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Physiotherapy and Occupational Therapy Journal

Volume  12, Issue 2, APRIL-JUNE 2019, Pages 95-102
 

Original Article

Comparison of The Effectiveness of Myofacial Release Technique and Stretching Exercise on Plantar Fascitis

Hemlata1, Niraj Kumar2, Shama Praveen3, Shashank Kumar4, Navneet Badoni

1Consulted Physiotherapist, DMC, Shri Ram Clinic, New Delhi, India. 2Associate Professor 3-4Assistant Professor 5Professor Orthopedics Dept, Shri Guru Ram Rai Institute of Medical & Health Sciences, Patel Nagar, Dehradun, Uttarakhand 248001, India.

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DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.12219.4

Abstract

Introduction: Planter Fasciitis is an annoying and painful condition that limits function. There is pain and tenderness in the sole of the foot, mostly under the heel, with standing or walking [1]. Plantar fasciitis is classified as a syndrome that results from repeated trauma to the plantar fascia at its origin on the calcaneus. It is a common foot disorder affecting more than 2 million individuals in the United States annually [2,3]. Myofascial release (MFR) is a system of therapy that combines principles and practice from soft tissue technique, MET and inherent force cranio-sacral technique. It includes a highly subjective transfer of energy from the therapist to the patient [11]. Stretching is a general term used to describe any therapeutic maneuver designed to increase the extensibility of soft tissues, thereby improving flexibility by elongating (lengthening) structures that have adaptively shortened and have become hypo mobile over time [13]. Aim and Objective: To compare the effects of MFR and Stretching exercise on plantar fasciitis. Methodology: After assigning into 2 groups Group A - Subjects were received for MFR therapy and exercises for plantar fascia. 10 second MFR technique applied by knuckle on sole. The intervention was followed for 2 times / week for 4 weeks. And Group B - Subject receives static stretching and exercises of the plantar fascia, hold for 30 seconds with 5 repetition. This intervention was followed 3 sets for 30 seconds per session and 1 session per week i.e., 4 sessions 4 weeks. Discussion: The results were showed that both group A, and group B were effective in the treatment of plantar fasciitis but after comparison group A shown better results than group B. William P. Hanten September 1994. et al. Myofascial release techniques are claimed to cause vasomotor response, increase blood flow to affected areas, increase lymphatic drainage of toxic metabolites, realign fascia 1 planes, influence the proprioception of affected soft tissue, alleviate musculoskeletal pain and dysfunction and restore functional ROM in areas of painful restriction [12]. Kuhar et al. showed a significant result that the myofascial release is an effective therapeutic option in the treatment of plantar fasciitis [16]. Conclusion: The present study concluded that Myofascial release (MFR) is better than Stretching exercises in 4 weeks intervention patients with plantar fasciitis.

Keywords: Myofascial release (MFR), Stretching exercises, Foot function index & Visual analogue scale.


Corresponding Author : Hemlata