{Reference Type}: Journal Article
{Title}: Effects of Plantar Fascia Release and the Use of Foot Orthoses Affect Biomechanics of the Medial Longitudinal Arch of the Foot: A Cadaveric Study.
{Author}: Rodríguez-Sanz J;Roche-Seruendo LE;López-de-Celis C;Canet-Vintró M;Ordoyo-Martin J;Fernández-Gibello A;Labata-Lezaun N;Pérez-Bellmunt A;
{Journal}: Am J Phys Med Rehabil
{Volume}: 103
{Issue}: 7
{Year}: 2024 07 1
{Factor}: 3.412
{DOI}: 10.1097/PHM.0000000000002414
{Abstract}: The aim of the study is to evaluate the effect of minimally invasive ultrasound-guided fascial release and a foot orthoses with first metatarsal head cutout on the biomechanics of the medial longitudinal arch of the foot in cadaveric specimens.<BR>A cross-sectional study was designed (20 body donors). Anthropometric measurements of the foot, foot posture index, and the windlass test and force were measured in different conditions: unloaded, loaded position, with foot orthoses, after a 25% plantar fascia release and after a 50% release.<BR>For the anthropometric measurements of the foot, differences were found in foot length ( P = 0.009), arch height ( P < 0.001), and midfoot width ( P = 0.019) when comparing the unloaded versus foot orthoses condition. When foot orthoses were compared with 25% plantar fascial release, differences were found in foot length ( P = 0.014) and arch height ( P < 0.001). In the comparison with 50% plantar fascial release, differences were found in the arch height ( P < 0.001). A significant interaction between foot orthoses condition and grades was found in the arch height during the windlass test ( P = 0.021).<BR>The results indicate that the presence of foot orthoses leads to a significant increase in arch height compared with other conditions. Furthermore, when plantar fascia release is performed, the arch does not exhibit any signs of collapse.