Immediate effects of a heel-pain orthosis and an augmented low-dye taping on plantar pressures and pain in subjects with plantar fasciitis

Clin J Sport Med. 2011 Nov;21(6):474-9. doi: 10.1097/JSM.0b013e3182340199.

Abstract

Objective: To determine the effects of augmented low-dye (ALD) taping and a heel-pain orthosis (HPO) on pain, peak plantar pressure (PPP), and mean plantar pressure (MPP) while walking and jogging.

Design: Cross-over study design.

Setting: University clinical laboratory.

Participants: Seventeen physically active or sedentary individuals with plantar fasciitis.

Interventions: Both PPP and MPP were evaluated after 45 seconds of walking and jogging during the 3 interventions (control, ALD, HPO) under 4 areas of the foot: lateral rearfoot and forefoot, and medial rearfoot and forefoot. Pain was assessed during each intervention (at 60-second mark) using the visual analog scale (VAS).

Main outcome measures: Peak plantar pressure, MPP, and VAS.

Results: The ALD produced a decrease in walking MPP (44.66 ± 14.46) under the lateral rearfoot compared with the control (57.92 ± 22.18; P = 0.024) and in jogging MPP (55.05 ± 18.27) compared with the control (67.22 ± 20.95; P = 0.002) and HPO (68.51 ± 17.57; P = 0.002). Scores of VAS decreased with the application of HPO (7.12 ± 10.08; P < 0.002 and 12.15 ± 15.61; P < 0.003) and ALD (6.24 ± 5.71; P < 0.006 and 10.09 ± 8.87; P < 0.001) while walking and jogging when compared with the control (17.32 ± 17.86 and 26.65 ± 22.38).

Conclusions: Although the HPO and ALD produced statistically and clinically decreased VAS scores while walking and jogging, further research is needed beyond these preliminary findings to determine long-term outcomes related to pain relief.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Cross-Over Studies
  • Fasciitis, Plantar / therapy*
  • Female
  • Foot / physiology
  • Heel / physiopathology*
  • Humans
  • Jogging / physiology
  • Male
  • Middle Aged
  • Orthotic Devices*
  • Pain
  • Pain Management / instrumentation*
  • Pain Measurement
  • Pressure
  • Sedentary Behavior
  • Walking / physiology
  • Young Adult