Comparing the effectiveness of strain-counter strain and taping on plantar fasciitis
Sheetal Bamhane, Abhijit Satralkar
Background: Plantar Fasciitis is an inflammatory process classified as an overuse syndrome resulting in micro tears of plantar fascia at its origin. The two most common underlying causes of the plantar heel pain are degenerative and mechanical due to overuse or trauma. Excessive pronation and the biomechanics of adducted talus and everted calcaneus results in increased tension causing the arch to collapse and creating excessive stress on the plantar fascia. Strain and counter-strain is a soft tissue mobilization technique is passive positional technique aimed at relieving musculoskeletal pain and dysfunction through manual manipulation. Plantar fascia taping stabilizes and offloads the stress on plantar fascia ligament. Techniques like strain counter strain and tapping provide relief from the symptoms and it may act as a precursor to long term management.so in order to find out better treatment tool, study was conducted to compare the effectiveness of strain-counter strain and taping on plantar fasciitis.Method: 40 participants aged between 25-65 years both male and female with plantar fasciitis were included in the study. The participants were treated for a period of 7 days using the technique of strain counterstain and conventional physiotherapy treatment to group A (n=20) whereas group B (n=20) received Taping technique and conventional physiotherapy treatment. Pretreatment and post treatment assessment were done by using PFPS Plantar Fasciitis pain and disability scale. The scores were analyzed using paired and unpaired ‘t’ test. Result: Statistical analysis: Statistical analysis was done by the instat3. Paired ‘t’ test was used to compare the difference of PFPS score on 1st day and on 7th day for taping. Which was statistically significant p<0.005. Paired ‘t’ test was used to compare the difference of PFPS score on 1st day and on 7th day for strain and counter-strain, which was statistically significant p<0.005.Unpaired ‘t’ test was used to compare the difference of PFPS score on 7th day of strain counter-strain and on 7th day of taping. The result were statistically not significant with p >0.05. Conclusion: Strain and counter-strain and taping both techniques are effective therapeutic option in the treatment of plantar fasciitis. But while comparing both the groups there was no statistical difference in the effectiveness of strain and counter-strain and taping on plantar fasciitis.