Factors Affecting Response to Extracorporeal Shock Wave Therapy in Plantar Fasciitis: A Cross-sectional Clinical Study
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- Plantar fascia thickness
研究概览
简要总结
Heel pain is a problem that affects daily life activities and quality of life. Extracorporeal shock wave therapy (ESWT) is a treatment used for heel pain. However, some people do not benefit from ESWT treatment. The aim of this study is to determine the factors that affect the response to ESWT in the treatment of heel pain.
详细描述
Plantar heel pain is one of the reasons that affect daily life activities. There are many treatment methods for this. Extracorporeal shock wave therapy (ESWT) is one of them. However, some patients do not respond to ESWT treatment. In this study, patients were divided into 2 groups as those who did not respond to ESWT treatment in terms of pain (less than 50% decrease in pain level) or those with recurrence of pain and those who responded to treatment. Patients who had passed 3-6 months after ESWT constituted the study groups. These two groups will be compared in terms of age, gender, occupation, weight, height, Body Mass Index (BMI), side: right / left / bilateral, calcaneal angle, Meary angle, presence of spur on X-ray (size in mm if present), dorsiflexion angle degree, plantar fascia thickness with ultrasonography, tibial / plantar nerve conduction study evaluated with electroneuromyography, Visual Analog Scale, Heel Sensitivity Index and Foot Function Index.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •>18 years
- •Unresponsive to conservative treatments (physical therapy, rest, exercises, anti-inflammatory medical treatment, insoles, etc.)
- •Patients who have received ESWT treatment and 3-6 months have passed since ESWT
排除标准
- •History of injection therapy including steroids after ESWT treatment
- •Those taking NSAIDs in the last 2 weeks
- •Those with a history of trauma or surgery to the foot or ankle
- •Presence of rheumatic disease affecting the foot or ankle (e.g. spondyloarthritis, etc.)
- •Malignancy
- •Pregnancy
结局指标
主要结局
Plantar fascia thickness
时间窗: Day 1
To be measured by ultrasound; typically shows increased fascial thickness (\>4.0 mm) and a hypoechoic fascia.
Tibial/plantar nerve conduction study with electroneuromyography
时间窗: Day 1
Nerve conductions show decreased amplitude of the compound muscle action potential (CMAP) of the tibial nerve stimulated at the ankle and recorded from the abductor hallucis and abductor digiti minimi. Sensory and mixed conduction studies are usually performed with centering techniques.
Calcaneal inclination angle
时间窗: Day 1
This angle is established on a weight-bearing lateral foot radiograph between the calcaneal inclination axis (i.e., the lowest portion of the calcaneus) and the supporting horizontal surface. A cut-off point of ≤19° is used to diagnose symptomatic pes planus/flatfoot.
Ankle dorsiflexion degree
时间窗: Day 1
The patient is in a prone position with the ankle on the test side away from the base and the leg extended. The therapist will stabilize the tibia. The normal range of ankle dorsiflexion is 20 degrees. Normal plantar flexion is 50 degrees.
次要结局
- Heel Tenderness index(Day 1)
- Meary angle(Day 1)
- Plantar calcaneal spurs(Day 1)
- Foot Function Index(Day 1)
研究者
Selda Çiftci
Medical Doctor
Sisli Hamidiye Etfal Training and Research Hospital