Prabakaran Gopal, K (2012) Prevalence of Heel Pain among Nurses and Effects of Self Administered Therapy for Heel Pain Management: A Survey and Experimental study. Masters thesis, KMCH College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION: Heel pain is defined as pain arising from the insertion of plantar fascia with or without a heel spur. Heel pain is a very common foot problem, especially among people who are over the age of 40. In India, heel pain is common and its prevalence is more common in women than men. The most common cause of heel pain seems to be biomechanical abnormality that leads to stress on the plantar fascia. Heel pain should be evaluated and treated by understanding the biomechanical causes. The biomechanical approach using windlass mechanism will improve the clinical outcome. The common causes of heel pain are plantar fasciitis, fat pad syndrome, heel bruise, bursitis, tendonitis, calcaneal stress fracture, tarsal tunnel syndrome and posterior tibial nerve entrapment. The risk factors for developing the heel pain are weight gain, foot type of pronated foot and high arched foot, a high level of activity, sports, overuse, poor footwear, tightness of muscle and daily activities can trigger the symptoms. OBJECTIVE: To find the prevalence of heel pain among nurses and effects of self-administered therapy for the heel pain management. DESIGN: Survey and experimental study design. SETTING: KMCH College of nursing, Coimbatore. Participants: 302 nursing students. PROCEDURE: The heel pain questionnaire is given to all 302 students of KMCH College of nursing. 239 subjects with heel pain were identified and selected for the study. Total samples were divided into three groups according to the fulfillment of the criteria’s in questionnaire. Group A, Group B and Group C were again divided into four Groups according to the four different interventions called self-mobilization, self-stretching, strengthening exercise and advice received by them collectively called as self-administered therapy. All subjects were instructed to undergo their respective exercise offered to them. The outcomes measure is plantar fasciitis pain/disability score was measured after three weeks. RESULTS: A total of 79% of nursing students were having heel pain of various causes and hence the prevalence rate is higher in nursing students. All four interventional groups under three groups showed significant reduction in pain/disability level. ANOVA is used to compare between groups and the result shows that self administered therapy has good effect in plantar fasciitis and unspecific heel pain with better effects in the plantar fasciitis group than other groups. CONCLUSION: It is concluded that, a total of 79% of nursing students were having heel pain with various causes and hence the prevalence rate is higher in nursing students. The administration of self therapy like self-mobilization, self-stretching, strengthening exercise and advice has the equal effect on relieving pain/disability of heel pain due to plantar fasciitis and unspecific causes.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg. No: 27101604 |
| Uncontrolled Keywords: | Heel pain, heel pain questionnaire, self-administered therapy, plantar fasciitis pain/disability score. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 08 Nov 2020 02:55 |
| Last Modified: | 06 Jun 2022 12:20 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13178 |
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