PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?

Şulenur Yıldız; Nilgün Bek

doi:10.21653/tfrd.403242

Research Article

PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?

Year 2018, Volume: 29 Issue: 3, 59 - 65, 17.12.2018

Şulenur Yıldız , Nilgün Bek

https://doi.org/10.21653/tfrd.403242

Abstract

Amaç: Çalışmamızın amacı kalkaneal
epini olan ve olmayan plantar fasiitli olgularda ağrı şiddeti, fonksiyon ve
yaşam kalitesi değerlerini karşılaştırarak fark olup olmadığını ortaya koymaktı.

Yöntem: Plantar fasiit
tanılı yaş ortalaması 43,6±8,57 olan 25 birey (18 kadın, 7 erkek) çalışmaya katıldı. Bireylere
ait etkilenmiş 43 ayak değerlendirildi ve 23 ayakta hekim
tarafından yapılan radyografi incelemeleri sonucunda plantar fasiite ek olarak
kalkaneal epin belirlenerek kalkaneal epini olan (PF+KE, n=23) ve olmayan (PF, n=20) plantar fasiitli olgular şeklinde iki gruba ayrıldı.
Olguların sabah uyandıklarındaki ilk adımlarında, palpasyonla ve uzun ayakta
durma sonrasındaki ağrı şiddetleri Görsel Analog Skalası, eklem hareket
açıklığı ve plantar fleksör kas kısalığı gonyometrik ölçüm, ağrı-fonksiyon-dizilim
AOFAS Arka Ayak Ölçeği, yürüme performansları 6 dakika yürüme
testi ve yaşam kalitesi WHOQL-BREF ile değerlendirildi. Gruplardan elde edilen
veriler istatistiksel olarak karşılaştırıldı.

Sonuçlar: Grupları arasında yaş
(p=0.353), boy uzunluğu (p=0.768), vücut ağırlığı (p=0.251) ve vücut kütle
indeksleri (p=0.435) açısından fark yoktu. Ağrı şiddeti değerleri, ayak bileği
dorsifleksiyon hareket açıklığı, ayak bileği plantar fleksör kas kısalığı
sonuçları, AOFAS skoru, 6 dakika yürüme testi mesafesi ve WHOQOL-BREF çevresel
skorunda gruplar arasında anlamlı bir fark bulunmazken (p>0.05); WHOQOL-BREF
fiziksel ve psikolojik
alt bölüm skorları PF grubunda, sosyal alt
bölüm skoru ise sadece PF+KE grubunda anlamlı derecede yüksekti (p<0.05).

Tartışma: Plantar fasiitte
eşlik eden epin varlığı bireylerin yaşam kalitesini fiziksel ve psikolojik
açılardan olumsuz etkilerken sadece plantar fasiiti olan bireylerde ise sosyal
etkilenme daha fazladır. Erken dönemden itibaren uygulanacak tedavi
yaklaşımlarında yaşam kalitesini arttırmak hedeflerden biri olmalıdır.

Keywords

Ağrı, Egzersiz, Fizyoterapi, Plantar fasiit, Topuk Dikeni

References

1. Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV et al. The diagnosis and treatment of heel pain: a clinical practice guideline-revision. J Foot Ankle Surg. 2010; 49(3):1-19.
2. Barnes A, Sullivan J, Pappas E, Adams R, Burns J. Clinical and Functional Characteristics of People with Chronic and Recent-Onset Plantar Heel Pain. PM R. 2017; 9(11):1128-34.
3. Aldridge T. Diagnosing heel pain in adults. Am Fam Physician. 2004;70(2):332-8.
4. Fabrikant JM, Park  TS. Plantar fasciitis (fasciosis) treatment outcome study: Plantar fascia thickness measured by ultrasound and correlated with patient self-reported improvement. The Foot. 2011; 21:79–83.
5. Lu H, Gu G, Zhu S. Heel pain and calcaneal spurs. Zhonghua Wai Ke Za Zhi. 1996;34(5):294-6.
6. Kuyucu E, Kocyigit F, Erdil M. The association of calcaneal spur length and clinical and functional parameters in plantar fasciitis. Int J Surg. 2015; 21:28-37. Johal KS, Milner SA. Plantar fasciitis and the calcaneal spur: fact or fiction? Foot Ankle Surg. 2012;18(1) 39-41.
7. Johal KS, Milner SA. Plantar fasciitis and the calcaneal spur: fact or fiction? Foot Ankle Surg. 2012;18(1) 39-41.
8. Yaliman A, Sen EI, Eskiyurt N, Budiman-Mak E. Ayak Fonksiyon İndeksi’nin Plantar Fasiitli Hastalarda Türkçe’ye Çeviri ve Adaptasyonu. Turk J Phys Med Rehab 2014;60:212-22.
9. Fernandez Lao C, Galiano Castillo N, Cantarero Villanueva I, Martin Martin L, Prados Olleta N, Arrayo Morales M. Analysis of Pressure Pain Hypersensitivity, Ultrasound Image, and Quality of Life in Patients with Chronic Plantar Pain: A Preliminary Study. Pain Med. 2016;17(8):1530-41.
10. Riberio AP, Sacco IC, Dinato RC, Joao SM. Relationships between static foot alignment and dynamic plantar loads in runners with acute and chronic stages of plantar fasciitis: a cross-sectional study. Braz J Phys Ther. 2016;20(1):87-95.
11. Lareau CR, Sawyer GA, Wang JH, DiGiovanni CW. Plantar and medial heel pain: diagnosis and management. J Am Acad Orthop Surg. 2014;22:372-80.
12. Smith S, Tinley P, Gilheany M, Grills B, Kingsford A. The inferior calcaneal  spurdanatomical and histological considerations. Foot. 2007;17(1):25–31.
13. Akkaya S, Akkaya N, Yıldız N, Atalay NS, Fındıkoglu G, Sarsan A, et al. The association of physical examination findingsand functional status with radiological and clinical variables in plantar heel pain. Romatol Tıp Rehab. 2011; 21:1-5.
14. Osborne HR, Breidahl WH, Allison GT. Critical differences in lateral X-rays with and without a diagnosis of plantar fasciitis. J Sci Med Sport. 2006;9(3):231-7.
15. Zhou B, Zhou Y, Tao X, Yuan C, Tang K. Classification of Calcaneal Spurs and Their Relationship With Plantar Fasciitis. J Foot Ankle Surg. 2015;54(4):594-600.
16. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle- hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994;5:349-53.
17. Analay Akbaba Y, Celik D, Ogut RT. Translation, Cross-Cultural Adaptation, Reliability, and Validity of Turkish Version of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. J Foot Ankle Surg. 2016;55(6):1139-42.
18. Oliveira HA, Jones A, Moreira E, Jennings F, Natour J. Effectiveness of total contact insoles in patients with plantar fasciitis. J Rheumatol. 2015;42(5):870-8.
19. Noerholm V, Groenvold M, Watt T, Bjorner JB, Rasmussen NA, Bech P. Quality of life in the Danish general population--normative data and validity of WHOQOL-BREFusing Rasch and item response theory models. Qual Life Res. 2004;13(2):53.
20. Wearing SC, Smeathers JE, Urry SR, Hennig EM, Hills AP. The pathomechanics of plantar fasciitis. Sports Med. 2006;36:585–611.
21. Ahmad J, Karim A, Daniel JN. Relationship and classification of plantar heel spurs in patients with plantar fasciitis. Foot Ankle Int. 2016;37(9):994-1000.
22. Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for Plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. 2003;85-A(5):872-7.
23. Gogna P, Gaba S, Mukhopadhyay R, Gupta R, Rohilla R, Yadav L. Plantar fasciitis: A randomized comparative study of platelet rich plasma and low dose radiation in sportspersons. Foot (Edinb). 2016;28:16-19.
24. Cinar E, Saxena S, Uygur F. Low-level laser therapy in the management of plantar fasciitis: a randomized controlled trial. Lasers Med Sci. 2017; 2017 Dec 23. doi: 10.1007/s10103-017-2423-3.
25. Hawke F, Burns J, Radford JA, du Toit. Custom-made foot orthoses for the treatment of foot pain. Cochrane Database Syst Rev. 2008;16(3): CD006801.
26. Irving DB, Cook JL, Young MA, Menz HB. Impact of chronic plantar heel pain on health-related quality of life. J Am Podiatr Med Assoc. 2008;98(4):283-9.
27. Coskun G, Talu B, Bek N, Bayramlar KY. Effects of hallux valgus deformity on rear foot position, pain, function, and quality of life of women. J Phys Ther Sci. 2016;28(3):781-7.
28. Peerbooms JC, van Laar W, Faber F, Schuller HM, van der Hoeven H, Gosens T. Use of platelet rich plasma to treat plantar fasciitis: design of a multi centre randomized controlled trial. BMC Musculoskelet Disord. 2010;14(11):69.

Year 2018, Volume: 29 Issue: 3, 59 - 65, 17.12.2018

Şulenur Yıldız , Nilgün Bek

https://doi.org/10.21653/tfrd.403242

Abstract

References

1. Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV et al. The diagnosis and treatment of heel pain: a clinical practice guideline-revision. J Foot Ankle Surg. 2010; 49(3):1-19.
2. Barnes A, Sullivan J, Pappas E, Adams R, Burns J. Clinical and Functional Characteristics of People with Chronic and Recent-Onset Plantar Heel Pain. PM R. 2017; 9(11):1128-34.
3. Aldridge T. Diagnosing heel pain in adults. Am Fam Physician. 2004;70(2):332-8.
4. Fabrikant JM, Park  TS. Plantar fasciitis (fasciosis) treatment outcome study: Plantar fascia thickness measured by ultrasound and correlated with patient self-reported improvement. The Foot. 2011; 21:79–83.
5. Lu H, Gu G, Zhu S. Heel pain and calcaneal spurs. Zhonghua Wai Ke Za Zhi. 1996;34(5):294-6.
6. Kuyucu E, Kocyigit F, Erdil M. The association of calcaneal spur length and clinical and functional parameters in plantar fasciitis. Int J Surg. 2015; 21:28-37. Johal KS, Milner SA. Plantar fasciitis and the calcaneal spur: fact or fiction? Foot Ankle Surg. 2012;18(1) 39-41.
7. Johal KS, Milner SA. Plantar fasciitis and the calcaneal spur: fact or fiction? Foot Ankle Surg. 2012;18(1) 39-41.
8. Yaliman A, Sen EI, Eskiyurt N, Budiman-Mak E. Ayak Fonksiyon İndeksi’nin Plantar Fasiitli Hastalarda Türkçe’ye Çeviri ve Adaptasyonu. Turk J Phys Med Rehab 2014;60:212-22.
9. Fernandez Lao C, Galiano Castillo N, Cantarero Villanueva I, Martin Martin L, Prados Olleta N, Arrayo Morales M. Analysis of Pressure Pain Hypersensitivity, Ultrasound Image, and Quality of Life in Patients with Chronic Plantar Pain: A Preliminary Study. Pain Med. 2016;17(8):1530-41.
10. Riberio AP, Sacco IC, Dinato RC, Joao SM. Relationships between static foot alignment and dynamic plantar loads in runners with acute and chronic stages of plantar fasciitis: a cross-sectional study. Braz J Phys Ther. 2016;20(1):87-95.
11. Lareau CR, Sawyer GA, Wang JH, DiGiovanni CW. Plantar and medial heel pain: diagnosis and management. J Am Acad Orthop Surg. 2014;22:372-80.
12. Smith S, Tinley P, Gilheany M, Grills B, Kingsford A. The inferior calcaneal  spurdanatomical and histological considerations. Foot. 2007;17(1):25–31.
13. Akkaya S, Akkaya N, Yıldız N, Atalay NS, Fındıkoglu G, Sarsan A, et al. The association of physical examination findingsand functional status with radiological and clinical variables in plantar heel pain. Romatol Tıp Rehab. 2011; 21:1-5.
14. Osborne HR, Breidahl WH, Allison GT. Critical differences in lateral X-rays with and without a diagnosis of plantar fasciitis. J Sci Med Sport. 2006;9(3):231-7.
15. Zhou B, Zhou Y, Tao X, Yuan C, Tang K. Classification of Calcaneal Spurs and Their Relationship With Plantar Fasciitis. J Foot Ankle Surg. 2015;54(4):594-600.
16. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle- hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994;5:349-53.
17. Analay Akbaba Y, Celik D, Ogut RT. Translation, Cross-Cultural Adaptation, Reliability, and Validity of Turkish Version of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. J Foot Ankle Surg. 2016;55(6):1139-42.
18. Oliveira HA, Jones A, Moreira E, Jennings F, Natour J. Effectiveness of total contact insoles in patients with plantar fasciitis. J Rheumatol. 2015;42(5):870-8.
19. Noerholm V, Groenvold M, Watt T, Bjorner JB, Rasmussen NA, Bech P. Quality of life in the Danish general population--normative data and validity of WHOQOL-BREFusing Rasch and item response theory models. Qual Life Res. 2004;13(2):53.
20. Wearing SC, Smeathers JE, Urry SR, Hennig EM, Hills AP. The pathomechanics of plantar fasciitis. Sports Med. 2006;36:585–611.
21. Ahmad J, Karim A, Daniel JN. Relationship and classification of plantar heel spurs in patients with plantar fasciitis. Foot Ankle Int. 2016;37(9):994-1000.
22. Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for Plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. 2003;85-A(5):872-7.
23. Gogna P, Gaba S, Mukhopadhyay R, Gupta R, Rohilla R, Yadav L. Plantar fasciitis: A randomized comparative study of platelet rich plasma and low dose radiation in sportspersons. Foot (Edinb). 2016;28:16-19.
24. Cinar E, Saxena S, Uygur F. Low-level laser therapy in the management of plantar fasciitis: a randomized controlled trial. Lasers Med Sci. 2017; 2017 Dec 23. doi: 10.1007/s10103-017-2423-3.
25. Hawke F, Burns J, Radford JA, du Toit. Custom-made foot orthoses for the treatment of foot pain. Cochrane Database Syst Rev. 2008;16(3): CD006801.
26. Irving DB, Cook JL, Young MA, Menz HB. Impact of chronic plantar heel pain on health-related quality of life. J Am Podiatr Med Assoc. 2008;98(4):283-9.
27. Coskun G, Talu B, Bek N, Bayramlar KY. Effects of hallux valgus deformity on rear foot position, pain, function, and quality of life of women. J Phys Ther Sci. 2016;28(3):781-7.
28. Peerbooms JC, van Laar W, Faber F, Schuller HM, van der Hoeven H, Gosens T. Use of platelet rich plasma to treat plantar fasciitis: design of a multi centre randomized controlled trial. BMC Musculoskelet Disord. 2010;14(11):69.

There are 28 citations in total.

Details

Primary Language	Turkish
Subjects	Health Care Administration
Journal Section	Articles
Authors	Şulenur Yıldız Nilgün Bek
Publication Date	December 17, 2018
Published in Issue	Year 2018 Volume: 29 Issue: 3

Cite

APA	Yıldız, Ş., & Bek, N. (2018). PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?. Fizyoterapi Rehabilitasyon, 29(3), 59-65. https://doi.org/10.21653/tfrd.403242
AMA	Yıldız Ş, Bek N. PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?. Fizyoterapi Rehabilitasyon. December 2018;29(3):59-65. doi:10.21653/tfrd.403242
Chicago	Yıldız, Şulenur, and Nilgün Bek. “PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?”. Fizyoterapi Rehabilitasyon 29, no. 3 (December 2018): 59-65. https://doi.org/10.21653/tfrd.403242.
EndNote	Yıldız Ş, Bek N (December 1, 2018) PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?. Fizyoterapi Rehabilitasyon 29 3 59–65.
IEEE	Ş. Yıldız and N. Bek, “PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?”, Fizyoterapi Rehabilitasyon, vol. 29, no. 3, pp. 59–65, 2018, doi: 10.21653/tfrd.403242.
ISNAD	Yıldız, Şulenur - Bek, Nilgün. “PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?”. Fizyoterapi Rehabilitasyon 29/3 (December 2018), 59-65. https://doi.org/10.21653/tfrd.403242.
JAMA	Yıldız Ş, Bek N. PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?. Fizyoterapi Rehabilitasyon. 2018;29:59–65.
MLA	Yıldız, Şulenur and Nilgün Bek. “PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?”. Fizyoterapi Rehabilitasyon, vol. 29, no. 3, 2018, pp. 59-65, doi:10.21653/tfrd.403242.
Vancouver	Yıldız Ş, Bek N. PLANTAR FASİİTLİ HASTALARDA KALKANEAL EPİN VARLIĞI AĞRI ŞİDDETİ, FONKSİYON VE YAŞAM KALİTESİNİ ETKİLER Mİ?. Fizyoterapi Rehabilitasyon. 2018;29(3):59-65.

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