The Effect of Barefoot Walking on Pain Level, Functional Status and Pressure Pain Threshold in Patients With Plantar Chronic Heel Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Plantar Fascitis
- Sponsor
- Meuhedet. Healthcare Organization
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- change in results of sf-36 scale from baseline to 4 weeks of intervention and 8 weeks
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Many patients suffer from chronic heel pain, and studies have not yet found the most appropriate treatment. There are some researchers who claim that the pain is caused by weakness in the muscles of the foot, which causes increased pressure in the heel. In walking, the muscles of the foot are activated and strengthened. No research has yet been done on whether walking (barefoot or with shoes) on a treadmill reduces pain in the heel and improves function.
Detailed Description
A bare foot functions differently than a foot in a shoe while walking, as there are differences in movement, muscle tone, pressure and sensation. Wearing shoes over the years can cause changes in walking and pain. In the examination of the feet of patients suffering from chronic pain in the heel was found a smaller volume of muscle, and calcification in the heel area that could be caused by increased pressure. Although the trend of physiotherapy treatments has changed in recent years from passive to active treatments, the overwhelming majority of studies are testing passive therapies only as a treatment option for chronic heel pain. Barefoot walking has not been tested as an option for treating chronic pain in the heel, although there are studies indicating that bare feet lead to reduced heel pressure, increased muscle work, and better proprioception.The purpose of this study is to examine the effect of barefoot walking on the level of pain, function and pain threshold for stress in patients with chronic heel pain.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Local pain in the heel that lasts more than 12 weeks,
- •pain in the first steps in the morning
- •Pain that disappears in situations of weightlessness
- •Ability to walk on a moving track.
Exclusion Criteria
- •Pain in proximal areas along the leg or lower back pain that can radiate to the heel
- •Sensory disorders for various reasons
- •Tumors, fractures, previous operations in the lower extremities
- •Irritable cardiovascular problems
- •Balance problems and dizziness.
Outcomes
Primary Outcomes
change in results of sf-36 scale from baseline to 4 weeks of intervention and 8 weeks
Time Frame: before intervention, after 4 weeks of intervention, after 4 weeks from the end of intervention (i.e. baseline to 4 weeks of intervention and 8 weeks)
This is a questionnaire consisting of eight separate parts, each section examining a different aspect of quality of life. In the evaluation of pain in the heel, it is customary to use a part that assesses functional function, and in part that evaluates physical pain. The score ranges from 0 - very low, to 100 - very high. A change of 7.8 points indicates a change in the level of pain and physical function.
Secondary Outcomes
- change in results of VAS pain in the heel that appears on the first step in the morning from baseline to 4 weeks and 8 weeks(before intervention, after 4 weeks of intervention, after 4 weeks from the end of intervention (i.e. baseline to 4 weeks of intervention and 8 weeks))
- change in results of Pain threshold severity for minimum pressure and tolerance threshold for pain for pressure at five points in the heel, from baseline to 4 weeks and 8 weeks(before intervention, after 4 weeks of intervention, after 4 weeks from the end of intervention (i.e. baseline to 4 weeks of intervention and 8 weeks))
- change in results of Three clinical tests to diagnose chronic pain in the heel, from baseline to 4 weeks and 8 weeks(before intervention, after 4 weeks of intervention, after 4 weeks from the end of intervention (i.e. baseline to 4 weeks of intervention and 8 weeks))
- change in the duration (minuets) of walking on the treadmill until reaching level 6 on the short borg scale,from base line to 4 weeks(1st intervention, after 4 weeks of intervention)
- short borg scale(1st intervention, after 4 weeks of intervention)
- change in the walking speed (Kilometer/hour) on the treadmill until reaching level 6 on the short borg scale,from baseline to 4 weeks(1st intervention, after 4 weeks of intervention)