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The effect of a home-based stretching exercise on the ground reaction force generation and absorption during walking in individuals with plantar fasciitis
Affiliation:1. Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand;2. Allied Health Research Unit, University of Central Lancashire, Preston, UK;1. Seattle Children''s, Seattle, WA, USA;2. Nicklaus Children''s Hospital, Miami, FL, USA;3. Connecticut Children''s Medical Center, Hartford, CT, USA;4. Children''s Hospital of Philadelphia, Philadelphia, PA, USA;5. Arkansas Children''s Hospital, Little Rock, AR, USA;1. University of Wisconsin-Milwaukee, 3409 Downer Avenue, Milwaukee, WI, 53211, USA;2. Concordia University, 12800 N Lake Shore Dr, Mequon, WI, 53097, USA;1. AIS Clinical Services, Australian Institute of Sport, Leverrier Street, Bruce, ACT, 2617, Australia;2. Olympic Park Sports Medicine Centre, AAMI Park, 60 Olympic Boulevard, Melbourne, VIC, 3004, Australia;3. AIS Female Performance Health Initiative, Australian Institute of Sport, Leverrier Street, Bruce, ACT, 2617, Australia;4. Perth Orthopaedic and Sports Medicine Research Institute, West Perth, WA, 6005, Australia;5. Research Institute of Sport and Exercise, University of Canberra, Bruce, ACT, 2601, Australia;6. Central Queensland University, 114-190 Canning Street, The Range, QLD, 4700, Australia;7. The University of Sydney, Camperdown, NSW, 2006, Australia;8. The Norwegian School of Sports Sciences, Sognsveien 220, 0863, Oslo, Norway;1. Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada;2. Alberta Children''s Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada;3. Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada;4. Running Injury Clinic, University of Calgary, Calgary, Alberta, Canada;5. Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada;6. McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, Alberta, Canada;7. O''Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada;8. Tampere Research Center of Sports Medicine, UKK Institute, Tampere, Finland;9. School of Creative and Performing Arts, Faculty of Arts, University of Calgary, Calgary, Alberta, Canada;1. Department of Rehabilitation, Akita City Hospital, Akita, Japan;2. Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Japan;3. Department of Rehabilitation, Akita Kousei Medical Center, Akita, Japan;4. Department of Rehabilitation, Akita University Hospital, Akita, Japan;5. Department of Rehabilitation, Noshiro Kousei Medical Center, Akita, Japan;1. Universidade Federal da Paraíba – UFPB, João Pessoa, PB, Brazil;2. Instituto de Pesquisas Biomédicas, Universidade, Brazil
Abstract:ObjectivesThis study aimed to investigate effect of a home-based stretching exercise program in individuals with plantar fasciitis (PF) and to compare its effect on ground reaction force (GRF)-time variables between mild, moderate, and severe pain subgroups and between before and after in each subgroup.DesignA single cohort with pre-and post-test.InterventionsTwenty individuals with PF received 3 weeks of home-based stretching exercise for calf and plantar fascia.Main outcome measuresGRF-time variables included force and time at; first peak (F1 and TF1), valley (F2 and TF2), second peak (F3 and TF3) in vertical, breaking (F4 and TF4) and propulsive (F5 and TF5) forces, first peak (F6 and TF6) and second peak lateral (F7 and TF7) forces. Additionally, worst pain was assessed at before and after exercise.ResultsSignificant reductions were seen in F2, TF2, TF3, TF5 and worst pain after exercise (P < 0.05) in individuals with PF. No differences were seen between three subgroups. For within subgroup analysis, only mild subgroup showed significant changes in F2, TF2, F4, TF6, and TF7 after exercise (P < 0.05).ConclusionA home-based stretching exercise was effective in reducing pain and some GRF-time variables, with the most noticeable response seen in mild subgroup.
Keywords:Ground reaction force  Stretching exercise  Plantar fasciitis  Gait
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