Scandinavian Journal of Medicine & Science in Sports, 2014: high-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.
The aim of this study was to investigate the effectiveness of shoe inserts and plantar fascia-specific stretching vs shoe inserts and high-load strength training in patients with plantar fasciitis. Forty-eight patients with ultrasonography-verified plantar fasciitis were randomized to shoe inserts and daily plantar-specific stretching (the stretch group) or shoe inserts and high-load progressive strength training (the strength group) performed every second day. High-load strength training consisted of unilateral heel raises with a towel inserted under the toes. Primary outcome was the foot function index (FFI) at 3 months. Additional follow-ups were performed at 1, 6, and 12 months. At the primary endpoint, at 3 months, the strength group had a FFI that was 29 points lower [95% confidence interval (CI): 6-52, P=0.016] compared with the stretch group. At 1, 6, and 12 months, there were no differences between groups (P>0.34). At 12 months, the FFI was 22 points (95% CI: 9-36) in the strength group and 16 points (95% CI: 0-32) in the stretch group. There were no differences in any of the secondary outcomes. A simple progressive exercise protocol, performed every second day, resulted in superior self-reported outcome after 3 months compared with plantar-specific stretching. High-load strength training may aid in a quicker reduction in pain and improvements in function.
DOI: 10.1111 /sms.12313
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|Title Annotation:||Exercise Therapy|
|Author:||Rathleff, M.S.; Molgaard, C.M.; Fredberg, U.; Kaalund, S.; Andersen, K.B.; Jensen, T.T.; Aaskov, S.;|
|Publication:||Journal of the Australian Traditional-Medicine Society|
|Date:||Dec 1, 2014|
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