Efficacy of the Treatment of Plantar Orthoses With Extracorporeal Shock Wave Therapy in Plantar Fasciitis
- Conditions
- Fasciitis, Plantar, Chronic
- Interventions
- Device: customised foot orthosesDevice: orthotic insole
- Registration Number
- NCT04461197
- Lead Sponsor
- University of Seville
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 76
- 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).
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description ESWT + orthotic insole customised foot orthoses (shock waves + orthotic insole +Stretches of the posterior muscle chain) ESWT + flat insole orthotic insole (shock waves + flat insole + Stretches of the posterior muscle chain)
- Primary Outcome Measures
Name Time Method visual analog scale (VAS) Baseline Heel pain intensity was referred to as 0-10, in which 0= no pain at all and 10= the worst pain possible
- Secondary Outcome Measures
Name Time Method Roles-Maudsley (RM) scores Baseline This is a self-administered scale of functional valuation which classifies the patients into 4 categories
Trial Locations
- Locations (1)
Universidad de Sevilla
🇪🇸Sevilla, Spain