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KMID : 0357220090210030041
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Journal of Korean Society Physical Therapy
2009 Volume.21 No. 3 p.41 ~ p.46
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Change of Plantar Fascia Thickness in Hemiplegic Patients
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Park Ji-Won
Park Sung-Hee
Ko Myoung-Hwan
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Abstract
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Purpose: This study investigated the change in plantar fascia thickness in hemiplegic and non-hemiplegic feet in stroke patients using an ultrasonographic evaluation.
Methods: Sixteen hemiplegic and non-hemiplegic feet from 16 hemiplegic patients (patient group) and 16 feet from 8 healthy subjects (control group) were evaluated by ultrasonography. The sagittal sonograms were obtained in the prone position, and the plantar fascia thickness was measured at its insertion into the calcaneus.
Results: The mean plantar fascia thickness was measured to be mm in hemiplegic feet of the patient group, mm for the contralateral non-hemiplegic feet and mm for the control group. There was a statistically significant difference in plantar fascia between the hemiplegic feet and contralateral non-hemiplegic feet as well as between the contralateral non-hemiplegic feet and control group (p<0.01 and p<0.05, respectively). The plantar fascia thickness according to the Brunnstrom stage and modified Ashworth scale was increased significantly in the hemiplegic feet (p<0.01).
Conclusion: These results show that the plantar fascia is overloaded in the hemiplegic and non-hemiplegic feet of stroke patients. A therapeutic approach should be considered for these patients
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KEYWORD
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Hemiplegia, Plantar fascia, Ultrasonography
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