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KINESIO TAPING AND EXTRACORPOREAL SHOCK WAVE THERAPY IN PLANTAR FASCIITIS: ACUTE EFFECTS ON PAIN, PLANTAR FASCIA FLEXIBILITY, AND LOWER EXTREMITY FUNCTION

Year 2025, , 209 - 223, 30.06.2025

Abdulkadir Dağbaşı , Hanife Doğan , Aynur Başaran

https://doi.org/10.70813/ssd.1631838

Abstract

Purpose: The placebo effect in physiotherapy and rehabilitation for plantar fasciitis remains unclear. This study aims to compare the effectiveness of Extracorporeal Shock Wave Therapy (ESWT) combined with Kinesio Taping (KT), ESWT alone, and placebo ESWT in patients with plantar fasciitis.
Methods: Ninety male patients aged 18–50 years with plantar fasciitis were randomly assigned to three groups: ESWT+KT (n=30), ESWT alone (n=30), and placebo ESWT (n=30). The ESWT+KT group received a single ESWT session followed by KT application, the ESWT group received only a single ESWT session, and the placebo group underwent simulated ESWT with no actual treatment. Pain severity was assessed using the Visual Analog Scale (VAS), lower extremity functionality with the Lower Extremity Functional Scale (LEFS), and plantar fascia flexibility with a tape measure.
Results: Pain intensity (VAS) significantly decreased across all groups (p<0.05). The ESWT+KT group showed significant improvements in plantar fascia flexibility (p=0.05) and LEFS scores (p=0.012), while the ESWT group improved in LEFS scores (p=0.011). The placebo ESWT group experienced reduced pain scores (p=0.01) but showed no improvement in flexibility or functionality.
Conclusion: Placebo ESWT reduced pain but did not affect other outcomes. Combining ESWT with KT appears to enhance plantar fascia flexibility and lower extremity functionality. Further studies are needed to evaluate the long-term effects of these interventions.

Keywords

Extracorporeal shock wave therapy Flexibility Kinesio taping Pain Plantar fasciitis

References

  • Binkley, J. M., Stratford, P. W., Lott, S. A., & Riddle, D. L. (1999). The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network. Physical therapy, 79(4), 371–383.
  • Citaker, S., Kafa, N., Hazar Kanik, Z., Ugurlu, M., Kafa, B., & Tuna, Z. (2016). Translation, cross-cultural adaptation and validation of the Turkish version of the Lower Extremity Functional Scale on patients with knee injuries. Archives of orthopaedic and trauma surgery, 136(3), 389–395. https://doi.org/10.1007/s00402-015-2384-6
  • Dixon, J. S., & Bird, H. A. (1981). Reproducibility along a 10 cm vertical visual analogue scale. Annals of the rheumatic diseases, 40(1), 87–89. https://doi.org/10.1136/ard.40.1.87
  • Elgendy, M. H., Khalil, S. E., ElMeligie, M. M., & Elazab, D. R. (2024). Effectiveness of extracorporeal shockwave therapy in treatment of upper and lower limb tendinopathies: A systematic review and meta-analysis. Physiotherapy research international: the journal for researchers and clinicians in physical therapy, 29(1), e2042. https://doi.org/10.1002/pri.2042
  • Guimarães, J. S., Arcanjo, F. L., Leporace, G., Metsavaht, L. F., Conceição, C. S., Moreno, M. V. M. G., Vieira, T. E. M., Moraes, C. C., & Gomes Neto, M. (2023). Effects of therapeutic interventions on pain due to plantar fasciitis: A systematic review and meta-analysis. Clinical rehabilitation, 37(6), 727–746. https://doi.org/10.1177/02692155221143865
  • Hamstra-Wright, K. L., Huxel Bliven, K. C., Bay, R. C., & Aydemir, B. (2021). Risk Factors for Plantar Fasciitis in Physically Active Individuals: A Systematic Review and Meta-analysis. Sports health, 13(3), 296–303. https://doi.org/10.1177/1941738120970976
  • International Society for Medical Shockwave Treatment. (2023, July 20). ESWT Guidelines (English version). Daegu, South Korea. Retrieved from https://www.ismst.com
  • Kase, K., Wallis, J., & Kase, T. (2013). Clinical therapeutic applications of the Kinesio taping method (3rd ed.). Kinesio Taping Association.
  • Koc, T. A., Jr, Bise, C. G., Neville, C., Carreira, D., Martin, R. L., & McDonough, C. M. (2023). Heel Pain - Plantar Fasciitis: Revision 2023. The Journal of orthopaedic and sports physical therapy, 53(12), CPG1–CPG39. https://doi.org/10.2519/jospt.2023.0303
  • Lohrer, H., Nauck, T., Dorn-Lange, N. V., Schöll, J., & Vester, J. C. (2010). Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures. Foot & ankle international, 31(1), 1–9. https://doi.org/10.3113/FAI.2010.0001
  • Millum, J., & Grady, C. (2013). The ethics of placebo-controlled trials: methodological justifications. Contemporary clinical trials, 36(2), 510–514. https://doi.org/10.1016/j.cct.2013.09.003
  • Morrissey, D., Cotchett, M., Said J'Bari, A., Prior, T., Griffiths, I. B., Rathleff, M. S., Gulle, H., Vicenzino, B., & Barton, C. J. (2021). Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. British journal of sports medicine, 55(19), 1106–1118. https://doi.org/10.1136/bjsports-2019-101970
  • Nas Kırdar, N., & Kanyılmaz, T. (2023). Kalkaneal mahmuz için kinezyo bantlamanın ekstrakorporeal şok dalgası tedavisine karşı etkinliği. Deneysel Ve Klinik Tıp Dergisi, 40(1), 57–61.
  • Ordahan, B., Türkoğlu, G., Karahan, A. Y., & Akkurt, H. E. (2017). Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial. Archives of rheumatology, 32(3), 227–233. https://doi.org/10.5606/ArchRheumatol.2017.6059
  • Rhim, H. C., Kwon, J., Park, J., Borg-Stein, J., & Tenforde, A. S. (2021). A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel, Switzerland), 11(12), 1287. https://doi.org/10.3390/life11121287
  • Ryskalin, L., Morucci, G., Natale, G., Soldani, P., & Gesi, M. (2022). Molecular Mechanisms Underlying the Pain-Relieving Effects of Extracorporeal Shock Wave Therapy: A Focus on Fascia Nociceptors. Life, 12(5), 743. https://doi.org/10.3390/life12050743
  • Şaş, S., & Koçak, F. A. (2020). Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi. Ahi Evran Medical Journal, 4(1), 1-5. https://doi.org/10.46332/aemj.580622
  • Tran, L., Makram, A. M., Makram, O. M., Elfaituri, M. K., Morsy, S., Ghozy, S., Zayan, A. H., Nam, N. H., Zaki, M. M. M., Allison, E. L., Hieu, T. H., Le Quang, L., Hung, D. T., & Huy, N. T. (2023). Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis. Research in sports medicine (Print), 31(4), 416–439. https://doi.org/10.1080/15438627.2021.1989432
  • Wang, Y. C., Chen, S. J., Huang, P. J., Huang, H. T., Cheng, Y. M., & Shih, C. L. (2019). Efficacy of Different Energy Levels Used in Focused and Radial Extracorporeal Shockwave Therapy in the Treatment of Plantar Fasciitis: A Meta-Analysis of Randomized Placebo-Controlled Trials. Journal of clinical medicine, 8(9), 1497. https://doi.org/10.3390/jcm8091497
  • Wu, W. T., Hong, C. Z., & Chou, L. W. (2015). The Kinesio Taping Method for Myofascial Pain Control. Evidence-based complementary and alternative medicine: eCAM, 2015, 950519. https://doi.org/10.1155/2015/950519
  • Yaray, O., Akesen, B., Ocaklioğlu, G., & Aydinli, U. (2011). Validation of the Turkish version of the visual analog scale spine score in patients with spinal fractures. Acta orthopaedica et traumatologica turcica, 45(5), 353–358. https://doi.org/10.3944/AOTT.2011.2528

PLANTAR FASİTİTTE KİNEZYO BANTLAMA VE EKSTRAKORPORAL ŞOK DALGA TERAPİSİNİN AĞRI, PLANTAR FASYA ESNEKLİĞİ VE ALT EKSTREMİTE FONKSİYONUNA AKUT ETKİSİ

Year 2025, , 209 - 223, 30.06.2025

Abdulkadir Dağbaşı , Hanife Doğan , Aynur Başaran

https://doi.org/10.70813/ssd.1631838

Abstract

Amaç: Bu çalışma, plantar fasiitli hastalarda Kinesio Bantlama (KT) ile birlikte Ekstrakorporeal Şok Dalgası Terapisi'nin (ESWT), tek başına ESWT'nin ve plasebo ESWT'nin etkinliğini karşılaştırmayı amaçlamaktadır.
Yöntem: Plantar fasiit tanısı almış 18-50 yaş arası 90 erkek hasta rastgele üç gruba ayrılmıştır: ESWT+KT (n=30), yalnızca ESWT (n=30) ve plasebo ESWT (n=30). ESWT+KT grubuna tek seans ESWT uygulandıktan sonra KT uygulanmış, ESWT grubuna yalnızca tek seans ESWT uygulanmış, plasebo grubuna ise gerçek tedavi içermeyen simüle ESWT uygulanmıştır. Ağrı şiddeti Görsel Analog Skala (VAS), alt ekstremite fonksiyonelliği Alt Ekstremite Fonksiyonel Skalası (LEFS) ve plantar fasya esnekliği mezura ile değerlendirilmiştir.
Bulgular: Tüm gruplarda ağrı şiddetinde (VAS) anlamlı bir azalma gözlemlenmiştir (p<0.05). ESWT+KT grubu, plantar fasya esnekliğinde (p=0.05) ve LEFS skorlarında (p=0.012) anlamlı iyileşme gösterirken, ESWT grubunda LEFS skorlarında iyileşme tespit edilmiştir (p=0.011). Plasebo ESWT grubu ağrı skorlarında azalma sağlamış (p=0.01), ancak esneklik veya fonksiyonellik üzerinde bir iyileşme göstermemiştir.
Sonuç: Plasebo ESWT ağrıyı azaltmasına rağmen diğer sonuçlar üzerinde bir etkisi olmamıştır. ESWT’nin KT ile kombinasyonu, plantar fasya esnekliğini ve alt ekstremite fonksiyonelliğini artırmada daha etkili görünmektedir. Bu müdahalelerin uzun vadeli etkilerini değerlendirmek için daha fazla çalışmaya ihtiyaç vardır.

Keywords

Plantar fasiit Ekstrakorporeal şok dalgası tedavisi Kinesio bantlama Ağrı Esneklik

References

  • Binkley, J. M., Stratford, P. W., Lott, S. A., & Riddle, D. L. (1999). The Lower Extremity Functional Scale (LEFS): scale development, measurement properties, and clinical application. North American Orthopaedic Rehabilitation Research Network. Physical therapy, 79(4), 371–383.
  • Citaker, S., Kafa, N., Hazar Kanik, Z., Ugurlu, M., Kafa, B., & Tuna, Z. (2016). Translation, cross-cultural adaptation and validation of the Turkish version of the Lower Extremity Functional Scale on patients with knee injuries. Archives of orthopaedic and trauma surgery, 136(3), 389–395. https://doi.org/10.1007/s00402-015-2384-6
  • Dixon, J. S., & Bird, H. A. (1981). Reproducibility along a 10 cm vertical visual analogue scale. Annals of the rheumatic diseases, 40(1), 87–89. https://doi.org/10.1136/ard.40.1.87
  • Elgendy, M. H., Khalil, S. E., ElMeligie, M. M., & Elazab, D. R. (2024). Effectiveness of extracorporeal shockwave therapy in treatment of upper and lower limb tendinopathies: A systematic review and meta-analysis. Physiotherapy research international: the journal for researchers and clinicians in physical therapy, 29(1), e2042. https://doi.org/10.1002/pri.2042
  • Guimarães, J. S., Arcanjo, F. L., Leporace, G., Metsavaht, L. F., Conceição, C. S., Moreno, M. V. M. G., Vieira, T. E. M., Moraes, C. C., & Gomes Neto, M. (2023). Effects of therapeutic interventions on pain due to plantar fasciitis: A systematic review and meta-analysis. Clinical rehabilitation, 37(6), 727–746. https://doi.org/10.1177/02692155221143865
  • Hamstra-Wright, K. L., Huxel Bliven, K. C., Bay, R. C., & Aydemir, B. (2021). Risk Factors for Plantar Fasciitis in Physically Active Individuals: A Systematic Review and Meta-analysis. Sports health, 13(3), 296–303. https://doi.org/10.1177/1941738120970976
  • International Society for Medical Shockwave Treatment. (2023, July 20). ESWT Guidelines (English version). Daegu, South Korea. Retrieved from https://www.ismst.com
  • Kase, K., Wallis, J., & Kase, T. (2013). Clinical therapeutic applications of the Kinesio taping method (3rd ed.). Kinesio Taping Association.
  • Koc, T. A., Jr, Bise, C. G., Neville, C., Carreira, D., Martin, R. L., & McDonough, C. M. (2023). Heel Pain - Plantar Fasciitis: Revision 2023. The Journal of orthopaedic and sports physical therapy, 53(12), CPG1–CPG39. https://doi.org/10.2519/jospt.2023.0303
  • Lohrer, H., Nauck, T., Dorn-Lange, N. V., Schöll, J., & Vester, J. C. (2010). Comparison of radial versus focused extracorporeal shock waves in plantar fasciitis using functional measures. Foot & ankle international, 31(1), 1–9. https://doi.org/10.3113/FAI.2010.0001
  • Millum, J., & Grady, C. (2013). The ethics of placebo-controlled trials: methodological justifications. Contemporary clinical trials, 36(2), 510–514. https://doi.org/10.1016/j.cct.2013.09.003
  • Morrissey, D., Cotchett, M., Said J'Bari, A., Prior, T., Griffiths, I. B., Rathleff, M. S., Gulle, H., Vicenzino, B., & Barton, C. J. (2021). Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. British journal of sports medicine, 55(19), 1106–1118. https://doi.org/10.1136/bjsports-2019-101970
  • Nas Kırdar, N., & Kanyılmaz, T. (2023). Kalkaneal mahmuz için kinezyo bantlamanın ekstrakorporeal şok dalgası tedavisine karşı etkinliği. Deneysel Ve Klinik Tıp Dergisi, 40(1), 57–61.
  • Ordahan, B., Türkoğlu, G., Karahan, A. Y., & Akkurt, H. E. (2017). Extracorporeal Shockwave Therapy Versus Kinesiology Taping in the Management of Plantar Fasciitis: A Randomized Clinical Trial. Archives of rheumatology, 32(3), 227–233. https://doi.org/10.5606/ArchRheumatol.2017.6059
  • Rhim, H. C., Kwon, J., Park, J., Borg-Stein, J., & Tenforde, A. S. (2021). A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life (Basel, Switzerland), 11(12), 1287. https://doi.org/10.3390/life11121287
  • Ryskalin, L., Morucci, G., Natale, G., Soldani, P., & Gesi, M. (2022). Molecular Mechanisms Underlying the Pain-Relieving Effects of Extracorporeal Shock Wave Therapy: A Focus on Fascia Nociceptors. Life, 12(5), 743. https://doi.org/10.3390/life12050743
  • Şaş, S., & Koçak, F. A. (2020). Plantar Fasiit Tedavisinde Ekstrakorporeal Şok Dalga Tedavisinin Etkinliğinin Değerlendirilmesi. Ahi Evran Medical Journal, 4(1), 1-5. https://doi.org/10.46332/aemj.580622
  • Tran, L., Makram, A. M., Makram, O. M., Elfaituri, M. K., Morsy, S., Ghozy, S., Zayan, A. H., Nam, N. H., Zaki, M. M. M., Allison, E. L., Hieu, T. H., Le Quang, L., Hung, D. T., & Huy, N. T. (2023). Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis. Research in sports medicine (Print), 31(4), 416–439. https://doi.org/10.1080/15438627.2021.1989432
  • Wang, Y. C., Chen, S. J., Huang, P. J., Huang, H. T., Cheng, Y. M., & Shih, C. L. (2019). Efficacy of Different Energy Levels Used in Focused and Radial Extracorporeal Shockwave Therapy in the Treatment of Plantar Fasciitis: A Meta-Analysis of Randomized Placebo-Controlled Trials. Journal of clinical medicine, 8(9), 1497. https://doi.org/10.3390/jcm8091497
  • Wu, W. T., Hong, C. Z., & Chou, L. W. (2015). The Kinesio Taping Method for Myofascial Pain Control. Evidence-based complementary and alternative medicine: eCAM, 2015, 950519. https://doi.org/10.1155/2015/950519
  • Yaray, O., Akesen, B., Ocaklioğlu, G., & Aydinli, U. (2011). Validation of the Turkish version of the visual analog scale spine score in patients with spinal fractures. Acta orthopaedica et traumatologica turcica, 45(5), 353–358. https://doi.org/10.3944/AOTT.2011.2528
There are 21 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Abdulkadir Dağbaşı 0009-0008-3930-4980

Hanife Doğan 0000-0002-2294-2483

Aynur Başaran 0000-0003-2079-4867

Publication Date June 30, 2025
Submission Date February 3, 2025
Acceptance Date June 18, 2025
Published in Issue Year 2025

Cite

APA Dağbaşı, A., Doğan, H., & Başaran, A. (2025). KINESIO TAPING AND EXTRACORPOREAL SHOCK WAVE THERAPY IN PLANTAR FASCIITIS: ACUTE EFFECTS ON PAIN, PLANTAR FASCIA FLEXIBILITY, AND LOWER EXTREMITY FUNCTION. Selçuk Sağlık Dergisi, 6(2), 209-223. https://doi.org/10.70813/ssd.1631838