Metatarsophalangeal joint extension changes ultrasound measurements for plantar fascia thickness

Journal of Foot and Ankle Research
Michael J GranadoNoha S Daher

Abstract

Ultrasound is an inexpensive method for quantifying plantar fascia thickness, especially in those with plantar fasciitis. Ultrasound has also been used to assess the effectiveness of various treatments for plantar fasciitis by comparing plantar fascia thickness before and after an intervention period. While a plantar fascia thickness over 4 mm via ultrasound has been proposed to be consistent with plantar fasciitis, some researchers believe the 4 mm plantar fascia thickness level to be a dubious guideline for diagnosing plantar fasciitis due to the lack of standardization of the measurement process for plantar fascia thickness. In particular, no universal guidelines exist on the positioning of the metatarsophalangeal (MTP) joints during the procedure and the literature also has inconsistent protocols. The purpose of this study is to investigate and compare the influence of MTP joint extension on plantar fascia thickness in healthy participants and those with unilateral plantar fasciitis. The plantar fascia thickness of forty participants (20 with unilateral plantar fasciitis and 20 control) was measured via ultrasound three times at three different MTP joint positions: 1) at rest, 2) 30° of extension from the plantar surface, a...Continue Reading

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Citations

Nov 11, 2018·Foot & Ankle International·Michael J GranadoKeith E Gordon
Feb 1, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Przemysław A PękalaKrzysztof A Tomaszewski
May 10, 2020·Journal of Foot and Ankle Research·Melinda M Franettovich SmithBill Vicenzino
Dec 8, 2020·The Foot·Eduarda Heydt HeinenHeiliane de Brito Fontana

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