Effectiveness of joint mobilization on heel fat pad syndrome among obese patient in geriatric population

N.Sathiyaseelan, Shenbaga Sundaram Subramanian, Kumaresan A, Surya Vishnuram, K.C.Gayathri, Madhanraj Sekar, A.K.Keerthana

 

N.Sathiyaseelan et al. – Effectiveness of joint mobilization on heel fat pad syndrome among obese patient in geriatric population –  Fizjoterapia Polska 2024; 24(4); 71-76

DOI: https://doi.org/10.56984/8ZG01A8J6K2

Abstract
Objective. To determine the effect of joint mobilization on Heel Fat Pad Syndrome among obese geriatrics. Methods. The randomized controlled study was performed at the Saveetha Physiotherapy OPD, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India. 202 samples aged above 60 years were collected based on the criterion for inclusion and exclusion. Interventions. The experimental Group (101Subjects) was treated with Ultrasound and Joint Mobilization. The Control Group (101 Subjects) was treated with Ultrasound and conventional Exercises. The lifestyle and Balance Assessment used the Foot Function Index and Berg balance scale. A numeric Pain Rating Scale was used to measure Pain. Results. The Wilcoxon Signed Rank Test revealed a significant difference (p < 0.001) in the experimental Group between the pre-test and post-test values of NPRS, FFI, and BBS. Similarly, the Control Group showed a significant difference (p < 0.001) in the pre-test and post-test values of NPRS, FFI, and BBS. The comparison of post-test scores between the Experimental Group and the Control Group also showed a significant difference (p < 0.001), indicating significant improvements in the experimental group. As a result, the effects of Joint Mobilization on Heel Pad Syndrome minimize the symptoms of heel fat pad syndrome, Improve Foot Function and balance and reduce pain. Conclusion. The study provided evidence that ultrasound and joint mobilization used in this study show a significant reduction in pain and balance with non-specific heel pain.
Keywords
heel fat pad syndrome, joint mobilization, obese, geriatrics
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The effectiveness of post-traumatic rehabilitation of the talocrural joint using the Kattenborn mobilization technique

Henryk Knapik, Michał Żuławiński

Henryk Knapik, Michał Żuławiński – The effectiveness of post-traumatic rehabilitation of the talocrural joint using the Kattenborn mobilization technique. Fizjoterapia Polska 2001; 1(1); 23-25

Abstract
Background. The goal of this paper is to evaluate the effectiveness of the Kaltenborn mobilization technique in the rehabilitation of post-traumatic dysfunctions of the talocrual joint. Material and methods. The research involved 40 patients from the Surgical and Orthopedic Clinic in Nowy Targ, Poland, where Kaltenborn mobilization techniques were not used prior to the experiment. The control group (K) consisted of 20 persons treated from March to September 1997, using a standard rehabilitation program that included physiotherapy and kinesitherapy along with redressing techniques, while the experimental group consisted of 20 persons treated from October 1997 to March 1998 under the same rehabilitation program, but with Kaltenborn mobilization techniques substituted for redressing techniques. The procedures were conducted for a period of 10 days, one session daily.The range of passive and active moment, dorsal and plantar flexion, pronation and supination were tested in the affected joint each day just before and just after rehabilitation procedures, while the healthy joint was tested for comparative purposes on the first and last day of rehabilitation. Results. The patients from group K were found to have smaller increases in the range of movement than those in group E, where the range of movement on the last day was very close to the physiological norm. Conclusions. The Kaltenborn technique is more effective in the rehabilitation of patients with joint dysfunctions and is to be recommended. Procedures for diagnosis and therapy should be closely matched, however, to the needs of the patient.

Key words:
ankle joint trauma, joint mobilization, Kaltenborn technique

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