The effect of mobilisations on plantar fasciitis
Plantar fasciitis (PF) is a common musculoskeletal disorder of the lower limb, with a lifetime prevalence of approximately 10%. A reduction in ankle dorsiflexion (DF) range-of-motion (ROM) has been proposed as a significant contributing factor preceding the onset of PF. The aim of the current study was to evaluate the effect of ankle, subtalar and midfoot joint mobilisations on pain and function of patients with PF.
50 patients with PF were randomly assigned to either a control or intervention group. Both groups underwent eight treatments, twice a week consisting of stretching and ultrasound. The intervention group also received ankle and midfoot joint mobilisations.
Following the study, there was no significant difference in pain, function or DF ROM. Nevertheless, both groups showed a significant increase in DF ROM from their baseline measures. These findings suggest that there is no extra benefit in applying ankle and midfoot joint mobilisations, and that the association between limited DF and PF may be soft tissue – not joint, related.
> From: Shashua et al., J Orthop Sports Phys Ther (2015) (Epub ahead of print). All rights reserved to Journal of Orthopaedic & Sports Physical Therapy. Click here for the Pubmed summary.