Plantar fasciitis
Conditions
Interventions
The 54 participants will be randomized into two treatment groups: Pilates Group (PG, n=27) and Pilates + Foot Core Group (PFCG, n=27). Interventions will last eight weeks, with weekly frequency of two
Other
E02.779.474
Sponsors
Universidade Federal de São Paulo
Universidade Federal de São Paulo
Eligibility
Age
30 Years to 65 Years
Inclusion criteria
Inclusion criteria: Medical diagnosis of plantar fasciitis and /or heel spur; duration of symptoms greater than four months; ages between 30 and 65 years
Exclusion criteria
Exclusion criteria: Spondyloarthritis; fat-pad atrophy; proximal plantar fibroma; history of previous surgery and lower limb trauma; musculoskeletal or neurological disease that may predispose to heel pain and decrease muscle strength; discrepancy greater than 1.5 cm between lower limbs; having undergone physiotherapeutic intervention for this lesion and/or Pilates exercises in the last six months; and body mass index (BMI) greater than or equal to 34.9
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The pain variable will be considered as the primary outcome measure of this study, measured during the initial evaluation (T0), after eight weeks of intervention (T1) and at the follow up of three and six months. The Numeric Pain-Rating Scale is a scale with gradations from zero to ten, measuring from the absence of pain (zero) to the maximum possible pain (ten). The degree of pain will be evaluated in four moments: (1) in the first step of the morning; (2) at the end of the day, (3) at the time of evaluation and (4) at palpation | — |
Secondary
| Measure | Time frame |
|---|---|
| Function: The Brazilian version of the Foot Fuction Index (FFI) questionnaire will be used to quantify the impact of plantar fasciitis on foot function, in relation to (1) pain, (2) activity limitation and (3) disability. The questionnaire consists of 23 items distributed in three domains: Disability (5 items), Activity limitation (9 items) and Pain (9 items). The final score of the questionnaire is calculated by the formula: sum of the final percentages of all subscales / by three. The results can vary from 0 to 100% and are directly proportional to the functional impairment of the limb;Foot mobility: will be measured by the tests (1) Navicular drop, (2) Foot posture index, (3) Jack test, (4) Heel rise test and (5) Arch height index, used to evaluate the clinical improvement of the patient after the intervention. Navicular Drop: The volunteer will be seated, feet apart for hip-width apart and neutral subtalar joint. The evaluator will mark the tubercle of the navicular and measure the height of the ground. Then you will ask the participant to stand and a new appointment will be made. The navicular drop will be calculated by subtracting the seated value by the standing value. Foot posture index: The evaluation is performed by palpation of the head of the talus, observation above and below the lateral malleolus, position of inversion and eversion of the calcaneus, protuberance in the talo-navicular region, congruence of the medial longitudinal arch and abduction and adduction of the forefoot. Scoring is performed using the five-point Likert scale (-2 to +2), representing pronated foot when the score is positive and supinated when negative. Jack Test: The volunteer will be positioned standing on one-leg support. The evaluator will passively extend the metatarsophalangeal joint of the hallux to 45 °, measuring with a manual goniometer. From this, the evaluator will observe the appearance or the accentuation of the arch and variant of the hindfoot. Heel rise tes | — |
Countries
Brazil
Contacts
Public ContactBruna Martinez
Universidade Federal de São Paulo
Outcome results
None listed