Revista medica del Instituto Mexicano del Seguro Social · 2026
[Chronic plantar fasciitis: Effectiveness of stretching, ultrasound, and phonophoresis. A randomized clinical trial].
СтатьяРандомизированное исследованиеСравнительное исследованиеАннотация на английскомНазвание и аннотация: Перевод в очереди
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Otero-Varela Alma Yolanda, Rojano-Mejía David, Luja-Ramírez Luis Alberto, Salcedo-Vargas Mauricio, Vega-García Angélica, García-Pérez Angélica Elizabeth
Аннотация
BACKGROUND: Plantar fasciitis (PF) is the main cause of heel pain. Conservative management is broad, but there is no consensus on the most effective adjuvant physical therapy.
OBJECTIVE: To compare the clinical effectiveness of phonophoresis plus stretching, therapeutic ultrasound plus stretching, and isolated stretching in reducing pain in patients with chronic PF.
MATERIAL AND METHODS: A randomized, single-blind clinical trial conducted in a rehabilitation unit. 60 patients with chronic PF were included, randomly assigned to 3 groups (n = 20 in each group): G1 (phonophoresis + stretching), G2 (ultrasound + stretching), and G3 (stretching only). Pain was assessed using the Visual Analog Scale (VAS) at baseline and after 15 sessions. Paired Student's t test was used for intragroup comparison, and ANOVA with Tukey's post-hoc test was used for intergroup comparison.
RESULTS: All 60 participants (76.7% women) completed the study. All groups showed a statistically significant reduction in pain (p < 0.01). The mean VAS reduction was: G1 (4.9 points), G2 (4.3 points), and G3 (6.7 points). The G3 (stretching only) group achieved the lowest final VAS score (0.9 ± 0.5). The intergroup comparison showed a statistically significant difference (p < 0.05) favoring the G3 group over G1 and G2.
CONCLUSION: Isolated stretching demonstrated superior efficacy in pain reduction compared to the addition of ultrasound or phonophoresis in the treatment of chronic PF.
OBJECTIVE: To compare the clinical effectiveness of phonophoresis plus stretching, therapeutic ultrasound plus stretching, and isolated stretching in reducing pain in patients with chronic PF.
MATERIAL AND METHODS: A randomized, single-blind clinical trial conducted in a rehabilitation unit. 60 patients with chronic PF were included, randomly assigned to 3 groups (n = 20 in each group): G1 (phonophoresis + stretching), G2 (ultrasound + stretching), and G3 (stretching only). Pain was assessed using the Visual Analog Scale (VAS) at baseline and after 15 sessions. Paired Student's t test was used for intragroup comparison, and ANOVA with Tukey's post-hoc test was used for intergroup comparison.
RESULTS: All 60 participants (76.7% women) completed the study. All groups showed a statistically significant reduction in pain (p < 0.01). The mean VAS reduction was: G1 (4.9 points), G2 (4.3 points), and G3 (6.7 points). The G3 (stretching only) group achieved the lowest final VAS score (0.9 ± 0.5). The intergroup comparison showed a statistically significant difference (p < 0.05) favoring the G3 group over G1 and G2.
CONCLUSION: Isolated stretching demonstrated superior efficacy in pain reduction compared to the addition of ultrasound or phonophoresis in the treatment of chronic PF.