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"[ABSTRAKTujuan. Studi ini merupakan studi ultrasonografi untuk menilai efektivitas proyeksi lateral dekubitus dibandingkan dengan proyeksi pronasi dengan atau tanpa manuver dorsofleksi dalam mendiagnosis plantar fasciitis.Metode. 45 pasien yang terdiri atas 12 pasien memiliki keluhan di kedua kaki, 6 pasien memiliki keluhan di kaki kanan dan 15 pasien di kaki kiri. Pengukuran tebal fasia plantaris menggunakan proyeksi sagital di mana fasia plantaris melewati aspek anterior dari batas inferior tulang kalkaneus.Hasil. Tidak terdapat korelasi hasil pengukuran ketebalan fasia plantaris antara posisi lateral dekubitus dan posisi pronasi dengan dorsofleksi (p=0,008) dan terdapat korelasi hasil antara posisi lateral dekubitus dan posisi pronasi tanpa dorsofleksi (p=0,064) pada kelompok plantar fasciitis. Posisi lateral dekubitus pada plantar fasciitis memiliki peningkatan rata-rata ketebalan fasia plantaris dibandingkan dengan posisi pronasi.Kesimpulan. Posisi pronasi merupakan teknik yang umum dipakai dalam menilai plantar fasciitis, namun demikian proyeksi lateral dekubitus dapat menjadi teknik yang efektif dan memberikan kenyamanan bagi pasien plantar fasciitis dengan beberapa kondisi tertentu yang tentunya akan berguna bagi ahli radiologi dalam menjalankan praktek klinik.

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ABSTRACTObjective. The purpose of this ultrasound study was to investigate the efficacy ofdecubitus lateral projection compared with prone projection and with or without dorsiflexion ankle maneuver in the detection of plantar fasciitis.Methods. Fourty-five patients with right unilateral (n=6), left unilateral (n=15) and bilateral (n=12) heel pain andfourty-four age and sex matched healthy subjects were studied. Sagittal imaging of the plantar fascia was performed and its thickness was measured on both technic at a point where the plantar fascia crosses the anterior aspect of the inferior border of the calcaneus.Result. There is no correlation was found between decubitus lateral projection and prone projection with dorsiflexion of plantar fascia thickness measurements (p=0,008) and there is a correlation was found between decubitus lateral projection and prone projection without dorsiflexion of plantar fascia thickness measurements (p=0,064)on plantar fasciitis group. Compared with the prone projection, patients with decubitus lateral projection had increases in plantar fascia thicknesses.Conclusions. Prone projection is the common technic in the assessment of plantar fasciitis, however decubitus lateral projections can also serves as an effective technic and comfortable position that can be used at plantar fasciitis patients with specific conditions which may be very useful for the radiologist in clinical practice., Objective. The purpose of this ultrasound study was to investigate the efficacy ofdecubituslateral projection compared with prone projection and with or without dorsiflexion anklemaneuver in the detection of plantar fasciitis. Methods. Fourty-five patients with right unilateral (n=6), left unilateral (n=15) and bilateral(n=12) heel pain andfourty-four age and sex matched healthy subjects were studied. Sagittalimaging of the plantar fascia was performed and its thickness was measured on both technic at apoint where the plantar fascia crosses the anterior aspect of the inferior border of the calcaneus. Result. There is no correlation was found between decubitus lateral projection and proneprojection with dorsiflexion of plantar fascia thickness measurements (p=0,008) and there is acorrelation was found between decubitus lateral projection and prone projection withoutdorsiflexion of plantar fascia thickness measurements (p=0,064)on plantar fasciitis group.Compared with the prone projection, patients with decubitus lateral projection had increases inplantar fascia thicknesses. Conclusions. Prone projection is the common technic in the assessment of plantar fasciitis,however decubitus lateral projections can also serves as an effective technic and comfortableposition that can be used at plantar fasciitis patients with specific conditions which may be veryuseful for the radiologist in clinical practice.]"

"Latar Belakang: Plantar fasciitis merupakan penyebab tersering dari nyeri tumit inferior. Nyeri dapat menjadi kronik walaupun sudah mendapatkan terapi konservatif yang optimal. Perbandingan efektivitas antara ESWT dan terapi Ultrasound masih belum diketahui dengan jelas.Metode: Penelitian ini merupakan studi eksperimental. Sebanyak 24 subjek plantar fasciitis dengan rentang usia 26-43 tahun yang telah terdiagnosis melalui USG mengikuti penelitian ini. Subjek dikelompokkan secara konsekutif ke dalam grup ESWT GE, n=13 dan grup Ultrasound UG, n=11 dengan durasi intervensi tiga minggu. Keluaran primer yang dinilai adalah nyeri palpasi dan nyeri pagi hari pada area medial tuberositas calcaneus. Keluaran sekundernya adalah waktu tempuh uji jalan 15 meter.Hasil: Masing-masing grup menunjukkan perbaikan nyeri yang signifikan secara statistik tanpa adanya perbedaan bermakna antargrup. Waktu tempuh uji jalan 15 meter mengalami perbaikan yang tidak signifikan secara statistik pada kedua grup dan tidak terdapat perbedaan signifikan antargrup.Kesimpulan: ESWT sama efektifnya dengan terapi Ultrasound dalam memberikan perbaikan nyeri pada plantar fasciitis.

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Background: Plantar fasciitis is the most common cause of inferior heel pain. It may become chronic pain despite optimal conservative treatment. Comparison of effectiveness between ESWT an Ultrasound still unclear.

Methods: Experimental study on plantar fasciitis patient that diagnosed using Ultrasonography with range of age 26 63 years divided consecutively into ESWT group EG ESWT and stretching fascia plantaris gastrocnemius and Ultrasound group UG US and stretching fascia plantaris gastrocnemius for 3 weeks intervention. The primary outcomes were pain on palpation and morning pain on medial of calcaneal tuberosity. The secondary outcome was duration in performing 15 meters walk test.

Results: 24 participants EG n 13, UG n 11 enrolled in this study. Mean age of EG 46.5 years and CG 43 years. Each group showed statistically significant improvement of pain reduction with no significant different between group. The duration of 15 meters walk test improved nonsignificant in each group dan did not show significant difference between group.

Conclusions: ESWT was no more effective than Ultrasound in reducing pain in patient with plantar fasciitis."

"Latar Belakang : Plantar fasciitis (PF) merupakan penyebab nyeri yang sering terjadi pada tumit. insidensi PF terjadi 2,9 kali lebih banyak pada pasien dengan obesitas. Tatalaksana PF non-operatif, salah satunya adalah dengan low level laser therapy (LLLT). Penelitian yang membuktikan bahwa satu terapi memiliki nilai lebih dibanding terapi yang lain masih sedikit. Tesis ini disusun untuk mengetahui efektivitas low level laser therapy (LLLT) dalam tatalaksana PF dengan obesitas. Metode : Penelitian ini menggunakan desain uji acak terkontrol dengan terapi standar yang terdiri dari latihan aerobik dan latihan peregangan serta penguatan fasia plantar, sebagai kontrol. Semua subjek penelitian (n=14), yaitu 7 orang pada kelompok perlakuan, dan 7 orang pada kelompok kontrol. Subjek penelitian adalah pasien yang telah didiagnosis PF dengan obesitas, unilateral PF, indeks masa tubuh (IMT) ≥ 25, nyeri tumit dengan visual analogue scale (VAS) 4 – 7, nyeri > 3minggu, dengan bukti tidak ada trauma akut usia 30-60 tahun, Moca ina normal ≥26, dan bersedia berpartisipasi dalam penelitian ini dan telah menandatangani lembar persetujuan penelitian (informed consent) setelah mendapat penjelasan. Pada awal penelitian dilakukan pemeriksaan ketebalan fasia plantar dengan menggunakan ultrasonografi (USG), pengisian foot and ankle outcome score (FAOS), dan nilai VAS. Kelompok perlakuan mendapatkan terapi LLLT dan terapi standar. Pemberian LLLT dengan dosis 8 J/cm2 pada 4 area yaitu pada titik paling nyeri, area origo medial kalkaneus, fasia medial, dan regio insersi pada proksimal falang. Laser diberikan dengan teknik grinding. Kelompok kontrol mendapatkan terapi standar saja. Intervensi diberikan sebanyak 3 kali dalam seminggu, selama 4 minggu. Nilai VAS dievaluasi setiap akhir minggu. Evaluasi nilai FAOS dan ketebalan fasia plantar dilakukan kembali setelah intervensi selesai. Hasil : Penurunan nilai VAS secara signifikan bermakna pada kedua kelompok (p 0,04). Perubahan ketebalan fasia plantar secara statistik berbeda bermakna antara kedua kelompok ( p 0,01) . Nilai FAOS pada kategori nyeri menurun secara statistik bermakna (p 0,005). Simpulan : Pemberian LLLT selama 4 minggu, efektif menurunkan nilai VAS, ketebalan fasia plantar, dan FAOS kategori nyeri pada pasien PF dengan obesitas.

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Background: Plantar fasciitis (PF) is a common cause of pain in the heel. PF incidence occurs 2.9 times more in patients with obesity. Non-operative PF management, one of which is with low level laser therapy (LLLT). Research that proves that one therapy has more value than the other therapy is still a little. This thesis was aimed to determine the effectiveness of low level laser therapy (LLLT) in the management of PF with obesity. Method: The study used a randomized controlled trial design with standard therapies consisting of aerobic exercise, stretching and strengthening exercise of plantar fascia, as control. All study subjects (n=14), 7 people in the treatment group, and 7 people in the control group. The subjects of the study were patients who had been diagnosed with PF with obesity, unilateral PF, body age index (BMI) ≥ 25, heel pain with visual analogue scale (VAS) 4 – 7, pain > 3weeks, with evidence of no acute trauma aged 30-60 years, Moca ina normal ≥26, and willing to participate in this study and have signed a research approval sheet (informed consent) after being briefed. At the beginning of the study, plantar fascia thickness examination was conducted using ultrasound (USG), foot and ankle outcome score (FAOS), and VAS. Treatment groups get LLLT therapy and standard therapy. Administration of LLLT at a dose of 8 J /cm2 in 4 areas, namely at the most painful point, the area of origo medial calcaneus, medial fascia, and regio insertion in the phalang proximal. Lasers are provided with grinding techniques. The control group gets standard therapy only. Intervention is given 3 times a week, for 4 weeks. VAS values are evaluated at the end of each week. Evaluation of FAOS values and plantar fascia thickness is performed again after the intervention is completed. Result: The decrease in VAS values was significantly significant in both groups (p 0.04). Changes in plantar fascia thickness are statistically different significantly between the two groups ( p 0.01) . FAOS values in the pain category decreased statistically significant (p 0.005). Conclusion: Administration of LLLT for 4 weeks, effectively lowering VAS, plantar fascia thickness, and FAOS pain category in PF patients with obesity."