Plantar Fascia
Conditions
Keywords
Plantar heel pain, obese, laser therapy
Brief summary
Plantar heel pain is one of the most commonly encountered problems of the feet in adults \[1\]. It accounts for nearly 11%-15% of all foot symptoms, The purpose of this study was to investigate the effectiveness of high intensity laser therapy combined with gluteus Maximus strengthening exercise on pain, thickness of plantar fascia, and function of the foot.
Interventions
PROCEDUREGluteus Maximus strengthening exercise
Maximus strengthening exercise for eight weeks using weight progression tools either elastic band or sand weight by assuming two modes of exercises (clamshell exercise, prone hip extension) with stretching exercise (hamstring, gastrocnemius, soleus, and plantar fascia) 2 sessions per week for 8 weeks
A 3-phase treatment program will be performed in each session on the plantar fascia area. Treatment of trigger points in phase 1 and 2 by using power of 9 watts, E2C mode for 6 minute of 2 phases. The draining and vascularization-promoting application involve the whole foot sole, starting from the heel area in phase three by using power of 9 watts, CW mode with energy of 100J/cm2.
Sponsors
Deraya University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
single
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral plantar heel pain with or without calcaneal spur for more than 3 months. * Tenderness at the insertion of the plantar fascia * BMI index will be from 25 up to 30 * Patient will wear silicone insole . * Diagnosis of PF based on orthopedic referral
Exclusion criteria
* Patients with presence of foot deformity, * systemic inflammatory arthritis disease, * foot surgery, or * plantar heel pain due to trauma, * wound, or infection in the foot, * received oral corticosteroids
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment | 3 months | Pressure algometry (kg/cm2). Pressure algometry will be performed on both affected and healthy feet |
| Plantar fascia thickness | 3 months | by using Ultrasonography, in a longitudinal view of the tendon in both affected and healthy feet (mm). the normal plantar fascia thickness is less than 4 mm |
Countries
Egypt
Outcome results
None listed