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Överskrift A combined treatment approach emphasizing impairment-based manual physical therapy for plantar heel pain: a case series
Upplaga 34(11)
Sidor 725-33
Överskrift A combined treatment approach emphasizing impairment-based manual physical therapy for plantar heel pain: a case series
Beskrivning STUDY DESIGN: Case series. OBJECTIVE: To describe an impairment-based physical therapy treatment approach for 4 patients with plantar heel pain. BACKGROUND: There is limited evidence from clinical trials on which to base treatment decision making for plantar heel pain. METHODS AND MEASURES: Four patients completed a course of physical therapy based on an impairment-based model. All patients received manual physical therapy and stretching. Two patients were also treated with custom orthoses, and 1 patient received an additional strengthening program. Outcome measures included a numeric pain rating scale (NPRS) and self-reported functional status. RESULTS: Symptom duration ranged from 6 to 52 weeks (mean duration+/-SD, 33+/-19 weeks). Treatment duration ranged from 8 to 49 days (mean duration+/-SD, 23+/-18 days), with number of treatment sessions ranging from 2 to 7 (mode, 3). All 4 patients reported a decrease in NPRS scores from an average (+/-SD) of 5.8+/-2.2 to 0 (out of 10) during previously painful activities. Additionally, all patients returned to prior activity levels. CONCLUSION: In this case series, patients with plantar heel pain treated with an impairment-based physical therapy approach emphasizing manual therapy demonstrated complete pain relief and full return to activities. Further research is necessary to determine the effectiveness of impairment-based physical therapy interventions for patients with plantar heel pain/plantar fasciitis.
Källa J Orthop Sports Phys Ther
Publicerad "2004 Nov;
Författare Akama Y., Boyles R, Iwama H, Strunce J, Walker MJ, Young B

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