Dry Needling Versus Conventional Physical Therapy in Patients With Plantar Fasciitis: a Multi-center Randomized Clinical Trial

Alabama Physical Therapy & Acupuncture2 个研究点分布在 1 个国家目标入组 108 人开始时间: 2015年12月1日最近更新: 2017年5月23日

适应症

试验速览

阶段: 不适用
状态: 已完成
发起方
入组人数: 108
试验地点: 2
主要终点: Change in Pain Intensity (NPRS)

研究概览研究设计入排标准结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

The purpose of this research is to compare patient outcomes following treatment of plantar fasciitis with conventional physical therapy (stretching, strengthening, ultrasound, manual therapy, and cryotherapy) and conventional physical therapy plus dry needling. Physical therapists commonly use conventional physical therapy techniques and dry needling to treat plantar fasciitis, and this study is attempting to find out if the addition of dry needling to conventional physical therapy is more effective than conventional physical therapy alone.

详细描述

Patients with plantar fasciitis will be randomly assigned to receive 1-2 treatments per week for 4 weeks of either: (1) Dry Needling and conventional physical therapy, or the (2) Conventional physical therapy (stretching, strengthening, ultrasound, manual therapy, and cryotherapy)

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: Double (Participant, Outcomes Assessor)

入排标准

年龄范围: 18 Years 至 —（Adult, Older Adult）
性别: All
接受健康志愿者: 否

入选标准

•Report of at least 3 months of heel pain
•Patient has not had physical therapy, massage therapy, chiropractic treatment, or injections for plantar heel pain in the least 4 weeks.
•Diagnosis of plantar heel pain with ALL of the following positive clinical signs:
•"First---step" pain upon weight bearing in the morning OR after sitting for a period of time
•Pain localized over the medial calcaneal tubercle
•Increased pain with extended walking OR standing >15 minutes
•Plantar heel pain greater than or equal to 2/10 (NPRS 0-10 Scale)

排除标准

•Report of red flags to manual physical therapy to include: hypertension, infection, diabetes, peripheral neuropathy, heart disease, stroke, chronic ischemia, edema, severe varicosities, tumor, metabolic disease, prolonged steroid use, fracture, RA, osteoporosis, severe vascular disease, malignancy, etc.
•History of previous surgery to the tibia, fibula, ankle joint, or foot.
•History of arthrosis or arthritis of the ankle and/or foot.
•History of significant ankle and/or foot instability.
•Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:
•Muscle weakness involving a major lower extremity muscle group
•Diminished lower extremity patella or Achilles tendon reflexes
•Diminished / absent sensation in any lower extremity dermatome
•Involvement in litigation or worker's compensation regarding their foot pain.
•Any condition that might contraindicate the use of electro---needling
•The patient is pregnant