Plantar fasciitis Musculoskeletal Diseases
Conditions
Interventions
Participants are randomly allocated to one of two groups.
Group 1: Achilles tendon stretching: Standing and facing to the wall, the patient lean forward, with the affected foot furthest away from th
Sponsors
Chulalongkorn University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Plantar heel pain that increases in the morning with the first steps after waking up (VAS=4) 2. Symptoms decreasing with slight levels of activity, such as walking 3. Localized pain on palpation of the proximal plantar fascia 4. The symptoms worsened after weight bearing for a long time
Exclusion criteria
Exclusion criteria: 1. Red flags (i.e., tumor, fracture, rheumatoid arthritis, osteoporosis, severe vascular disease, etc) 2. Fracture of lower extremities within 6 months 3. Prior surgery of lower extremities within 6 months 4. Nerve involvement lower extremities, diabetes mellitus, pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS-FA score (the visual analogue scale-foot and ankle questionnaire). VAS FA consists of question 20 items. The questions are divided into three sections, 4 items relating to pain, 11 items relating to function, and the patient complaints for 5 items. Visual Analogue Scale (VAS) ranged of 0-100 points is applied each question. Thus, 20 questions will be in the range 0-2000 points and the final score is divided by 20, so the score with the range from 0-100 points. In Thai version, method of scoring is taken from English version. By using the visual inspection of the question which has the length of 10 cm (100 mm). Subjects draw “X” along a line based on individual feelings for each question. The left side, the minimum score is 0 points, which represents the most severe of symptoms. For the right side, the maximum score is 100 points, which represents the minimal symptoms or severity. Measured at baseline, after 4 weeks and, again, after 3 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain intensity (pressure algometer for pain): Pressure algometers is designed to measure the level of pain from pain thresholds or tenderness resistance. Participants will be asked during giving the pressure on the area of pain and must be able to separate pain out of discomfort: once the subject says “stop”, investigator will record the value of pressure force. The pressure algometer will be applied in this study to investigate the level of pain change after the stretching techniques at tenderness point of plantar fascia 2. ROM (range of movement) of lower back (BROM): The BROM will be used as outcome measurement in this study since we consider the continuation of the muscle and fascia along the superficial back line of human body. For the measuring of sagittal plane motion of lumbar, the inclinometer will be used. An inclinometer with L-shaped is attached on the subject’s sacrum with self-adhesive straps to hold the device in center position and can record the degree of measuring. It is used to measure the distance between the spinous process of T12 and S1, and the motion of the lumbar flexion and extension. Measure can be done in a standing position, even in the standing position is not limited pelvis. However, the device over S1 pelvic component allows only lumbar motion without pelvic motion. Range of motion is recorded in degrees from the side of the device 3. ROM of ankle dorsiflexion (goniometer): The degree of ankle will be performed to determine the improvement of Achilles tendon tightness and plantar fascia shortening by standard goniometer in supine position 4. Patient's satisfaction, measured by the global perceive effect questionnaire All outcome measures will used at baseline and the end of 4th week, other than patient's satisfaction as the questionnaire will be given only at the end of treatment only. | — |
Countries
Thailand
Outcome results
None listed