Immediate Effect of Instrument-Assisted Soft Tissue Mobilization Treatment in Patients with Plantar Fasciopathy and Asymptomatic Subjects.

The purpose of this study was to investigate differences in immediate effects of a warm-up and Instrument-Assisted Soft Tissue Mobilization (IASTM) treatment in patients with symptomatic plantar fasciopathy (PF) and asymptomatic groups. Twenty five subjects with PF and 25 asymptomatic subjects were...

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Publicado en:Journal of Manipulative & Physiological Therapeutics Vol. 48; no. 1-5; pp. 337 - 349
Autores principales: Chen, Yo-Rong, Hooper, Troy, James, C. Roger, Pendergrass, Timothy J., Gunnell, Lea, Munger, Larry
Formato: research Journal Article
Publicado: Elsevier B.V. Jan2025
Acceso en línea:Ver este registro en EBSCOhost
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      issn: 01614754
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    pubinfo:
      dt: Jan2025
      vid: 48
      iid: 1-5
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        190204718
        190204718
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        10.1016/j.jmpt.2025.10.010
        190204718
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        atl: Immediate Effect of Instrument-Assisted Soft Tissue Mobilization Treatment in Patients with Plantar Fasciopathy and Asymptomatic Subjects.
      aug:
        au:
          Chen, Yo-Rong
          Hooper, Troy
          James, C. Roger
          Pendergrass, Timothy J.
          Gunnell, Lea
          Munger, Larry
        affil: Department of Health Science Professions, Angelo State University, San Angelo, TX
      sug:
        subj:
          Plantar Fasciitis Rehabilitation
          Warm-Up Exercise
          Instrument-Assisted Soft Tissue Mobilization
          Treatment Outcomes Evaluation
          Pain Measurement
          Human
          Male
          Female
          Comparative Studies
          Descriptive Statistics
          Pretest-Posttest Design
          Questionnaires
          Two-Way Analysis of Variance
          Visual Analog Scaling
          Range of Motion
          Wilcoxon Signed Rank Test
          Weight-Bearing
          Male
          Female
      ab: The purpose of this study was to investigate differences in immediate effects of a warm-up and Instrument-Assisted Soft Tissue Mobilization (IASTM) treatment in patients with symptomatic plantar fasciopathy (PF) and asymptomatic groups. Twenty five subjects with PF and 25 asymptomatic subjects were recruited. Symptomatic subjects experienced plantar heel pain greater than 3 months, heel palpation discomfort, and pain with the first-morning step. Both groups received a warm-up and IASTM. Pre- and post-treatment measurements included visual analog scale (VAS) pain scores in the PF group, stiffness at the origin and navicular levels, origin thickness, ankle and 1st metatarsal phalangeal joint (first MTPJ) weight-bearing ROM, and Foot Health Status Questionnaire (FHSQ). Two-way mixed ANOVAs determined group and intervention effects. The Wilcoxon Signed-Rank test was performed to examine PF group VAS changes, and correlations identified the association between tissue properties and clinical presentations. The intervention group showed significance in 1) reduced PF pain level (P <.001; d = 0.801), 2) increased weight-bearing 1st MTPJ (P =.039; η p 2 = 0.08) and ankle ROM (P <.001; η p 2 = 0.41) in both groups, and 3) decreased PF origin thickness between-group differences (P =.001; η p 2 = 0.20). For all subjects, 1) the higher FHSQ pain level was associated with lesser origin stiffness and greater thickness, 2) higher origin stiffness was correlated with lesser ankle ROM, and 3) greater thickness was associated with less 1st MTPJ ROM. An IASTM treatment with warm-up immediately reduced PF symptoms, increased weight-bearing 1st MTPJ and ankle ROM in both groups, and decreased group differences in origin thickness.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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