Effects of Kinesiotaping Combined with Medial Arch Support on Reduction of Heel Pain from Plantar Fasciitis: A Randomized Controlled Trial and Single-blinded

  • Uajaruspun N คณะแพทยศาสตร์ศิริราชพยาบาล
  • Assawapalangchai S ภาควิชาเวชศาสตร์ฟื้นฟู คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล
Keywords: ปวดเท้า, ปวดส้นเท้า, พังผืดใต้ฝ่าเท้าอักเสบ, การติดเทปเพื่อบำบัด, อุปกรณ์พยุงอุ้งเท้า

Abstract

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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Author Biography

Assawapalangchai S, ภาควิชาเวชศาสตร์ฟื้นฟู คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล

ผู้ช่วยศาสตราจารย์นายแพทย์สันติ อัศวพลังชัย

Assist. Prof. Santi Assawapalangchai, M.D.

วุฒิพ.บ., ว.ว.(เวชศาสตร์ฟื้นฟู), ป.ชั้นสูง(เวชศาสตร์ฟื้นฟู)

Certificate  in Orthotics (Northwestern University)

Certificate in Prosthetics (Northwestern University) 

E-mail address    drjaii@yahoo.com

ภาควิชาเวชศาสตร์ฟื้นฟู คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล

Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital

ที่อยู่ ตึกศรีสังวาลย์ชั้น 9 โรงพยาบาลศิริราช ถนนวังหลัง แขวงศิริราช เขตบางกอกน้อย กทม. 10700

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Published
2019-12-16
Section
นิพนธ์ต้นฉบับ (Original article)