- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04758572
Efficacy of Manual Therapy in Plantar Fasciitis (MTPlantarF)
Effects of a Manual Therapy Program in Patients With Plantar Fasciitis
Plantar fasciitis is characterized by localized pain at the insertion site of the plantar fascia on the calcaneus. The pain worsens in the morning with the first step of the foot, after resting or at the beginning of a workout, it can increase after intense activity and persist even when it stops. The first-line plantar fasciitis treatment is conservative. Although few studies have currently evaluated the effectiveness of physical therapy, it appears that the combination of several techniques is more effective than any technique used in isolation. The objective of this study is to know the results of two manual therapy treatments in terms of pain and functionality with a direct action on the plantar fascia.
Patients diagnosed with plantar fasciitis will be recruited. They will be randomly assigned into two intervention groups: Group 1 will receive a direct treatment on the plantar fascia and posterior aspect of the leg to relax and elongate the tissues. It will consist of manual therapy of the foot and ankle, treatment of the trigger points of the soleus muscle and plantar square, and also massage, and passive stretching and group 2 will receive a placebo treatment with superficial massage. The intervention consists of a weekly session for 4 weeks, evaluations will be carried out at the beginning of treatment, at the end of the treatment and a follow-up one month. The evaluations will consist of ankle goniometry, pain, lower limb functionality dynamic balance, function and daily activities and ankle ability scale and pain on pressure.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Introduction Plantar fasciitis is characterized by localized pain at the insertion site of the plantar fascia on the calcaneus, which can radiate toward the medial edge of the foot. The pain worsens in the morning with the first step of the foot, after resting or at the beginning of a workout, it can increase after intense activity and persist even when it stops. These symptoms can lead to functional limitation and prolonged disability. It is one of the most common foot pathologies. The first-line plantar fasciitis treatment is conservative. Although few studies have currently evaluated the effectiveness of physical therapy, it appears that the combination of several techniques is more effective than any technique used in isolation.
The objective of this study is to know the results of two manual therapy treatments in terms of pain and functionality with a direct action on the plantar fascia.
Material and methods
Patients diagnosed with plantar fasciitis will be recruited. Patients will sign an explanatory informed consent for the project before starting it. All patients are volunteers. They will be randomly assigned into two intervention groups:
- Group 1 will receive a direct treatment on the plantar fascia and posterior aspect of the leg to relax and elongate the tissues. It will consist of manual therapy of the foot and ankle, treatment of the trigger points of the soleus muscle and plantar square, and also massage, and passive stretching.
- Group 2 will receive a placebo treatment with superficial massage. The intervention consists of a weekly session for 4 weeks, evaluations will be carried out at the beginning of treatment, at the end of the treatment and a follow-up one month.
The evaluations will consist of ankle goniometry, pain measurement using the visual analog scale (VAS), pain and lower limb functionality with the validated Foot Function Index (FFI) scale, dynamic balance using the Star Excursion Balance Test, evaluation of the function and daily activities with the Foot and ankle ability measure (FAAM) scale and pain on pressure using an algometer.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Valencia, Spain, 46010
- Gemma V Espí López
-
Valencia, Spain, 46010
- Gemma Victoria Espí-López
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age between 18 and 65 years old, diagnosed with plantar fasciitis.
- Evolution of fasciitis greater than 1 month
- Not being receiving any other type of physiotherapy treatment at the time of the study.
Exclusion Criteria:
- Subjects showing tumor, lower limb fractures, rheumatoid arthritis, vascular disease, administration of corticosteroids for long periods of time, pregnancy, previous surgeries in the affected or scheduled surgeries during the study period.
- Subjects who were not able to understand or respond to the evaluations of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Manual Therapy
Mobilization. Axial decoaptation, talar mobilization, global and specific articulatory mobilization of the foot, mobilization of the fibular head, femorotibial mobilization, hip mobilization. In addition, lumbar joint mobilization is applied. The articulatory techniques last 15 minutes. Subsequently, Trigger Point Inhibition is applied. in the medial gastrocnemius, soleus, and square plantar muscles. The application of this technique lasted 15 minutes. Plantar fascia massage. A deep friction technique was applied longitudinally and transversely to the plantar fascia and the triceps surae. It lasted 15 minutes. Passive stretching. Stretches were applied to the plantar fascia, the gastrocnemius muscles and the soleus muscles in order to relax these muscles. The duration was 5/10 minutes. |
Mobilization, massage and stretching
|
Sham Comparator: Placebo massage
Consist of gentle kneading and rubbing without intention to treat for 15 minutes.
|
Kneading and rubbing without intention to treat
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Foot pain
Time Frame: 8 week
|
It is evaluated using the pain scale, the pain is recorded at the first foot support in the morning.
This scale values from 0-10 in which 0 = no pain and 10 = excruciating pain.
|
8 week
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ankle flexion
Time Frame: 8 week
|
Evaluation of passive ankle flexion is carried out using a universal goniometer.
With the subject in the supine position and with the knees extended, the fulcrum of the goniometer is placed on the lateral malleolus, the mobile arm on the fifth metatarsal, and the fixed arm on the fibula.
|
8 week
|
Dynamic balance
Time Frame: 8 week
|
Evaluation using the Star Excursion Balance Test (SEBT).
Its purpose is the prediction of the risk of injury to the lower extremities and the identification of dynamic balance deficits.
It is carried out in a standing position and with previous training, the subjects perform the test 4 times before their final evaluation.
The subject must remain stable while performing movements of the lower limb in different directions (anterior, lateromedial, lateroposterior) while the other remains fixed and stable at one point.
|
8 week
|
Quality of life in relation to foot pain
Time Frame: 8 week
|
It is evaluated using the SF-12 questionnaire.
It is a questionnaire that assesses the quality of life of patients and is composed of 12 questions about the health of the participants and informs us about the physical (PCS) and mental (MCS) health of the subjects.
The score ranges from 0 to 100.
|
8 week
|
Foot health
Time Frame: 8 week
|
We will evaluate using the Foot Health Status Questionnaire (FHSQ) (25).
It consists of three sections with a total of 23 items in total.
Section 1 assesses foot function, foot pain, footwear, and general foot health, making up 13 of the 23 items.
Section 2 assesses general health, physical activity, and social ability.
Section 3 assesses the socioeconomic level, comorbidity and satisfaction.
|
8 week
|
Impact and disability from foot pain
Time Frame: 8 week
|
Evaluation using the Foot Function Index (FFI), a questionnaire that informs us about the repercussion (pain, disability and restriction) that foot pathology has on the patient.
It is made up of 23 items.
The result is calculated using the following formula: sum of the questions / 230x100 = __%.
|
8 week
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Gemma V Espí-López, University of Valencia
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ID0033
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Plantar Fasciitis
-
University of VirginiaNot yet recruitingPlantar Fascitis | Plantar Fasciopathy | Plantar Fasciitis, Chronic | Plantar Fasciitis of Both Feet | Plantar Fasciitis of Right Foot | Plantar Fasciitis of Left FootUnited States
-
Cairo UniversityNot yet recruiting
-
Azienda Ospedaliero-Universitaria Consorziale Policlinico...RecruitingPlantar FascitisItaly
-
Chinese University of Hong KongRecruiting
-
Istanbul Medeniyet UniversityNot yet recruiting
-
Chinese University of Hong KongRecruitingPlantar FascitisHong Kong
-
Stanford UniversityNot yet recruitingPlantar Fascitis
-
Hospital for Special Surgery, New YorkActive, not recruiting
-
Riphah International UniversityCompletedPlantar FascitisPakistan
-
Universidad Complutense de MadridUnknownPlantar Fasciitis | Ultrasound Therapy | Plantar Fasciitis, ChronicSpain
Clinical Trials on Manual Therapy
-
Alexander AchalandabasoCompletedChronic Pain | Neck PainSpain
-
Universidad de ZaragozaCompletedPlagiocephaly | Plagiocephaly, Nonsynostotic | Plagiocephaly, PositionalSpain
-
Josue Fernandez CarneroUniversidad Autonoma de MadridCompletedCervicalgia | Neck Pains | Posterior Cervical Pains | Posterior Neck Pain
-
Hacettepe UniversityCompletedHealth Young IndividualsTurkey
-
Cesar A Hincapié, DC PhDEpidemiology, Biostatistics and Prevention Institute, University of ZurichCompletedBack Pain | Back Pain, Low | Back DisorderSwitzerland
-
University of PalermoCompleted
-
Universidad de ZaragozaCompletedEndodontically Treated Teeth | Root Canal TherapySpain
-
Imam Abdulrahman Bin Faisal UniversityUnknownLow Back Pain, MechanicalSaudi Arabia
-
International Hellenic UniversityCompletedChronic Low Back PainGreece