Please use this identifier to cite or link to this item: http://hdl.handle.net/10321/2045
Title: THE EFFECTIVENESS OF MANIPULATION OF THE SUBTALAR JOINT COMBINED WITH STATIC STRETCHING OF THE TRICEPS SURAE MUSCLES COMPARED TO MANIPULATION ALONE IN THE TREATMENT OF PLANTAR FASCIITIS
Authors: BLAKE, LYNDAL TERRI
Issue Date: 2003
Abstract: Plantar Fasciitis (PF) is a common injury, and one which is known to be stubborn to many forms of treatment. The purpose of this investigation was to determine the effectiveness of manipulation of the subtalar joint combined with static stretching of the Triceps Surae muscles compared to manipulation alone in the treatment of PF. Studies have shown chiropractic manipulation to be effective in treating this overuse injury, and gastro-soleus stretching is a treatment advocated by many authors, but which has not yet been investigated in combination with manipulation. This study consisted of 40 patients who were randomly divided into two equal groups. Group One received manipulation to restrictions in the subtalar joint, and Group Two received subtalar manipulation in addition to two static stretched of the gastro-soleus muscles. The patients were treated 5 times over a two week period, with a sixth follow-up consultation one week later for final data collection. The subjective measurements used were the Numerical Pain Rating Scale - 101 (NRS - 101) and the Foot Function Index (FFI). Objective measurements used were the Algometer and weight-bearing dorsiflexion range of motion. Statistical analysis was completed using the Mann-Whitney U-test for inter-group comparisons, and the Friedman's test for intra-group comparisons. The subjective data did not show any significant differences between the two groups. However significant results were seen for intra-group comparisons of the NRS - 101, and FFI Questions One, Two, Three and Five of both groups. These findings suggest that in these instances the patients pain was reduced regardless of which treatment they received. In FFI Questions Four, Six and Nine, only Group One showed significant results. This suggests that subtalar manipulation alone appeared to be effective, and that subtalar manipulation in combination with gastro-soleus stretches
Description: Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic at Durban Institute of Technology.
URI: http://hdl.handle.net/10321/2045
Appears in Collections:Theses and dissertations (Health Sciences)

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