Efficacy of Dry Needling in Plantar Fasciitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Ultrasonographic Evaluation of the Thickness of the Affected Plantar Fascia, in Longitudinal View.
研究概览
简要总结
The plantar fasciitis (PF) is the most common cause of pain on the underside of the heel. About 10% to 20% of the population suffer once during their lifetime. PF concept began to describe at the end of XX century through the discovery of new clinical and histopathological signs of the plantar fascia. The difficulty of diagnosis, understanding and treatment of PF require us to develop new treatment avenues to improve the approach and the understanding of it. Dry needling (DN) as a treatment of myofascial pain syndrome (MPS) and myofascial trigger points (MTP) of muscle associated with the pathology, it may be a good treatment strategy, as demonstrated in the treatment of MPS in other body regions such as the neck, shoulder or the lumbar spine.
详细描述
Hypothesis:
Add dry needling to a physiotherapy intervention, increases the efficacy of treatment for plantar fasciosis.
Objectives:
General:
Test the efficacy of DN in addition to physiotherapy treatment includes: manual therapy and home exercises; directed to normalize muscle tone and inhibit MTP of the gastrocnemius and soleus muscles, in a group of patients who have been diagnosed with PF.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ultrasonographic study in which a proximal thickened affected plantar fascia is observed -greater than or equal to 4 mm.
- •Pain fell to the first steps in the morning.
- •Pain with palpation at the insertion of the medial calcaneal tubercle, above 5, in a 10-point VAS.
- •Pathology time evolution of greater than or equal to 4 weeks.
- •Age of patients over 18 years.
- •Acceptance by the patient to participate in the study, having signed the informed consent.
排除标准
- •Presence of neoplastic disease.
- •Presence of neurological, sensory, orthopedic and / or surgical alterations.
- •The patient is already doing treatment of physical medicine and rehabilitation.
- •Be subjected to antiplatelet drug therapy.
- •Fear of needles (needle phobia).
- •Difficulty for the patient to understand the instructions to be followed during the study.
结局指标
主要结局
Ultrasonographic Evaluation of the Thickness of the Affected Plantar Fascia, in Longitudinal View.
时间窗: 6 month
Plantar fascia thickness in millimeters with ultrasonography at 0,5 centimeters from the calcaneo bone. Mean of 3 measures was taken.
次要结局
- Pain Assessment in the Affected Heel, by Visual Analog Scale.(6 month)
- Pain Assessment in the Affected Heel After Long Periods of Rest, by Visual Analog Scale.(6 month)
- Goniometric Assessment of Joint Range of Motion Ankle Dorsiflexion With Knee Extended.(6 month)
- Goniometric Assessment of Joint Range of Motion Ankle Dorsiflexion With Knee Extened.(3 month)
- Goniometric Assessment of Joint Range of Motion Ankle Dorsiflexion With Knee Flexed.(6 month)
研究者
Miguel Suárez Varela
Physiotherapy degree
Universidad Complutense de Madrid