Efficacy of Transverse Friction Massage versus Dry Cupping on Flexor Digitorum Brevis and Gastrocsoleus in Patients with Planter fasciitis
DOI:
https://doi.org/10.47672/ejhs.1617Keywords:
Dry Cupping, Flexor Digitorum Brevis, Gastrocsoleus, Planter fasciitis, Transverse Friction MassageAbstract
Purpose: Plantar fasciitis is a musculo-skeletal ailment prevalent in people of diverse ages and levels of physical activity. This condition causes pain in the medial side of heel, which is exacerbated by weight-bearing activities as well as in rest or non-weight bearing. The objective of the study was to compare the effects on transverse friction massage and dry cupping on pain, disability and activity limitations in patients with planter fasciitis.
Methodology: It was a quasi-experimental study with sample size of 32 and convenient sampling was used to recruit patients in study. Inclusion criteria of study were females and males of age 21 to 35 years, chronic pain in foot for more than 4 months and had positive windlass test. Study duration was 6 months. Out of 32 patients 16 were enrolled in group-A (baseline therapy and Transverse Friction Massage) and remaining 16 were enrolled in group-B (baseline therapy and Dry Cupping). Intensity of pain was assessed by NPRS before and after the treatment of 4 week and functional limitations was measure by Foot Function Index (FFI). Data was analyzed by software SPSS 24.0.
Findings: Out of 32 participants 37.5% were men and 62.5% were women. Results demonstrated that median of NPRS in group A before treatment was 6.50 and after treatment it was 3.00. Median of NPRS in group B before treatment was 6.00 and after treatment it was 2.50. Pre-treatment mean of FFI in group A was 64.18±7.40 which reduced to 21.12±9.26 after the treatment of 4 weeks. Pre-treatment mean of FFI in group b was 63.18±7.70 and after treatment it was 23.12±8.24. A statistical significant difference was found in pre and post treatments of both groups p≤0.05). Between group analysis of A and B showed no statistical significant difference (p>0.05). Transverse friction massage and dry cupping showed equal effects in reducing disability, activity limitations and pain in the patients of planter fasciitis.
Recommendations: Transverse Friction Massage and Dry Cupping demonstrate equivalent therapeutic benefits for plantar fasciitis patients. Clinicians are advised to consider both interventions, factoring in patient comfort and logistical constraints. It's imperative for policymakers to integrate these findings into clinical guidelines, while also promoting further research to elucidate the specific therapeutic mechanisms involved.
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López-López D, Pérez-Ríos M, Ruano-Ravina A, Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R, Romero-Morales C, et al. Impact of quality of life related to foot problems: A case–control study. Scientific Reports. 2021;11(1):14515.
Hill CL, Gill TK, Menz HB, Taylor AW. Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study. Journal of foot and ankle research. 2008;1:1-7.
Sobhani S, Dekker R, Postema K, Dijkstra PU. Epidemiology of ankle and foot overuse injuries in sports: a systematic review. Scandinavian journal of medicine & science in sports. 2013;23(6):669-86.
Lopes AD, Hespanhol LC, Yeung SS, Costa LOP. What are the main running-related musculoskeletal injuries? A systematic review. Sports medicine. 2012;42:891-905.
Klein SE, Dale AM, Hayes MH, Johnson JE, McCormick JJ, Racette BA. Clinical presentation and self-reported patterns of pain and function in patients with plantar heel pain. Foot & ankle international. 2012;33(9):693-8.
Rhim HC, Kwon J, Park J, Borg-Stein J, Tenforde AS. A systematic review of systematic reviews on the epidemiology, evaluation, and treatment of plantar fasciitis. Life. 2021;11(12):1287.
Van Leeuwen K, Rogers J, Winzenberg T, van Middelkoop M. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors. British journal of sports medicine. 2016;50(16):972-81.
Trojian T, Tucker AK. Plantar fasciitis. American family physician. 2019;99(12):744-50.
Akazawa N, Okawa N, Kishi M, Nakatani K, Nishikawa K, Tokumura D, et al. Effects of long-term self-massage at the musculotendinous junction on hamstring extensibility, stiffness, stretch tolerance, and structural indices: A randomized controlled trial. Physical Therapy in Sport. 2016;21:38-45.
Huang SY, Di Santo M, Wadden KP, Cappa DF, Alkanani T, Behm DG. Short-duration massage at the hamstrings musculotendinous junction induces greater range of motion. The Journal of Strength & Conditioning Research. 2010;24(7):1917-24.
Fakhro MA, Chahine H, Srour H, Hijazi K. Effect of deep transverse friction massage vs stretching on football players’ performance. World Journal of Orthopedics. 2020;11(1):47.
Farooq N, Aslam S, Bashir N, Awan WA, Shah M, Irshad A. Effectiveness of transverse friction massage of Flexor digitorum brevis and Calf muscle stretching in Plantar fasciitis on foot function index scale: A randomized control trial. Isra Med J. 2019;11(4):305-9.
Wood S, Fryer G, Tan LLF, Cleary C. Dry cupping for musculoskeletal pain and range of motion: a systematic review and meta-analysis. Journal of bodywork and movement therapies. 2020;24(4):503-18.
Singh B, Rajesh AN. Clinical evaluation of Hijamat Bila Shurt (Dry cupping) in the management of Waja ul zahar (Low Back Pain)-A randomized, single blind, standard controlled study. Journal of Medicinal Plants. 2016;4(5):189-92.
Khan AA, Jahangir U, Urooj S. Management of knee osteoarthritis with cupping therapy. Journal of advanced pharmaceutical technology & research. 2013;4(4):217.
Malik S, Anand P, Bhati P, Hussain ME. Effects of dry cupping therapy on pain, dynamic balance and functional performance in young female with recreational runners chronic plantar fasciitis. Sports Orthopaedics and Traumatology. 2022;38(2):159-70.
Modarresi S, Lukacs MJ, Ghodrati M, Salim S, MacDermid JC, Walton DM. A systematic review and synthesis of psychometric properties of the numeric pain rating scale and the visual analog scale for use in people with neck pain. The Clinical Journal of Pain. 2022;38(2):132-48.
Shafshak TS, Elnemr R. The visual analogue scale versus numerical rating scale in measuring pain severity and predicting disability in low back pain. JCR: Journal of Clinical Rheumatology. 2021;27(7):282-5.
Budiman-Mak E, Conrad KJ, Roach KE. The Foot Function Index: a measure of foot pain and disability. Journal of clinical epidemiology. 1991;44(6):561-70.
Islam Mu, Nayab M, Ansari AN. Effect of dry cupping versus soft and prolonged massage in the management of knee osteoarthritis–a randomized controlled clinical trial. Journal of Complementary and Integrative Medicine. 2021;18(4):797-804.
Hassan SM, Hafez AR, Seif HE, Kachanathu SJ. The effect of deep friction massage versus stretching of wrist extensor muscles in the treatment of patients with tennis elbow. Open Journal of Therapy and Rehabilitation. 2016;4(1):48-54.
Diorio P. Instrument Assisted Soft Tissue Mobilization and Dry Cupping: Do They Affect Passive Range of Motion in Young Adults? : The William Paterson University of New Jersey; 2020.
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Copyright (c) 2023 Muhammad Kamran , Abdul Mateen , Tamkeen, Syeda Amna Iqbal , Kaiynat Shafique , Dr. Hanan Azfar , Qasim Raza
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