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Effectiveness of manual therapy, customised foot orthoses and combined therapy in the management of plantar fasciitis -- a RCT
Grim C, Kramer R, Engelhardt M, John SM, Hotfiel T, Hoppe MW
Sports 2019 Jun;7(6):128
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Plantar fasciitis (PF) is one of the most common causes of plantar heel pain. OBJECTIVE: To evaluate the effectiveness of three different treatment approaches in the management of PF. METHODS: Sixty-three patients (44 female, 19 men; 48.4 +/- 9.8 years) were randomly assigned into a manual therapy (MT), customised foot orthosis (FO) and a combined therapy (combined) group. The primary outcomes of pain and function were evaluated using the American Orthopaedic Foot and Ankle Society-Ankle Hindfoot Scale (AOFAS-AHS) and the patient reported outcome measure (PROM) Foot Pain and Function Scale (FPFS). Data were evaluated at baseline (T0) and at follow-up sessions after 1 month, 2 months and 3 months (T1-T3). RESULTS: All three treatments showed statistically significant (p < 0.01) improvements in both scales from T0 to T1. However, the MT group showed greater improvements than both other groups (p < 0.01). CONCLUSION: Manual therapy, customised foot orthoses and combined treatments of PF all reduced pain and function, with the greatest benefits shown by isolated manual therapy.

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