Estimating the Prevalence of GAstrocnemius Muscle REtraction in a Population Suffering From Plantar aPOneurositis and Describing the Effects of Lengthening
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 100
- 主要终点
- Prevalence of gastrocnemius muscle retraction in patients with plantar fasciitis
研究概览
简要总结
The gastrocnemius muscles, which form the upper part of the calf, can suffer from retraction, a common but often under-diagnosed condition, which can be a risk factor for plantar fasciitis. Retraction can be treated medically, by stretching, or surgically, by lengthening the muscles. Gastrocnemius retraction is difficult to measure, but tests such as the Ankle Dorsiflexion Index (ADI) provide a more accurate assessment.
Knowing the prevalence of this retraction in patients suffering from plantar fasciitis would enable us to improve diagnostic criteria and better target treatments. Surgical lengthening of the gastrocnemius, particularly by tenotomy, is effective in cases of chronic plantar fasciitis, even without apparent muscle retraction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient aged 70 or under
- •Patient suffering from unilateral plantar fasciitis that has progressed for more than 6 months and is recalcitrant to medical treatment
- •Collection of express, oral consent
- •Available for follow-up visits
排除标准
- •Patients with neuropathic pain
- •History of fracture of the lower limb, surgery on the lower limb, inflammatory rheumatism of the lower limb, injury to the Achilles tendon
- •Patient with another painful orthopedic lesion of the legs/feet
- •Patient with surgically treated plantar fasciitis in the year prior to inclusion
- •Persons unable to give consent
- •Not affiliated to a social security scheme
- •Persons under court protection
- •Participant in another study with an ongoing exclusion period
研究组 & 干预措施
Ankle Dorsiflexion Index (ADI) measurement
Ankle Dorsiflexion Index (ADI) measurement at D0 and W8
干预措施: Ankle Dorsiflexion Index (ADI) measurement (Diagnostic Test)
结局指标
主要结局
Prevalence of gastrocnemius muscle retraction in patients with plantar fasciitis
时间窗: At Day 0
retraction of the gastrocnemius muscles will be defined by an ADI of less than 13° measured by a digital inclinometer
次要结局
- correlation between ADI measurement and Manchester Oxford Foot Questionnaire (MOXFQ)(At Day 0)
- correlation between ADI measurement and pain Visual Analog Scale (VAS)(At Day 0)
- Evolution of Visual Analog Scale (VAS)(between Day0 and Week 24)
- Evolution of Manchester Oxford Foot Questionnaire (MOXFQ)(between Day 0 and Week 24)
- Correlation between surgical success and body mass index (BMI)(At Day 0)
- Correlation between surgical success and age of patient(At Day 0)
- Correlation between surgical success and tobacco consumption(At Day 0)
- Correlation between surgical success and location of fasciitis(At Day 0)
- Evolution of Visual Analog Scale (VAS)(between Day 0 and Week 8)
- Evolution of Visual Analog Scale (VAS)(between Day 0 and Week 16)
- Evolution of Manchester Oxford Foot Questionnaire (MOXFQ)(between Day 0 and Week 8)
- Evolution of Manchester Oxford Foot Questionnaire (MOXFQ)(between Day 0 and Week 16)