The symptomatic and functional effects of manual physical therapy on plantar heel pain: a systematic review.

 2017 Feb;25(1):3-10. doi: 10.1080/10669817.2015.1106818. Epub 2016 Apr 26.

OBJECTIVES:

Plantar heel pain is common and can be severely disabling. Unfortunately, a gap in the literature exists regarding the optimal intervention for this painful condition. Consequently, a systematic review of the current literature regarding manual therapy for the treatment of plantar heel pain was performed.

METHODS:

A computer-assisted literature search for randomized controlled trials in MEDLINE, EMBASE, Cochrane, CINAHL, and Rehabilitation & Sports Medicine Source, was concluded on 7 January 2014. After identification of titles, three independent reviewers selected abstracts and then full-text articles for review.

RESULTS:

Eight articles were selected for the final review and underwent PEDro scale assessment for quality. Heterogeneity of the articles did not allow for quantitative analysis. Only two studies scored ≥7/10 on the PEDro scale and included joint, soft tissue, and neural mobilization techniques. These two studies showed statistically greater symptomatic and functional outcomes in the manual therapy group.

DISCUSSION:

This review suggests that manual therapy is effective in the treatment of plantar heel pain; however, further research is needed to validate these findings given the preponderance of low quality studies.

KEYWORDS:

Foot pain; Heel pain; Manual therapy; Plantar fasciitis

PMID:  28855787
PMCID: PMC5539575
 [Available on 2018-02-01]
DOI: 10.1080/10669817.2015.1106818
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