Effects of Kinesio Taping and Extracorporeal Shock Wave Therapy in the Calcaneal Spur

Effects of Kinesio Taping Versus Extracorporeal Shock Wave Therapy on Pain in the Treatment of Calcaneal Spur: A Retrospective Clinical Study

The term "heel pain" is used to describe a common, painful condition that is localized in the plantar part of the heel and worsens when weight is placed on the heel. Patients with heel pain are more likely to have thickened plantar fascia, abnormal plantar fascia tissue, thicker plantar heel fat pad, and calcaneal spur. Calcaneal spurs are bony protrusions that typically occur just in front of the medial calcaneal tuberosity. Systemic medical treatments, physical therapy agents, exercise and local injections are often applied for heel pain caused by plantar fasciitis and calcaneal spur.

This study is to examine the effects of ESWT and kinesio taping on pain and other clinical outcomes in patients with calcaneal spurs.

Study Overview

• Status: Completed
• Conditions: Plantar Fasciitis; Calcaneal Spur; Heel Pain

Detailed Description

The responses of patients who underwent ESWT or kinesio taping due to calcaneal spur before and after treatment will be compared. Pain, functionality and quality of life are the clinical parameters compared.

• Study Type: Observational
• Enrollment (Actual): 60

Contacts and Locations

Study Locations

• Turkey
  • İstanbul, Turkey
    • Sisli Hamidiye Etfal Training and Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Patients who applied to the Physical Medicine and Rehabilitation outpatient clinic of Şişli Hamidiye Etfal Training and Research Hospital with complaints of heel pain were evaluated. The data of patients who underwent ESWT and kinesio taping were compared with the information on the hospital system.

Description

Inclusion Criteria:

• Aged 18 years and over with heel pain
• A calcaneal spur seen on foot radiographs

Exclusion Criteria:

• Those who had received a steroid injection into the heel within the past three months
• Those who had experienced trauma or surgery to the foot and ankle within the past six months
• Those with a rheumatic disease affecting the foot and ankle (e.g., spondyloarthritis)
• Those with open wounds or infections in the area to be treated with lesions.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
Group 1 : ESWT treatment group; ESWT treatment is applied once a week for 5 weeks
Group 2 : Kinesio taping treatment group; Kinesio taping was also applied once a week, for a total of 5 sessions. The rake method was used for kinesio taping.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain level before treatment and 3rd month after treatment	Pain level will be evaluated with the Numerical Rating Scale. (minimum: 0, maximum: 10)	From enrollment to the end of treatment at 3rd month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessment of heel sensitivity	It will be evaluated with the Heel Tenderness index. (0=no pain; 1=painful; 2=painful and whines; 3=painful, whines, and withdraws)	From enrollment to the end of treatment at 3rd month
Assessment of functionality	Foot Function Index was used. The FFI consists of 23 items divided into 3 subscales that quantify the impact of foot pathology on pain, disability, and activity limitation in patients. Pain, disability, and activity limitation subscale scores range from 0 to 100.	From enrollment to the end of treatment at 3rd month
Assessment of quality of life	The 12-item short-form health survey (SF-12) quality of life scale was used to evaluate general quality of life. It was presented as a physical component score (PCS) and mental component score (MCS). Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning.	From enrollment to the end of treatment at 3rd month

Collaborators and Investigators

• Sponsor: Sisli Hamidiye Etfal Training and Research Hospital
• Investigators: Study Director: Banu Kuran, Professor, Sisli Hamidiye Etfal Training and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2023
• Primary Completion (Actual): February 1, 2024
• Study Completion (Actual): March 1, 2024

Study Registration Dates

• First Submitted: July 30, 2024
• First Submitted That Met QC Criteria: July 30, 2024
• First Posted (Actual): August 1, 2024

Study Record Updates

• Last Update Posted (Actual): August 1, 2024
• Last Update Submitted That Met QC Criteria: July 30, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: extracorporeal shock wave therapy; kinesio taping; plantar fasciitis; calcaneal spur
• Additional Relevant MeSH Terms: Foot Diseases; Musculoskeletal Diseases; Bone Diseases; Exostoses; Hyperostosis; Fasciitis; Fasciitis, Plantar; Heel Spur
• Other Study ID Numbers: 26.09.2023 / 4096

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No