Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT06370741 |
| Other study ID # |
OkanUni. |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
April 2024 |
| Est. completion date |
June 2024 |
Study information
| Verified date |
April 2024 |
| Source |
Okan University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The plantar fascia (PF) extends over the calcaneal bone with a thin band corresponding to the
calcaneal periosteum, continuing as the paratenon of the Achilles tendon.The triceps surae
complex, serving as the main extensor and propulsion system of the foot, involves the
Achilles tendon, posterior part of the calcaneus, and Plantar Aponeurosis, all integrated
with the fibrous skeleton of the triceps surae. Plantar fasciitis, a prevalent
musculoskeletal condition affecting individuals of various ages and activity levels (Hye
Chang Rhim), is a primary cause of heel pain in adults. Studies have identified the superior
efficacy of stretching protocols targeting the Achilles tendon and/or plantar fascia compared
to alternative treatments. However, the limitations of traditional approaches become apparent
when considering the intricate biomechanics of the foot and ankle. Conventional calf
stretches often prove inadequate for addressing its specific lengthening requirements. While
contemporary methods like PF-Specific Stretching integrate plantar fascia and calf stretches,
their reliance on individual upper extremity strength introduces potential limitations.
Therefore, although the exact effect of stretching on the biomechanical properties of the
plantar fascia is not known, it will be aimed to determine whether an instrument aid to be
designed will have an effect and which method is more effective. In this way, it is planned
to guide clinicians in the rehabilitation of possible pathologies specific to the plantar
fascia in clinical practice.
Myotonometry is a convenient method to assess the stiffness of the plantar fascia because it
is cheap, simple and fast. Previous studies have shown that MyotonPRO can reliably assess the
stiffness of the plantar fascia. Although the exact effect of stretching on the biomechanical
properties of the plantar fascia is not known, it will be determined whether stretching with
an instrument to be designed will have an effect and which method is more effective with or
without an instrument.
Description:
The intricate network of connective tissues in the foot, including the plantar aponeurosis
(PA) originating from the calcaneus, sets the stage for a comprehensive understanding of
conditions like plantar fasciitis. This broad and thick band runs longitudinally, forming
distinct components crucial for maintaining the arch's integrity. Complementing this
structure is the plantar fascia (PF), intricately connected to the superficial and deep
muscles of the sole, creating a myofascial continuum with profound implications for foot
biomechanics.
The interplay between the plantar fascia, Achilles tendon, and the Plantar Aponeurosis within
the triceps surae complex emphasizes their collective role as the main extensor and
propulsion system of the foot. The posterior compartment of the lower leg, housing various
muscles, further underscores the complexity of this biomechanical system.
Nonoperative interventions, constituting approximately 90% effectiveness, encompass a range
of approaches, including stretching exercises, modalities, and shock wave therapy, among
others. Notably, studies have identified the superior efficacy of stretching protocols
targeting the Achilles tendon and/or plantar fascia compared to alternative treatments.
However, the limitations of traditional approaches become apparent when considering the
intricate biomechanics of the foot and ankle. Conventional calf stretches often prove
inadequate for addressing its specific lengthening requirements. While contemporary methods
like PF-Specific Stretching integrate plantar fascia and calf stretches, their reliance on
individual upper extremity strength introduces potential limitations.
Myotonometry is a convenient method to assess the stiffness of the plantar fascia because it
is cheap, simple and fast. Previous studies have shown that MyotonPRO can reliably assess the
stiffness of the plantar fascia.
In the light of all this information, although the exact effect of stretching on the
biomechanical properties of the plantar fascia is not known, it will be aimed to determine
whether an instrument aid to be designed will have an effect and which method is more
effective. In this way, it is planned to guide clinicians in the rehabilitation of possible
pathologies specific to the plantar fascia in clinical practice.
Myotonometry is a convenient method to assess the stiffness of the plantar fascia because it
is cheap, simple and fast. Previous studies have shown that MyotonPRO can reliably assess the
stiffness of the plantar fascia. Although the exact effect of stretching on the biomechanical
properties of the plantar fascia is not known, it will be determined whether stretching with
an instrument to be designed will have an effect and which method is more effective with or
without an instrument.
