Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 10, 2012
   Pages 1557 — 1564

Abstract — Effectiveness of adjustable dorsiflexion night splint in combination with accommodative foot orthosis on plantar fasciitis

Winson C. C. Lee, PhD;1 W. Y. Wong, PhD;1–2 Eddy Kung, MSc;2 Aaron K. L. Leung, PhD1*

1Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Kowloon, Hong Kong; 2Prosthetic and Orthotic Department, Tuen Mun Hospital, New Territories, Hong Kong

Abstract–Foot orthoses and night splints have been used separately to treat patients with plantar fasciitis, but were not always successful. Combined use of both orthoses might give better outcomes. This study evaluated the effectiveness of a soft and self-adjustable dorsiflexion night splint in combination with an accommodative foot orthosis for patients with plantar fasciitis. Twenty-eight patients were assigned to group A (foot orthosis only) and group B (combination of foot orthosis and dorsiflexion night splints). A Foot Function Index (FFI) questionnaire was used to evaluate the pain and functions of feet just before, 2 weeks after, and 8 weeks after the treatments. Results showed that subjects in group B had significantly reduced pain scores at week 2 (p < 0.001) and week 8 (p < 0.001). In group A, no statistical differences were noted in the pain (p = 0.15), disability (p = 0.56), activity limitation (p = 0.75), and total FFI (p = 0.35) scores for the three time periods. The application of foot orthoses with adjustable dorsiflexion night splints was found to be more effective than the application of foot orthoses alone in relieving foot pain in patients with plantar fasciitis.

Clinical Trial Registration: Registered at HKU Clinical Trial Register (HKCTR-1318); http://www.HKClinicalTrials.com

Key words: dorsiflexion, foot, Foot Function Index, heel pain, night splints, orthoses, orthotics, pain, plantar fasciitis, rehabilitation.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 10
This article and all supplementary materials should be cited as follows:
Lee WC, Wong WY, Kung E, Leung AK. Effectiveness of adjustable dorsiflexion night splint in combination with accommodative foot orthosis on plantar fasciitis. J Rehabil Res Dev. 2012;49(10):1557–64.
http://dx.doi.org/10.1682/JRRD.2011.09.0181
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