Plantar Fasciitis, Chronic
Conditions
Brief summary
Plantar fasciitis is a common painful condition. It accounts for 10-15% of all foot painful conditions. Recently, Extracorporeal shock wave therapy (ESWT) was used as an effective method in treatment of different musculoskeletal disorders. High-intensity laser therapy (HILT) is a relatively recent treatment option that has shown benefits in a wide range of musculoskeletal disorders.
Interventions
OTHERconventional physical therapy
exercise
OTHERExtracorporeal shock wave therapy
ESWT
HILT
Sponsors
Ibrahim Abuomar Fadulaalhq Alramadhani
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
3 groups, each group consisted of 20 participants
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* 1\. Patients will be included according to the diagnostic criteria for plantar fasciitis of the American physical therapy association (APTA) (Martin et al., 2014). This criterion includes pain in medial sole and heel of foot: most pronounced in initial steps after a period of inactivity, it also worsens after prolonged weight bearing, pain during palpation and compression of proximal plantar fascia, limited range of motion in active and passive ankle dorsiflexion, positive windlass test. 2\. Patients will be referred from an orthopedic surgeon with confirmed diagnosis of plantar fasciitis (Bidoki et al., 2024). 3\. Patients with chronic plantar fasciitis (Duration of patient's symptoms will be more than three months) (Riaz et al., 2023). 4\. Patients' age will range from 18 to 45 years (Bidoki et al., 2024). 5. Both genders (Riaz et al., 2023). 6. Localized non radiating foot pain with an NPRS more than 5 on the first step in the morning (Riaz et al., 2023).
Exclusion criteria
* Patients will be excluded if they present any of the following criteria 1. History of previous surgery of plantar fasciitis (Riaz et al., 2023). 2. History of previous corticosteroid injections (Bidoki et al., 2024). 3. History of heel pain due to previous trauma or calcaneus stress fracture in the last 3 months (Bidoki et al., 2024). 4. History of previous lumbar spine surgery (Bidoki et al., 2024). 5. History of rheumatologic disease (rheumatoid arthritis, diffuse idiopathic skeletal hyperostosis, systemic lupus erythematosus, gout, Sjogren disease, enthesopathy, etc…) (Bidoki et al., 2024). 6. Pregnancy, pacemaker fitted or bleeding disorders (Bidoki et al., 2024). 7. Wounds, infections or tumors in the treatment area (Bidoki et al., 2024).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hand held dynamometer | 6 weeks | Hand held dynamometer is a portable device, characterized as a low-cost and convenience to assess muscle strength in a clinical setting |
| Ultrasonography | 6 weeks | Ultrasonography is a type of medical imaging device that uses high-frequency sound (ultrasound) waves to produce images of internal organs and other tissues such as tendons, muscles, joints, blood vessels, and internal organs, to measure some characteristics |
| Arabic version of foot function index (FFI-Ar) | 6 weeks | Foot functional index is a self-administered index consisting of 23 items divided into 3 subcategories on the basis of: pain, disability and activity limitation. |
| Arabic version of numerical pain rating scale (NPRS-Ar) | 6 weeks | The Numerical Rating Scale is an 11-point (0-10) Scale that measures pain intensity, it is considered a very sensitive pain assessment scale. |
Countries
Saudi Arabia
Outcome results
None listed