Plantar Fasciitis
Conditions
Keywords
Plantar Fasciitis, Physiotherapy
Brief summary
Plantar Fasciitis (PF) is the most common foot condition treated by healthcare providers, striking approximately 2 million Americans each year. Nevertheless its causes are still not known. The risk factors for PF are known and the diagnosis, which is based on clinical assessment, is relatively simple. Still most of the treatments for PF focus on short term symptoms relief instead of prevention or reduction of recurrence. Physical therapy treatment that focuses on reducing the symptoms for the long run and prevention, should include outcome measures, which if found to be reliable, will make the diagnosis clearer. Diagnosis based on reliable clinical and functional measures will assist the physical therapist to understand the major deficiencies of the patient, and accordingly to help him to make the right decision in choosing treatment. Also comprehensive knowledge of the characteristics of PF may enable selection of appropriate preventive measures.
Detailed description
Objectives: Characterize the unilateral PF syndrome using functional outcome measures, while comparing them to the healthy foot of the same patient. In addition the study will investigate the reliability of these functional outcome measures in PF patients. Methodology: Individuals referred to physiotherapy for PF will be assessed for eligibility and consent for the study. They will undergo two evaluations on the same week to evaluate the test- retest reliability of the functional measurements.
Interventions
None listed
Sponsors
Clalit Health Services
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral plantar fasciitis * Painful first step in the morning * Calcaneal soreness in palpation * Insured by Clalit Health Care Services * Signed informed consent
Exclusion criteria
* Ankle or foot surgery * Congenital deformation of foot * Lower limb spasticity * Using assistive devices * Bilateral plantar fasciitis * Refuse to participate or sign informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional Limitation | 1 week | Measurement of Functional Limitation using Foot Function Index (FFI) compared to the healthy foot |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 1 week | Measurement of pain intensity using visual analog scale (VAS), compared to the healthy foot |
| Pain threshold | 1 week | Measurement of pain threshold using a Pressure Algometer, compared to the healthy foot |
| Muscle strength | 1 week | Measurement of Muscle strength in Plantar Flexion and Dorsi Flexion using Hand Held Dinamometer - compared to the healthy foot. |
| Range of motion | 1 week | Measurement of Range of motion using a Digital inclinometer - compared to the healthy foot |
Countries
Israel
Outcome results
None listed