The Effect of Medial Arch Support on Reducing Plantar Fasciitis Pain with Isolated Gastrocnemius Tightness (IGT) in Elementary School Teachers of Tetuko, Masaran

Muhammad Syaifuddin; Anissa Eka Septiani

doi:10.36082/jpost.v4i1.2145

Authors

Muhammad Syaifuddin
[email protected]
Department of Prosthetics and Orthotics, Poltekkes Kemenkes Surakarta
Anissa Eka Septiani Department of Prosthetics and Orthotics, Poltekkes Kemenkes Surakarta

Keywords:

Plantar fasciitis, Isolated gastrocnemius tightness, Medial arch support

Abstract

Background: Plantar fasciitis is an inflammatory condition of the plantar fascia that is often triggered by muscle tension, such as Isolated Gastrocnemius Tightness (IGT) causing pain in the heel and arch of the foot. Teachers, the risk of plantar fasciitis increases due to prolonged standing during teaching. The use of medial arch support is expected to reduce tension on muscles and ligaments, reducing pain due to plantar fasciitis with IGT. Aims: To evaluate the effectiveness of using medial arch support in reducing plantar fasciitis pain with IGT. Methods: The research is quantitative using a quasi-experimental one-group pre-test and post-test design. The study was conducted at Tetuko Elementary School. The sample consisted of 37 plantar fasciitis patients with IGT. Pain was measured using VAS before and after 4 weeks of intervention using medial arch support. Results: Wilcoxon Signed Rank Test results showed a decrease in pain of 0.000 (p <0.05). The average pain score before intervention was 5.38, which decreased to 3.11. The mean value of the Silfverskiold Test before intervention was 9.700 after the use of medial arch support increased to 15.350. Conclusion: This study shows that the use of medial arch support significantly reduces plantar fasciitis pain with IGT. The results of the analysis showed a significant reduction in pain based on VAS measurements of 42.19%. In addition, there was a significant increase in the Silfverskiold Test results for IGT of 47.94%, indicating improved flexibility of the gastrocnemius muscle.

Downloads

Download data is not yet available.

References

Alqahtani, T. A. (2020). The prevalence of foot pain and its associated factors among Saudi school teachers in Abha sector, Saudi Arabia. Journal of Family Medicine and Primary Care, 9(9), 4641–4647.

Alrashidi, Y., Alsaygh, E. F., Khoshhal, M. S., Alsaedi, O. F., Dwmlou, B. A., Alandijani, H. A., Aynusah, H. R., Aloufi, M. S., Omar, H. K., & Tobaiqi, M. A. (2022). Prevalence of Plantar Heel Pain Among School Teachers in Medina Region, Saudi Arabia: A Cross-Sectional Study. Cureus, 14(11).

Bolívar, Y. A., Munuera, P. V, & Padillo, J. P. (2013). Relationship between tightness of the posterior muscles of the lower limb and plantar fasciitis. Foot & Ankle International, 34(1), 4248.

Deghady, A. A. M., Hamid, M. M. A., Helal, A. M. H., El-Sherif, S. M., & Latief, H. A. S. A. (2019). Platelet-rich plasma in treatment of plantar fasciitis: randomized double-blinded placebo controlled study. Journal of Applied Clinical Pathology (JACP).

Goff, J. D., & Crawford, R. (2011). Diagnosis and treatment of plantar fasciitis. American Family Physician, 84(6), 676–682.

Harutaichun, P., Vongsirinavarat, M., Sathianpantarit, P., Thong-On, S., & Richards, J. (2023). The clinical and biomechanical effects of customized foot orthoses in individuals with plantar heel pain: A pre-post intervention study. Gait & Posture, 105, 163–170.

Haryoko, I., & Bustam, I. G. (2023). Efektifitas Intervensi Fisioterapi Wall Stretch Dan Cross Friction Pada Kondisi Fasciitis Plantaris. Jurnal’Aisyiyah Medika, 8(2).

Jung, D.-Y., Koh, E.-K., Kwon, O.-Y., Yi, C.-H., Oh, J.-S., & Weon, J.-H. (2009). Effect of medial arch support on displacement of the myotendinous junction of the gastrocnemius during standing wall stretching. Journal of Orthopaedic & Sports Physical Therapy, 39(12), 867–874.

Landorf, K. B., Keenan, A.-M., & Herbert, R. D. (2006). Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Archives of Internal Medicine, 166(12), 1305–1310.

Latt, L. D., Jaffe, D. E., Tang, Y., & Taljanovic, M. S. (2020). Evaluation and treatment of chronic plantar fasciitis. Foot & Ankle Orthopaedics, 5(1), 2473011419896763.

Maskill, J. D., Bohay, D. R., & Anderson, J. G. (2010). Gastrocnemius recession to treat isolated foot pain. Foot & Ankle International, 31(1), 19–23.

Mohaddis, M., Maqsood, S. A., Ago, E., Singh, S., Naim, Z., & Prasad, S. (2023). Enhancing Functional Rehabilitation Through Orthotic Interventions for Foot and Ankle Conditions: A Narrative Review. Cureus, 15(11).

Moyne-Bressand, S., Dhieux, C., Dousset, E., & Decherchi, P. (2018). Effectiveness of foot biomechanical orthoses to relieve patients suffering from plantar fasciitis: is the reduction of pain related to change in neural strategy? BioMed Research International, 2018(1), 3594150.

Pearce, C. J., Seow, D., & Lau, B. P. (2021). Correlation between gastrocnemius tightness and heel pain severity in plantar fasciitis. Foot & Ankle International, 42(1), 76–82.

Raharjo, S. (2015). Cara Uji Normalitas Shapiro-Wilk dengan SPSS Lengkap. https://www.spssindonesia.com/2015/05/cara-uji-normalitas-shapiro-wilk-dengan.html

Rasenberg, N., Riel, H., Rathleff, M. S., Bierma-Zeinstra, S. M. A., & van Middelkoop, M. (2018). Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta analysis. British Journal of Sports Medicine, 52(16), 1040–1046.

Riddle, D. L., & Schappert, S. M. (2004). Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot & Ankle International, 25(5), 303–310.

Saadah, H., Furqonita, D., & Tulaar, A. (2015). The effect of medial arch support over the plantar pressure and triceps surae muscle strength after prolonged standing. Medical Journal of Indonesia, 24(3), 146–149.