Research article

A STUDY ON EFFECTIVENESS OF TALONAVICULAR JOINT MOBILISATION AND FIRST METATARSOPHALANGEAL JOINT MOBILISATION ON PES CAVUS SUBJECTS WITH PLANTAR FASCIITIS

Ms.Hepzibah Rubella D, DR.M.S.Sundaram, DR. P. Senthil Selvam

Online First: October 29, 2022


BACKGROUND: Idiopathic pes cavus is a structural foot deformity characterized by rigid high and medial longitudinal arch which frequently occurs due to muscle imbalance. About 60% of the deformed individuals report with persistent foot pain due to high plantar pressure leading to important functional limitations. AIM & OBJECTIVE: To find out the effectiveness of mobilization on talonavicular joint and first metatarsophalangeal joint mobilization on pes cavus subjects with plantar fasciitis, thereby reducing their functional disability. PROCEDURE: An experimental study was conducted on subjects with pes cavus foot between 17-38 years of age. Total 28 subjects were divided equally into two groups 14 each. Group A was given talonavicular joint mobilization and Group B was given first metatarsophalangeal joint mobilization, along with TENS and plantar fascia stretch in common. Pre and post test measures were done using NPRS for pain, Goniometer for reduced dorsiflexion ROM, Musculoskeletal Ultrasonogram (Fascia thickness) and FAAM Questionnaire for ADL. RESULT: Statistical analysis was done using the paired t test(intra group) and unpaired t test (inter group). Both groups showed a significant improvement (p-0.05) in NPRS, Goniometer, faam questionnaire, whereas; group B (first MTP joint) showed significant improvement in plantar fascia with reduction in thickness using Musculoskeletal ultrasonogram. CONCLUSION: It is concluded that there was a significant improvement in mobilizing the first MTP joint on pes cavus subjects with plantar fasciitis.

Keywords

high arch, Plantar Fasciitis, FAAM questionnaire, Musculoskeletal Ultrasonogram.