Fasciitis, Plantar Clinical Trial
Official title:
Effectiveness of Manual Therapy Combined With Standard Treatment in the Management of Plantar Fasciitis, a Randomized Control Trial
Verified date | September 2011 |
Source | Meir Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | Israel: Ministry of Health |
Study type | Interventional |
Background: Plantar fasciitis (PF) is a common problem that tends to attack about 10% of the
population during life. This is a degenerative condition of the plantar fascia at its
insertion at the bottom of the heel. Pain appears mainly on the first steps in the morning
or after prolonged lack of weight bearing. The pain intensity can be very high and this can
cause functional limitations and reduce quality of life.
Despite the high prevalence of the PF, treatment is controversial and not supported by
extensive research. Review of the previous studies on various treatments, mentioned steroid
injections, shock waves, night splint, orthotics, heel padding and stretching exercises.
Limitation of ankle dorsi flexion is a common finding and thought to be a contributing
factor to the development of pathology. So far, this issue had been addressed mainly by soft
tissue therapy techniques to improve ankle range of motion in patients with PF. Only one
study (Joshua et al 2009) evaluated the effect of ankle joint mobilizations of PF. However,
in this study mobilizations were part of complex therapy and therefore the effect of
treatment cannot be attributed solely to them.
The purpose of this study is to evaluate the effectiveness of ankle and mid-foot joints
mobilization on pain and function of patients with PF.
The hypothesis is that manual mobilizations of ankle and midfoot joints in addition to
conventional physical therapy will improve pain and function significantly more than
conventional treatment, in patients with PF.
Methods: 50 patients, age 18-75 with a diagnosis of PF that meet the inclusion criteria will
be recruited and randomly divided into two groups. Both groups will receive commonly
accepted physical therapy treatment that includes stretching exercise of the plantar fascia
and triceps surae muscles and ultrasound therapy at the site of symptoms. The study group
will receive in addition manual mobilizations to the ankle and midfoot joints. The
procedures will take place at the physiotherapy clinic Bat-Yamon of General Health Services
and will last four weeks, twice a week.
Status | Completed |
Enrollment | 50 |
Est. completion date | February 2013 |
Est. primary completion date | January 2013 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - Age 18-75 - Pain allocated at the bottom of heel and produced by pressure - Pain in the morning at first steps or after prolonged non-weight bearing - NPRS morning pain score of 3 or higher Exclusion Criteria: - Tumors - Prolonged use of steroids - Fracture below knee during the last year - Prior foot surgeries - A positive diagnosis of Tarsal Tunnel Syndrome (TTS) / Fat Pad Syndrome - Pregnancy - Lack of availability in the coming month |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Israel | Clalit Health Services, Tel-Aviv district, Bat Yamon | Bat Yam |
Lead Sponsor | Collaborator |
---|---|
Meir Medical Center | Clalit Health Services |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Numeric Pain Rating Scale 0-10 | The participant will rate his pain intensity at first step in the morning on a scale of numbers between 0-10 when 0 means "no pain" and 10 means "very severe pain". NPRS is a valid and reliable tool for assessment of pain intensity and is a common tool in studies on PF. | one year and two months | No |
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