Combined ankle joint mobilization and hip strengthening in treatment for chronic plantar fasciitis/
Objective:To evaluate the effectiveness of ankle joint mobilization combined hip strengthening on pain and function of patients with chronic plantar fasciitis(PF).Method:Fifty patients with PF,aged 23 to 62 years,were randomly assigned to the intervention group(n=25)and the control group(n=25).Both groups of patients were received routinely stretching exercises.Addition-ally,the control group received ankle joint mobilization and the intervention group received ankle joint mobili-zation plus hip strengthening.Both groups received total 8 treatments,twice a week.The Visual Analogue pain Score(VAS)and the American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot scale were evaluated before and after treatment and after 3 months of follow-up,along with assessments of hip extension and abduction muscle strength,and ankle dorsiflexion range of motion.Result:After 4 weeks of treatment,both groups showed a significant difference in the VAS and AOFAS com-pared to before treatment(P<0.001),but no significant difference was found between groups.After 3 months follow-up,the VAS in the intervention group was significantly lower than that in the control group(P=0.003),and the values of AOFAS in the intervention group was significantly higher than that in the control group(P<0.001).Conclusion:Ankle joint mobilization combined with hip strengthening can effectively alleviate foot pain and improve function to the patients of chronic plantar fasciitis.