Efectos de la desactivación de los puntos-gatillo de los músculos de la pantorrilla en las fascitis plantares

  1. Rómulo Renan Ordine
  2. Francisco Alburquerque Sendín
Journal:
Osteopatía científica

ISSN: 1886-9297

Year of publication: 2010

Volume: 5

Issue: 3

Pages: 66-71

Type: Article

DOI: 10.1016/S1886-9297(10)70013-8 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Osteopatía científica

Abstract

Introduction: Plantar fasciitis is a common cause of feet pain in adults, at the age between 40 and 60 years old, predominately on the feminine population. They show pain when palpated on the calcaneal tubercle and they even present miofacial trigger points on the portion proximal to the medial gastrocnemius and soleus muscles. Objectives: Identify if the deactivation techniques in calf muscles offer plantar pain reduction on patients. Material and methods: 60 patients were evaluated and divided into two groups of 30 volunteers each: control group (group 1) and experimental group (group 2). All patients were submitted to filling out the life quality questionnaire SF-36, before they were sent to their specific treatments. To the group treated, a protocol was carried out, in addition to the techniques proposed on the study of trigger-points deactivation of the main muscles involved on the plantar fasciitis. Once the treatment was over, after four sessions, the patients answered the questionnaire about life quality again. Results: Through the descriptive analysis of the present study, all the variables presented a normal distribution, evidencing the initial homogeneity of the total sample. The comparative analysis between the groups post-intervention presented significant statistic differences, by a p < 0,05 to the domain "pain" of questionnaire SF-36. Conclusions: Differences were found on the reduction of the algic scenario presented before and after the intervention between the groups.

Funding information

Debido a que es una evaluación sencilla de la percepción del dolor por el paciente y frecuente herramienta en investiga-ción, hemos utilizado en nuestro estudio una escala visual analógica (EVA) de 10 cm para la medición del dolor antes y después de la intervención entre los grupos y estandarizado con un algómetro de presión a 3 kg/cm2. La medición se realizó con el individuo en decúbito supino, donde realiza-mos el marcado de los puntos evaluados, en cada punto fue presionado el algómetro con 3 kg/cm2 y entonces el pacien-te señaló en la EVA cómo fue su dolor en cada punto presio-nado. En la bibliografía 34 se encontró un índice muy alto de fiabilidad intraevaluador (coeficiente de correlación intra-clase [CCI]: 0,992-0,998) para la evaluación con una EVA.

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