Hemiplejik hastalarda plantar fasya kalınlığının ultrasonografik değerlendirilmesi

Abstract

Aims: In hemiplegic patients, changes in load distribution due to spasticity and paralysis cause trauma due to increased pressure and biomechanical problems in the plantar fascia on both sides. The aim of this study was to evaluate the plantar fascia thickness on both plegic and non-plegic sides by ultrasound in hemiplegic patients. Material and Methods: This cross-sectional study included patients with chronic hemiplegia (>6 months) and healthy control individuals. Clinical and demographic features were noted. Plantar fascia was visualized as hyperechoic fibrils by ultrasound. The thickness was measured in both sides and at one cm after the calcaneal connection. Results: We included forty hemiplegic patients (22 males, 18 females) with a mean age of 58.60 ± 11.8 years; and thirty-six age, sex, and body mass index (BMI) matched healthy subjects. Plantar fascia thickness values were significantly higher on the non-plegic side (3.82 ± 0.1 mm) compared to that of plegic side (2.83 ± 0.6 mm) and healthy groups sides ( (right side:2.82 ± 0,50; left side: 2.81 ± 0,6) (p0,05). We also found significantly positive correlation between plantar fascia thickness of the non-plegic side and time since stroke (r=0.538, p