OBJECTIVE: Evaluate the static positioning of the scapula on the rib cage in healthy subjects by means of clinical and radiographic evaluation to assess inter-examiner reliability of clinical examination and verify the reliability of this evaluation method compared to the radiographic examination. METHODS: We selected 30 adult individuals of both sexes with no diagnosis of shoulder pathology. The static clinical examination, following the protocol suggested by Burkhart et al, was performed repeatedly by two independent examiners, followed by the radiographic examination, which was later examined by the first evaluator. RESULTS: 73.3% of the subjects showed positioning of the scapula considered normal. The inter-examiner reliability and that of the clinical examination in relation to radiography were considered low and very low, respectively. CONCLUSION: The reproducibility of the evaluation performed by Burkhart was considered satisfactory to good, while the inter-examiner reproducibility of the clinical examination and the static reproducibility of the clinical examination with radiography were considered poor to satisfactory. Level of Evidence III, Study of Nonconsecutive Patients.
Plantar fasciitis is a common cause of heel and foot pain. It affects approximately 2 million Americans annually. Physiotherapy is the first treatment prescribed, and its success depends on the patient's adherence to treatment. Objective: This study aimed to develop a manual with orientations and exercises for patients with plantar fasciitis and to assess its clarity, level of understanding, and satisfaction among patients and physiotherapists. Method: Thirty physiotherapists and thirty patients, who were literate and showed no cognitive deficit, participated in this study. They analyzed a manual that consists of 10 exercises and orientations for patients with plantar fasciitis. Results: All exercises and orientations were well understood (above 90%). The manual was considered excellent by the patients and great by physiotherapists. Conclusion: Demonstrating a relevant level of understanding and satisfaction among therapists and patients, the manual proved to be a supplementary tool in the treatment of patients with plantar fasciitis.
Plantar fasciitis is a common cause of heel and foot pain. It affects approximately 2 million Americans annually. Physiotherapy is the first treatment prescribed, and its success depends on the patient’s adherence to treatment. Objective: This study aimed to develop a manual with orientations and exercises for patients with plantar fasciitis and to assess its clarity, level of understanding, and satisfaction among patients and physiotherapists. Method: Thirty physiotherapists and thirty patients, who were literate and showed no cognitive deficit, participated in this study. They analyzed a manual that consists of 10 exercises and orientations for patients with plantar fasciitis. Results: All exercises and orientations were well understood (above 90%). The manual was considered excellent by the patients and great by physiotherapists. Conclusion: Demonstrating a relevant level of understanding and satisfaction among therapists and patients, the manual proved to be a supplementary tool in the treatment of patients with plantar fasciitis.
A fasciíte plantar ou síndrome da dor do calcanhar é uma causa frequente de dor no calcanhar e no pé em adultos que acomete cerca de 2 milhões de americanos por ano e estima-se que cerca de 10% da população mundial já apresentou ou irá apresentar queixa de dor no pé em algum momento da vida. Objetivo: Realizar uma revisão da literatura a fim de verificar a efetividade das modalidades de tratamento fisioterapêutico em pacientes com fasciíte plantar. Método: Foi realizada uma busca eletrônica nas bases de dados Cochrane Library, Medline (via Pubmed), PEDro, LILACS, sem restrições de data e idioma. Foram incluídos, no presente estudo, os artigos que abordaram o tratamento fisioterapêutico na fasciíte plantar e excluídos os artigos que tiveram como foco o tratamento cirúrgico. Resultados: No total, 23 estudos cumpriram os critérios de inclusão. As modalidades encontradas foram: Alongamento de tríceps sural, terapia manual, bandagens, órteses/palmilhas e eletroterapia. Conclusão: Há evidência moderada de que os exercícios para alongamento do tríceps sural proporcionam benefícios aos pacientes com fasciite plantar. A evidência da aplicação de bandagens ainda é fraca, porém alguns estudos relatarem melhora da dor e função a curto prazo. Há evidência de qualidade que suporte que o uso de palmilhas customizadas proporciona melhora da dor e função a curto prazo em pacientes com fasciíte plantar. A utilização de talas noturnas apresenta resultados controversos, apesar de alguns estudos terem apresentado bons resultados.
Plantar fasciitis or heel pain syndrome is a common cause of heel and foot pain in adults that affects about 2 million Americans a year and it is estimated that about 10% of the world’s population have presented or will present foot pain at some time in their life. Objective: To review the literature in order to verify the effectiveness of the modalities of physical therapy in patients with plantar fasciitis. Method: An electronic search was conducted in the databases of the Cochrane Library, Medline (via Pubmed), PEDro, and LILACS, with no date or language restrictions. In the present study, articles about the physical therapy for plantar fasciitis and those that have focused on the surgical treatment were included. Results: In total, 23 studies met the inclusion criteria. The procedures were: Stretching sural triceps, manual therapy, bandaging, orthotics/ insoles and electrotherapy. Conclusions: There is moderate evidence that stretching exercises for the triceps surae provide benefits to patients with plantar fasciitis. The evidence of the application of bandages is still weak, but some studies have reported improvement in pain and function in the short term. There is good quality evidence supporting the use of custom insoles that can provide short-term improvement in pain and function in patients with plantar fasciitis. The use of night splints presents controversial results, although some studies have shown good results.
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