Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT06067659 |
Other study ID # |
UBeykent-5 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
June 20, 2023 |
Est. completion date |
December 9, 2023 |
Study information
Verified date |
December 2023 |
Source |
University of Beykent |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Calcaneal spur (heel spur) is one of the most common disorders associated with foot pain.
Patients may complain of pain at every step during the day, so it is important to find the
most effective treatment method for patients. The aim of this study is to compare the
therapeutic efficacy of extracorporeal shock wave therapy (ESWT) and kinesiology taping (KB)
in patients with calcaneal spurs.
Thirty patients with calcaneal spurs will be included in the study. The gender, age, body
weight, height, body mass index, and affected side of the patients will be recorded. Patients
will be randomly divided into three treatment groups: ESWT to the first group, KB therapy to
the second group, and combined ESWT+KB to the third group. Each group will be treated for
five sessions, once a week for five weeks. ESWT 15Hz frequency will be applied as 2.5 Barr
energy and 2000 Shock/session. It will be applied with the KB I and fan method and the tape
will not be removed for three days after the application. In the pre- and post-treatment
evaluations of the patients, heel sensitivity and sensory perception will be evaluated with
the Foot structure Foot Posture Index (API). Visual Analog Scale (VAS), Quality of Life Short
Form-36 (SF-36), Foot Function Index (AFI) and Windlass Test will be used.
Description:
One of the most common pathologies that causes foot pain, negatively affects the individual's
walking and reduces the quality of life is calcaneal spur (heel spur). Calcaneal spurs are
fibro-cartilaginous protrusions varying in size that form around the calcaneal bone, the
strongest, most important and rearmost bone in the foot.
Treatment aims to reduce pain, reduce inflation, and shrink and eliminate the spur.
Conservative treatment includes exercises, massage, ultrasound, phonophoresis, laser, short
wave diathermy, cryotherapy and extracorporeal shock wave therapy (ESWT) as physiotherapy
applications.
ESWT are pressure waves delivered to the body to stimulate soft tissue growth through local
hyperemia, neovascularization, reduction of calcification, inhibition of pain receptors and
denervation to provide pain relief and healing of chronic processes. ESWT is also used
effectively in the treatment of calcaneal spur.
The aim of this study is to observe the superiority, if any, of ESWT and KB in the treatment
of each other or to show how effective the combined application of the two is in the
treatment of calcaneal spur.
This study will be a single-blind, randomized controlled trial to compare the effectiveness
of BP and ESWT in patients with calcaneal spurs. All procedures used will be carried out in
accordance with the ethical rules of the Declaration of Helsinki and were approved by the
Amasya University Clinical Research Ethics Committee (E-30640013-050.01.04-126508). The study
will be carried out on patients who applied to the Physical Therapy and Rehabilitation
Polyclinic of a hospital between 10.10.2023 and 10.12.2023 with the complaint of heel pain
and diagnosed with calcaneal spur.
Inclusion criteria for the study were diagnosis of calcaneal spur by a physician, being in
the age range of 30-70 years, patient complaining of pain in the heel region, appearance of
calcaneal protrusion in the radiographic image, no other treatment or medication (NSAI). ,
steroids, other drugs, etc.) analgesics) and the patient volunteered to participate in the
study. Exclusion criteria were those who received injection therapy to the foot area
(corticosteroids or corticosteroids/anesthetics), those with a history of rheumatic disease,
coagulopathy, thrombophlebitis, neoplasia, systemic inflammatory disease, and outpatient
surgery in the last 3 months. No other treatment or medication (NSAI, steroids, other
analgesics) will be used during the study period.