar fasciitis, calcaneal taping, poor foot biomechanics

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References


Sweeting D, Parish B, The effectiveness of manual stretching in the treatment of plantar heel pain: a systematic review Journal of Foot and Ankle Research 2011; 4:19:1146-4-19

McPoil T, Martin R, Cornwall M, Wukich D, Irrgang J, Godges J: Heel Pain Plantar Fasciitis: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association.J Orthop Sports Phys Ther 2008; 38:2-18.

D'Maio M, Paine R, Mangine R, Drez D Plantar fasciitis N Engl J Med 2004, 350:2159-2166.

Hyland M, Webber-Gaffney A : Randomized controlled trial of calcaneal taping, sham taping, and plantar fascia stretching for the short-term management of plantar heel pain. J. Orthop Sports Phys. Ther.2006;36(6):364-371

Genova JM, Gross MT Effect of foot orthosis on calcaneal eversion during standing & treadmill walking for subjects with abnormal pronation J. Orthop Sports Phys. Ther.2000;30:664-675

Young CC, Rutherford DS Treatment of Plantar Fasciitis Am. Fam. Physician 2001;63:467-74

Crosby W, Humble RN Rehabilitation of Plantar Fasciitis Clin. Podiatr. Med. Surg. 2001;18:225-231

Robbins S, Waked E Ankle Taping Improves Proprioception before & after exercise in young men Br. J. Sports Med. 1995;29:242-247

Higgins P Common Clinical Treatment of Plantar Fasciitis: A survey of physical therapists practicing in the north east region of the United States J. Nov. Physiother. 2012;2:8:1000120

Holmes CT, Wilcox D,Effect of modified medial arch taping procedure on the sbtalar joint neutral position before & after light exercise J. Orthop Sports Phys. Ther.2002;32:242-247

Ernst B, Walker M, Windlass taping for symptomatic relief of plantar fasciitis Phy. Ther. 1999;79:34-39

Keenan AM,Tanner CM The effct of high-Dye & low Dye taping on rear foot motion J. Am. Podiatr. Med. Assoc.2001;91:255-261

Shrier I, Gossal K Myths & truths of stretching: individualized recommendations for healthy muscles Physcian Sports Med. 2000;28:57-61.

Hayes BT, Merrick MA Three MHz ultrasound heats deeper into thetissues than originally theorized J. Athl. Train.2004;39:230-234

Gallo JA, Draper DO A comparison of human muscle temperature increases during 3 MHz continuous & pulsed Ultrasound with equivalent temporal average intensities J. Orthop. Sports. Phys. Ther.2004;395-401

Rose S, Draper DO the stretchig Window Part Two:Rate of thermal decay in deep muscle following 1 MHz ultrasound J. Athl. Train.1996;31:139-143

Draper DO, Castel JC Rate of temperature increase in human muscle during 1 MHz & 3 MHz continuous ultrasound J. Orthop. Sports. Phys. Ther.1995;142-150

Mulligan B Mulligan Concept Manual therapy 2010; sixth edition:119

Rompe JD, Cacchio A Plantar fascia-specific stretching versus radial shock-wave therapy as initial treatment of plantarfasciopathy J Bone Joint Surg Am. 2010

DiGiovanni B, Nawoczensk D, Lintal M, Moore E, Murray J, Wilding G, Baumhauer J: Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain: A prospective, randomized study.J Bone Joint Surg Am 2003, 85:1270-1277.

Ross M Use of the tissue stress model as a paradigm for developing an examination & management plan for a patient with plantar fasciitis J. Am. Podiatr. Med. Assoc. 2002; 92:499-506

O'Sullivan K, Kennedy N The effect of low-dye taping on rearfoot motion and plantar pressure during the stance phase of gait BMC Musculoskelet Disord. 2008; 9: 111.

Jamali B, Walker M, Windlass taping for symptomatic relief of plantar fasciitis J. Sports. Rehabil. 2004;13:228-243

Kwong P, Kay D Plantar fasciitis: Mechanics & Pathomechanics of Treatment Clin. Sports Med. 1988;7:1

Internet.

Franettovich M1, Chapman A, Blanch P, Vicenzino BA physiological and psychological basis for anti-pronation taping from a critical review of the literature Sports Med. 2008;38(8):617-31

Cheung RT1, Chung RC Efficacies of different external controls for excessive foot pronation: a meta-analysis Br J Sports Med. 2011 Jul;45(9):743-51

Benedict F. Digiovanni, MD; Deborah A Plantar Fascia-Specific Stretching Exercise Improves Outcomes in Patients with Chronic Plantar FasciitisA Prospective Clinical Trial with Two-Year Follow-Up J Bone Joint Surg Am, 2006 Aug;88(8):1775-1781.




DOI: http://dx.doi.org/10.7439/ijbar.v6i7.2303

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