ULTRASONOGRAPHIC MEASUREMENT OF PLANTAR FASCIA THICKNESS IN PATIENTS WITH HEMIPLEGIA

Öz

Aims: In hemiplegic patients, changes in load distribution due to spasticity and paralysis cause trauma due to increased pressure and biomechanical problems in the plantar fascia on both sides. The aim of this study was to evaluate the plantar fascia thickness on both plegic and non-plegic sides by ultrasound in hemiplegic patients. Material and Methods: This cross-sectional study included patients with chronic hemiplegia (>6 months) and healthy control individuals. Clinical and demographic features were noted. Plantar fascia was visualized as hyperechoic fibrils by ultrasound. The thickness was measured in both sides and at one cm after the calcaneal connection. Results: We included forty hemiplegic patients (22 males, 18 females) with a mean age of 58.60 ± 11.8 years; and thirty-six age, sex, and body mass index (BMI) matched healthy subjects. Plantar fascia thickness values were significantly higher on the non-plegic side (3.82 ± 0.1 mm) compared to that of plegic side (2.83 ± 0.6 mm) and healthy groups sides ( (right side:2.82 ± 0,50; left side: 2.81 ± 0,6) (p<0,001). There was no relationship found between plegic and healthy group sides (p>0,05). We also found significantly positive correlation between plantar fascia thickness of the non-plegic side and time since stroke (r=0.538, p<0.001) with tonus (r=0.378, p=0.016). Conclusion: We can conclude that, plantar fascia thickness seems to be increased on the non-plegic side of patients

Anahtar Kelimeler

• musculoseletal ultrasound
• stroke
• plantar fascia

Hemiplejik hastalarda plantar fasya kalınlığının ultrasonografik değerlendirilmesi

Öz

Amaç: Hemiplejik hastalarda spastisite ve paralizi nedeniyle yük dağılımındaki değişiklikler bilateral plantar fasyada artan basınç ve biyomekanik problemlere bağlı travmaya neden olur. Bu çalışmanın amacı, hemiplejik hastalarda hem plejik hem de non-plejik taraftaki ve sağlıklı bireylerdeki plantar fasya kalınlığını ultrason ile değerlendirmektir. Gereç ve Yöntemler: Bu kesitsel çalışmaya kronik hemiplejili (>6 ay) hastalar ve sağlıklı bireyler dahil edildi. Klinik ve demografik özellikler not edildi. Plantar fasya ultrason ile hiperekoik fibriller olarak görüntülendi. Kalkaneal bağlantıdan 1 cm sonra hemiplejik hastalarda ve sağlıklı bireylerde bilateral plantar fasya kalınlıkları ölçüldü. Bulgular: Ortalama yaşı 58.60 ± 11.8 olan kırk hemiplejik hastayı (22 erkek, 18 kadın) ve yaş, cinsiyet ile vücut kitle indeksi (VKİ) uyumlu otuz altı sağlıklı bireyi dahil ettik. Plantar fasya kalınlık değerleri, plejik taraf (2.83 ± 0.6 mm) ve sağlıklı gruplar (sağ taraf:2.82 ±0,50; sol taraf: 2.81± 0,6) ile karşılaştırıldığında non-plejik tarafta (3.82 ± 0.1 mm) anlamlı olarak daha yüksekti (p<0,001). Plejik taraf ve sağlıklı grup plantar fasya kalınlığı değerleri arasında ilişki bulunmadı (p>0,05). Non-plejik tarafın plantar fasya kalınlığı ile inme sonrası geçen süre (r=0.538, p<0.001) ve tonus (r=0.378, p=0.016) arasında anlamlı pozitif korelasyon bulduk. Tartışma: Hemiplejik hastaların non-plejik tarafında plantar fasya kalınlığının plejik taraf ve sağlıklı bireylere göre artmış olduğu sonucuna varabiliriz.

Anahtar Kelimeler

• kas-iskelet ultrasonografisi
• inme
• plantar fasya

Kaynakça

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