Transcript Taping for Plantar Fasciitis

Taping for Plantar Fasciitis
S E N TA R A I N - SER V I C E:
6 /18 /20 15
K A YL EA KI R V EN , SP T
Plantar Fasciitis: Statistics
 Most common cause of foot pain
 Accounts for 11-15% of all foot pathologies in adults
 Heel spur MYTH
 Risk Factors:
Excessive foot pronation
Excessive running/  activity
High arch
Leg length discrepancy
Obesity/ sedentary
Prolonged standing/ walking
occupations
Decreased ankle ROM
Achilles tendon tightness/ foot
intrinsic muscle tightness
Therapeutic Taping
Purpose:
 Pain Reduction
 Joint Support / Arch Tension Reduction
 “External splint” that indirectly supports arch
 Proprioceptive Feedback
 Muscle Tone Normalization
Most Common Types of Heel Taping:
 Low-dye Taping (LDT)
 Calcaneal Taping
 Windlass Taping
Taping for Plantar Fasciitis
Roman Podolsky & Leonid Kalichman (2015) Journal of Back and
Musculoskeletal Rehabilitation
 Purpose: To investigate the efficacy of different taping
techniques in relieving sx’s & dysfunction caused by plantar
fasciitis
 Databases: PubMed, CINAHL, PEDro, ISI, Web of
Science, Google Scholar
 Design: 5 RCT, 2 cross-over studies, 1 repeated measures
study
Landrof et al.
Radford et al.
Hyland et al.
Vishal et al.
Pain Duration:
0.9 yrs
Pain Duration:
Pain Duration:
Pain Duration:
0.83 yrs
Not given
>0.08 yrs
Intervention:
Intervention:
Intervention:
Intervention1 :
Calcaneal
Taping
Calcaneal
Taping
Control:
Intervention 2:
LDT + Sham US LDT 1 wk
3 x/ 3 wks
Control:
Control:
Sham US
No taping
Combined
intervention
favored
VAS, Patient
Satisfaction
(20% greater)
LDT
significantly 
first step pain at
1 wk
Sham Taping or Plantar Fasciitis
Plantar Fascia
Taping
Stretching
Calcaneal
Taping
significantly 
pain (VAS) at 1
wk
Intervention 1 &
2 showed
statistically
significant
improvement in
pain score & FFI
El Salam et al. Van Lunen
Ha et al.
Jamali et al.
Pain Duration:
>0.08 yrs
Pain Duration:
Not given
Pain Duration:
Not given
Pain Duration:
Not given
Intervention 1:
Intervention 1:
Intervention:
Intervention:
LDT
9 sess/3 wks
LDT
LDT
Windlass
Taping
Intervention 2:
Intervention 2:
VAS scores
following LDT
VAS scores at
24 hrs.
Medial Arch
Support
9 sess/ 3 wks
Heel-pain
orthosis
Interv. 1 & 2:
p!
fxn
Interv. 1 & 2:
VAS scores
when walking &
jogging
Post-VAS & PostFDPS  more in
MAS group
No biomechanical
explanation for
use
Discussion:
 Various taping techniques for relieving plantar fasciitis
pain in the short-term [24 hrs – 3 weeks]
 In acute or chronic stages
 In lieu of or prior to use of orthotics
 Most common (5/8 studies) = LDT
 Goal: To decrease medial heel pressure by lifting the navicular
bone
 2nd most common (2/8 studies) = Calcaneal Taping
 Goal: To invert calcaneus so it is closer to neutral alignment 
Increasing medial longitudinal arch height
RCT of Calcaneal Taping, Sham Taping, and Plantar Fascia
Stretching for Short-Term Management of Plantar Heel Pain
Hyland et al. (2006) JOSPT
 Purpose: To determine if calcaneal taping will provide a
greater in p! & a greater  in functional activity when
compared to plantar fascia stretching, sham taping, & no
treatment
 Inclusion Criteria:
18 – 65 yrs old
> 3/10 first step pain in AM
P! located at heel or plantar surface of midfoot
(Consistent w/ plantar fasciitis)
Everted calcaneus > 2 °
Methods:
 Randomly Assigned to 1 of 4 groups
Group 1: Stretching
Group 3: Control (NT)
Group 2: Calcaneal Taping Group 4: Sham Taping
 Duration: 1 week (VAS, PSFS)
 Maintain usual activity level
 No termination of activity
 No initiation of new activity
Group 1: Stretching
 Passive stretching of plantar flexors & plantar
fascia (Day 1 & either Day 3 or 4)
 Soleus m.
 Gastrocnemius m.
 Great Toe
3 x 30 sec in clinic ; NOT to be performed at home
Group 2: Calcaneal Taping
 “Rear-foot Focus”
Group 3: Control/ No Treatment
 Measured at baseline
 Measured at 1 wk w/ no treatment provided
Group 4: Sham Taping
 Cover-Roll & Leukotape overlaid on skin
 NO medially-directed force applied to tape during
application
Results:
Results:
 Within 2 treatment sessions:
Calcaneal taping resulted in a significantly greater
reduction in VAS p! than stretching, sham taping, or no
treatment
Limitations:
 Stretching frequency
 Small sample size
 Long-term benefits of taping?
 Chronicity on p! reduction
Take-Home Message
 Taping provides immediate plantar heel p! relief
 Taping to be used as a “short-term bridge between
other long-term therapies”
 Taping addresses both pain relief & poor foot
biomechanics
Demonstrations/ Links for Instructions
 Low-Dye Taping:
 Apta.org/APTAMedia/Handouts/PT2012/selectmanag
ement_McPoil_1.pdf [Pg. 3]

https://www.dailymotion.com/video/x158dtx_plantar-fasciitistaping_news
Demonstrations/ Links for Instructions
 Calcaneal Taping:

http://www.jospt.org/doi/pdf/10.2519/jospt.2006.2078
 Windlass Taping:

http://www.humankinetics.com/acucustom/sitename/Documents/DocumentItem/3941.p
df [Pg. 234-235]
References:
 Hyland MR, Webber-Gaffney A, Cohen L, Lichtman PT.
Randomized controlled trial of calcaneal taping, sham taping,
and plantar fascia stretching for the short-term management
of plantar heel pain.J Orthop Sports Phys Ther.
2006;36(6):364–371.
 James D. Goff, Roert Crawford, Summa Health System,
Akron, Ohio Am Fam Physician. 2011 Sep 15;84(6):676-682.
 Landorf K, Menz H. Plantar heel pain and fasciitis. Clin Evid.
(Online) 2008; 2008: 1111.
References:
 Radford JA, Landorf KB, Buchbinder R, Cook C. Effectiveness
of low-Dye taping for the short-term treatment of plantar heel
pain: a randomised trial. BMC Musculoskelet Disord.
2006;7:64.
 Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for
plantar fasciitis: A mached case control study. J Bone Joint
Surg Am. 2003: 85-A: 872-877.
 Roman Podolsky and Leonid Kalichman. Taping for plantar
fasciitis: Review article. Journal of Back and Musculoskeletal
Rehabilitation. 2015; 28:1-6