Shockwave Phonophoresis on Calcaneal Spur Patients

Not Applicable

• Conditions: Calcaneal Spur
• Interventions: Other: conventional physical therapy program; Device: Shock wave Therapy; Device: Acetic acid shockwave phonophoresis therapy

• Registration Number: NCT05373225
• Lead Sponsor: Beni-Suef University

Brief Summary

The Low energy shockwave has a significant effect on the permeability of tissue. Consequently, it might be used to deliver a substance such as Acetic acid. Accordingly, Shockwave might help to improve the outcomes with calcaneal spur patients. Therefore, the present study might help in the treatment of calcaneal spur patients and also might improve the quality of life in a fast and efficient way.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-04-17
• Study First Submitted QC: 2022-05-09
• Study First Posted: 2022-05-13
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-18
• Last Update Posted: 2022-07-19
• Study Start: 2022-08-15
• Primary Completion: 2022-11-15
• Study Completion: 2022-12-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Heel pain with a calcaneal spur.
• Calcaneal spur in a lateral calcaneal x-ray.
• Patient's age ranged from 30 to 65 years.
• Patients with a calcaneal spur.
• Patients with intact sensory perception.
• At least 6 weeks from last corticosteroid injection; 4 weeks from the last local anaesthetic injection, iontophoresis, ultrasound, and electrotherapy

Exclusion Criteria

• History of fracture or surgery of the heel or ankle.
• Presence of inflammatory joint disease.
• Marked osteoporotic patient.
• Presence of ankylosing spondylitis or other inflammatory joint diseases.
• Heart pacemaker use.
• Patient on anticoagulant and coagulation disease.
• Skin wound or ulcers.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
conventional physical therapy program	conventional physical therapy program	This group will be composed of subjects who represented the control group Exercise program: * Standing calf-stretching exercise * Towel stretch: stretching exercise * Ice bottle * Towel pickup exercise * Marble pickups exercise * Calf raises exercises -Static and dynamic balance exercise
Shock wave Therapy	Shock wave Therapy	This group will be composed of subjects who represented the experimental group 1. They will receive shock wave therapy
Acetic acid shockwave phonophoresis therapy	Acetic acid shockwave phonophoresis therapy	This group will be composed of subjects who represented the experimental group 2. They will take 6 sessions with Time between sessions 5-7 days plus exercise and dietary advice

Primary Outcome Measures

Name	Time	Method
calcaneal spur length by X-ray (mm)	three months	X-ray on the affected foot to measure the length of the calcaneal spur
calcaneal spur width by X-ray (mm)	three months	X-ray on the affected foot to measure the width of the calcaneal spur

Secondary Outcome Measures

Name	Time	Method
visual analogue scale.	three months	this scale for pain intensity level assessment and contain minimum score is 0 and maximum score is 100 mm, the higher score indicate more pain (sever dysfunction)
FPX 50 wagner Pressure pain threshold (PPT)	three months	this device used to measure the pressure pain threshold
Activity of daily living: by Foot and Ankle Ability Measure scale	three months	This scale formed from 29 item, the minimum score for each item is 0 and maximum score is 4 , the Higher scores represent higher levels of function for each subscale, with 100% representing no dysfunction

Trial Locations

Locations (1)

Faculty of Physical Therapy, Cairo University; 🇪🇬 Giza, Egypt