Effects of Using Arch Binders with Plastic Arch Supports Compared with Arch Binders Alone in Treatment of Patients with Plantar Fasciitis
ผลของการใช้สายรัดอุ้งเท้าที่มีพลาสติกพยุงอุ้งเท้าเปรียบเทียบกับสายรัดอุ้งเท้าอย่างเดียวในการรักษาผู้ป่วยโรคพังผืดใต้ฝ่าเท้าอักเสบ
Keywords:
Plantar fasciitis, Arch binders, Plastic arch supportsAbstract
Objectives: To compare 2 kinds of arch binders in terms of foot pain reduction in patients with plantar fasciitis.
Study design: Open-label prospective randomized controlled trial.
Setting: Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Subjects: Forty patients, 18 years old or more, with unilateral foot pain from plantar fasciitis of at least a month and of mild to moderate intensity (numerical pain rating scale, NPRS, 2-7).
Methods: The enrolled patients were randomized into two groups. The experimental group was treated with arch binders and plastic arch supports, whereas the controlled group was treated with arch binders alone. At the 2nd and the 6th week, the first-step foot pain in the morning was evaluated using NPRS (1-10) and compared between the pre-treatment and the post-treatment with the device. In addition, the pain scores at the same periods were compared between the two treatment groups.
Results: The patients’ demographic data including gender, age, body mass index, running activities, standing or walking hour per day, duration of pain, and baseline pain score were not significantly different between the two groups. The NPRS at the 2nd and the 6th week was significantly decreased in both groups (p<0.001) but more significantly decreased in experimental group than that of the controlled group (p=0.047) at 6th week after treatment; however, there was no significant difference at the 2nd week. In terms of plantar hindfoot pressure, foot pain impaction, patients’ compliance and satisfaction, there were no significant differences between the two devices.
Conclusion: Using arch binders with plastic arch supports can decrease the first step foot pain in patients with mild to moderate subacute to chronic plantar fasciitis better than using arch binders alone for 6 weeks.
Keywords: plantar fasciitis, arch binders, plastic arch supports, pain
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