Does presence of calcaneal spur have effects on pain, function, and quality of life in patients with plantar fasciitis? Plantar fasiitli hastalarda kalkaneal epin varliǧi aǧri şiddeti, fonksiyon ve yaşam kalitesini etkiler mi?


Turkish Journal of Physiotherapy and Rehabilitation, vol.29, no.3, pp.59-65, 2018 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 3
  • Publication Date: 2018
  • Doi Number: 10.21653/tfrd.403242
  • Journal Name: Turkish Journal of Physiotherapy and Rehabilitation
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.59-65
  • Keywords: Pain, Function, Plantar Fasciitis, Heel Spur, Quality of Life, HEEL PAIN, ANKLE-HINDFOOT, FOOT, DIAGNOSIS, CLASSIFICATION, TRANSLATION, ADAPTATION, HALLUX
  • Lokman Hekim University Affiliated: No


© 2018 Turkish Physiotherapy Association. All rights reserved.Purpose: The purpose of this study was to investigate the difference in aspects of pain severity, function, and quality of life between plantar fasciitis patients with and without calcaneal spur. Methods: Twenty-five subjects, mean age 43.60±8.57 years, diagnosed with plantar fasciitis participated in the study. Forty-three affected foot were evaluated, and patients were divided into two groups after radiological analysis according to having plantar fasciitis with (PF+CS, n=23) or without calcaneal spur (PF, n=20). Pain with first steps in the morning, palpation, and after long time standing using Visual Analog Scale (VAS), range of motion and plantar flexor muscle tightness using goniometer, pain-function-alignment features using American Orthopedic Foot and Ankle Society (AOFAS) Ankle-hind Foot Scale, walking performance using six-minute walk test (6MWT), and quality of life using World Health Organization Quality of Life Scale (WHOQOL-BREF) were evaluated. Results: There was no difference between the groups regarding age (p=0.353), height (p=0.768), weight (p=0.251), and body mass index (p=0.435). The severity of pain, ankle dorsiflexion range of motion, ankle plantar flexor muscle tightness, AOFAS ankle-hind foot score, 6MWT distance, and WHOQOL-BREF environmental score were not statistically different (p>0.05). The WHOQOL-BREF physical and psychological scores in PF group and social score in PF+CS were significantly higher (p<0.05). Conclusion: Plantar fasciitis with calcaneal spur affects persons' quality of life negatively in aspects of physical and psychological perspectives while social perspective is more affected in persons without calcaneal spur. Improving quality of life should be one of the aims of each period of therapeutic management.