Efficacy of the Therapeutic Effects of Adjunctive Treatment of Plantar Orthoses With Extracorporeal Shock Wave Therapy in Plantar Fasciitis: a Randomized Clinical Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- visual analog scale (VAS)
研究概览
简要总结
Plantar fasciitis is inflammation of plantar fascia. It arises from degeneration and chronic inflammation. Treatment of plantar fasciitis contains conservative methods like rest, body weight control, stretching exercise, non-steroidal anti-inflammatory drugs and arch supports. ESWT has commonly been used for the treatment of plantar fasciitis. The shock waves can be radial or focused. The aim of this study was to evaluate the effectiveness of the adjuvant use of plantar orthoses in the process of plantar fasciitis when extracorporeal shock waves are applied. The hypothesis porposed was that the use of extracorporeal shock waves together with the use of custom foot orthotics improves the symptoms produced by plantar fasciitis. This study is planned as double-blind, randomized controlled trial. Participants are randomly allocated to two groups: the ESWT group and the custom foot orthotics and ESWT group. Radial ESWT will be applied in this study.
The people receiving the therapy and the people assessing the outcomes are blinded . Both group will recieve ESWT one session per week for three weeks. Each session will last for 2-5 minutes. The primary outcome measure of this study is change in heel pain of affected side assessed using Visual Analog Scale. The secondary outcome measure is Roles y Maudsley scores. The primary endpoint of this study is to determine a decrease in pain score according to Visual Analog Scale.
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
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 18 - 65 years
- •able to understand the explanations about the potential benefits and risks of participating in the study
- •both genders
- •diagnosis of chronic plantar fasciitis
- •duration of symptoms equal or superior to 6 months at the time of enrollment
- •Foot Posture Index ≥ +6 (pronated foot in one or both feet).
排除标准
- •being younger than 18 years of age
- •previous treatments with shock wave devices
- •previous surgery on the painful heel; history of calcaneus fracture
- •any inflammation at the level of the ankle
- •infection in the treated area
- •patients with diabetes mellitus or cardiac or respiratory disease
- •osteomyelitis
- •patients on anticoagulant drugs
- •pregnancy
- •patients on immunosuppressive therapy
- •rheumatoid arthritis or history of rheumatic disease
- •neurological deficits
- •malignant disease with or without metastases
- •significant liver function abnormalities
- •neurological or vascular insufficiency in the painful heel; fasciotomy or heel spur surgery
- •discrepancy in the length of the foot > 5 mm; previous back of foot surgery
- •patients treated with rigid plantar supports
结局指标
主要结局
visual analog scale (VAS)
时间窗: Baseline
Heel pain intensity was referred to as 0-10, in which 0= no pain at all and 10= the worst pain possible
次要结局
- Roles-Maudsley (RM) scores(Baseline)
研究者
MANUEL PABON CARRASCO
Principal Investigator
University of Seville