Back to Search
Start Over
Three-Dimensional Ankle Exercise with Combined Isotonic Technique for an Obese Subject with Plantar Fasciitis: A Case Study
- Source :
- Medicina, Vol 56, Iss 190, p 190 (2020), Medicina
- Publication Year :
- 2020
- Publisher :
- MDPI AG, 2020.
-
Abstract
- Background and objectives: Obese people have many foot-related disorders and plantar fasciitis (PF) is the most common disorder among them. However, research on the role of therapeutic exercises in PF is lacking and there is no evidence to suggest its benefits. As such, a further insight into therapeutic exercises is needed within this group. This case study investigated the effect of three-dimensional (3D) ankle exercises using a combined isotonic (CI) technique on function and balance in an obese subject with PF. Material and methods: The subject in this study was a 28-year-old obese woman who was diagnosed with PF by an orthopedic surgeon. A 3D ankle exercise program was commenced three times a week for 15 min over 4 weeks. The evaluations were conducted at five intervals: pre-test, and at 1, 2, 3 and 4 weeks from the initiation of the intervention. The tests were conducted in the following order: the patient-specific functional scale test (PSFS), an ultrasound of the plantar fascia, the heel pressure and balance test, the pressure pain threshold (PPT), and the 4-way ankle strength test. Results: The mean score of the PSFS test reduced by 70.55% after 4 weeks of the intervention. The thickness of the plantar fascia and heel pressure measured during single-leg standing decreased by 6.67% and 10.37%, respectively, after 4 weeks of the intervention. The anteroposterior and medial-lateral balance ability showed improvements of 8.29% and 8.61%, respectively, after 4 weeks of the intervention. The PPT improved by 38.01% after 4 weeks of the intervention. In the 4-way ankle strength test, dorsiflexion, plantar flexion, inversion, and eversion increased by 14.46%, 9.63%, 4.3% and 13.25%, respectively, after 4 weeks of the intervention. Conclusion: 3D ankle exercises utilizing the CI technique were shown to be effective in improving foot function, pressure pain, and muscle strength in dorsiflexion and inversion in an obese patient with PF.
- Subjects :
- obesity
Medicine (General)
medicine.medical_specialty
Heel
Plantar fasciitis
Case Report
03 medical and health sciences
R5-920
0302 clinical medicine
isotonic technique
Isotonic
medicine
030212 general & internal medicine
Balance (ability)
business.industry
foot function
Ultrasound
030229 sport sciences
General Medicine
medicine.anatomical_structure
ankle exercise
Orthopedic surgery
Physical therapy
Plantar fascia
medicine.symptom
Ankle
plantar fasciitis
business
Subjects
Details
- ISSN :
- 16489144
- Volume :
- 56
- Database :
- OpenAIRE
- Journal :
- Medicina
- Accession number :
- edsair.doi.dedup.....c3e3612fd171edb7a13e75be40739a0d