Ann Rehabil Med.  2018 Apr;42(2):222-228. 10.5535/arm.2018.42.2.222.

Clinical and Biomechanical Effects of Low-Dye Taping and Figure-8 Modification of Low-Dye Taping in Patients With Heel Pad Atrophy

Affiliations
  • 1Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. taeim@hanmail.net
  • 2Department of Rehabilitation Medicine, Samcheok Medical Center, Samcheok, Korea.

Abstract


OBJECTIVE
To investigate and compare the effect of low-dye taping (LDT) and figure-8 modification of LDT (MLDT) on peak plantar pressure and heel pain in patients with heel pad atrophy.
METHODS
There were reviewed 32 feet of 19 patients who have been diagnosed with heel pad atrophy who were enrolled in this study. The patients were diagnosed with heel pad atrophy with clinical findings, and loaded heel pad thickness measured by ultrasonography. At the first visit, patients were taught how to do LDT and MLDT. They were instructed to do daily living with barefoot, LDT and MLDT at least one time per day. Patients performed pedobarography with barefoot, LDT and MLDT within 2 weeks. The severity of heel pain was also checked with the visual analogue scale (VAS) during daily living with barefoot, LDT and MLDT.
RESULTS
VAS of hindfoot were significantly decreased after LDT and MLDT (p < 0.01). Peak plantar pressure under hindfoot were also decreased after LDT and MLDT (p < 0.01). The effect of MLDT in decreasing peak plantar pressure of hindfoot (p < 0.01) and pain relief (p=0.001) was better than the effect of LDT.
CONCLUSION
The LDT technique is clinically useful for pain management and reducing peak plantar pressure of hindfoot in patients with heel pad atrophy. MLDT is more effective than LDT in reducing peak plantar pressure and heel pain in patients with heel pad atrophy.

Keyword

Heel; Pressure; Gait

MeSH Terms

Atrophy*
Foot
Gait
Heel*
Humans
Pain Management
Ultrasonography

Figure

  • Fig. 1 (A) Low-dye taping and (B) figure-8 modification of low-dye taping.


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