Sonographic and clinical effects of manual physical therapy for plantar fasciitis: randomized prospective controlled trial

Khammas ASA 1 , Mahmud R 2 , Hassan HA 2 , Ibrahim I 2 , Mohammed SS 3

Affiliations 

  • 1 Department of Radiological Techniques, College of Health and Medical Techniques/Baghdad, Middle Technical University, Bab Al-Muadham, 10047, Baghdad, Iraq. abdulsattar.arrif@gmail.com
  • 2 Department of Radiology and Imaging, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia
  • 3 Department of Radiological Techniques, College of Health and Medical Techniques/Baghdad, Middle Technical University, Bab Al-Muadham, 10047, Baghdad, Iraq
J Ultrasound, 2024 Sep;27(3):487-500.
PMID: 37917407 DOI: 10.1007/s40477-023-00833-0

Abstract

OBJECTIVE: This study aimed to evaluate the efficacy of manual physiotherapy on clinical outcomes, morphology of plantar fascia (PF), thicknesses of calcaneal fat pad (CFP) and Kager's fat pad (KFP) with ultrasound imaging in plantar fasciitis (PFS) patients. Also, to evaluate the PF thickness, pain and foot functional outcomes among PFS phases.

METHODS: A randomized controlled trial was conducted on 122 subjects divided into three groups: group A (40 patients with PFS) underwent manual physiotherapy, group B (42 patients with PFS) without any intervention and group C (40 healthy subjects) were matched by age, gender and BMI with each patient in group A and B. The following outcomes were evaluated at baseline and one-month of follow-ups: morphology of PF and thicknesses of CFP and KFP, pain, foot functional limitation.

RESULTS: PF thickness was significantly thickened in group A and B compared to group C (P 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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