Effects of Kinesiotaping Combined with Medial Arch Support on Reduction of Heel Pain from Plantar Fasciitis: A Randomized Controlled Trial and Single-blinded
Keywords:ปวดเท้า, ปวดส้นเท้า, พังผืดใต้ฝ่าเท้าอักเสบ, การติดเทปเพื่อบำบัด, อุปกรณ์พยุงอุ้งเท้า
Objectives: To evaluate an effect on heel pain reduction of kinesiotaping combined with medial arch support in patients with plantar fasciitis.
Study design: Randomized controlled trial, single blinded.
Setting: Department of Rehabilitation Medicine, Faculty of Medicine, Siriraj Hospital.
Subject: Patients aged 18 years old or more with plantar fasciitis and unilateral heel pain at least one month of moderate pain.
Methods: All patients were treated with a medial arch support, and a stretched-kinesiotaping in the experimental group (25 patients) whereas a non-stretched kinesiotaping in the control group (24 patients). After a week of the combined treatment, all were asked to continue wearing shoes and slippers with a medial arch support until the end of the study. All patients rated their first-step foot pain in the morning with NRS before and after treatment at day 3, 7 and at the end of 6 weeks. Pressure pain threshold (PPT) at the heel was evaluated with a pressure algometer, and complications of kinesiotaping were recorded.
Results: Demographic data and NRS of foot pain before treatment were no differences between groups. Comparing with the baseline data, in both groups the pain scores at day 3, day 7 and at 6 weeks decreased significantly (p < 0.001), and the PPT increased decreased significantly at day 7 (p < 0.001). However, there were no differences in foot pain and the PPT between groups. No serious complications of kinesiotaping were reported.
Conclusion: Applying either stretched or non-stretched kinesiotaping for a week had no additional effect on pain reduction in treating plantar fasciitis with a medial arch support. Medial arch supports alone could decrease pain in plantar fasciitis when applied for 6 weeks.
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