Plantar Fasciitis
Conditions
Keywords
High power pain Threshold Ultrasound, High Intensity Laser therapy, plantar fasciitis (PF), HILT
Brief summary
The purpose of the study is to 1. Investigate the Effect of High-intensity laser therapy versus High power pain threshold ultrasound on pain level in patients with plantar fasciitis. 2. Investigate the Effect of High intensity laser therapy versus High power pain threshold ultrasound on ROM in patients with plantar fasciitis.
Detailed description
Plantar fasciitis (PF) is one of the most prevalent musculoskeletal disorders of the foot, affecting individuals across different age groups and activity levels. It is clinically characterized by localized pain at the medial aspect of the heel, typically exacerbated during weight-bearing activities, with marked intensity upon the first steps in the morning or following periods of prolonged rest or non-weight bearing. Persistent symptoms may significantly impair functional mobility and quality of life. Among contemporary conservative management strategies, laser therapy has emerged as a promising non-invasive modality for PF treatment. Recently, High-Intensity Laser Therapy (HILT) has been introduced as an advanced therapeutic option. Due to its high peak power and deeper tissue penetration capability, HILT can effectively stimulate large and deep fascial structures, potentially enhancing tissue repair, modulating inflammation, and reducing pain perception. High-Power Pain Threshold Ultrasound (HPPTUS) represents a modified therapeutic ultrasound technique that delivers energy at intensities approaching the patient's pain threshold. This approach aims to maximize deep tissue stimulation while maintaining patient tolerance. HPPTUS has demonstrated superior clinical outcomes compared to conventional ultrasound techniques, particularly in the management of myofascial pain syndrome, with significant reductions in pain intensity and improvements in range of motion (ROM) achieved within fewer treatment sessions. The study aims to Investigate the Effect of High intensity laser therapy versus High power pain threshold ultrasound in the treatment of plantar fasciitis.
Interventions
DEVICEHigh intensity laser therapy
This group consists of 20 subjects will receive conventional treatment combined with High-intensity laser therapy, three times per week for one month
this group consists of 20 subjects will receive conventional treatment combined with high power pain threshold ultrasound , three times per week for one month
OTHERConventional treatment
this group consists of 20 subjects will receive conventional treatment only, three times per week for one month
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
30 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. The patient age ranged from 30 to 60 years. 2. Plantar heel pain lasting for at least one month, mainly during the first few steps upon rising in the morning, which worsens with increased weight-bearing activity through the day. 3. Tenderness at the insertion site of the plantar fascia on the calcaneus. 4. Body mass index (MBI) \<30 kg/m2
Exclusion criteria
1. Medical red flag history (such as tumor, fracture, heterotrophic ossification, and acute inflammatory disease in the ankle-foot area. 2. If the patient has history of recent trauma or foot surgery. 3. Wounds, infections in the treatment area. 4. Subjects with referred pain from sciatica and other neurological disorders. 5. History of corticosteroid injection in the last 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of change of pain intensity | At baseline and after 4 weeks of intervention | The Visual Analog Scale is a self-reported pain measurement scale with a 10-cm line labeling extreme pain levels. It is valid, reliable, and suitable for clinical practice. Studies have shown moderate to strong correlations for VAS validity in pain measurement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of change of pressure pain threshold | At baseline and after 4 weeks of intervention | A pressure algometer is a reliable tool for determining local pressure pain threshold (PPT) in different pain syndromes. It is a force gauge calibrated in kg/cm2 and has a range of 0-10 kg/cm2. A manual pressure algometer will be used to measure pain threshold for heel, with repeated measurements to improve reliability. |
| Assessment of change of Ankle Range of motion | At baseline and after 4 weeks of Intervention | Electronic goniometer will be used to differentiate changes in ROM. Electronic goniometer was used to evaluated ankle ROM in dorsiflexion and plantar flexion. |
| Assessment of foot pain and Functional Disability | At baseline and after 4 weeks of Intervention | The Foot Function Index (FFI) is a validated questionnaire used to evaluate foot pain and functional disability. It includes 23 items assessing pain, disability, and activity limitation. Each item is rated on a scale from 0 to 10, with higher scores indicating greater pain and functional limitation. |
Countries
Egypt
Outcome results
None listed