Effekten af indlægssåler i Plantar Fasciitis (Insoles)
Effekten af indlægssåler på muskelaktivering og gangparametre ved plantar fasciitis
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Naile Hande YAZICI
- Telefonnummer: 05315110940
- E-mail: nhyazici@medipol.edu.tr
Studiesteder
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Istanbul
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Beykoz, Istanbul, Tyrkiet (Türkiye), 34815
- Istanbul Medipol University, Prosthetics and Orthotics Center (POMER)
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- er i alderen 18-65,
- At blive diagnosticeret med plantar fasciitis,
- At få ordineret brugerdefinerede indlægssåler,
- Har klager i mindst 3 måneder,
- Hælsmerter klage er ved plantar mediale calcaneal tuberkel,
- Smerteklagen er mest tydelig i de første trin om morgenen eller i trinene efter hvile,
- At have en Rolle- og Maudsley-score på 3 eller 4 i den indledende evaluering
Ekskluderingskriterier:
- Med et kropsmasseindeks på mere end 30 kg/m2,
- Har andre kardiopulmonale, dermatologiske, neurologiske eller ortopædiske problemer end plantar fasciitis,
- Har en historie med fod- eller ankeloperationer,
- Brug af et hjælpemiddel (rollator, canadiens osv.)
- Bruger ikke passende sko,
- At have kognitive, psykiske og/eller psykologiske problemer
- At være gravid
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Aktiv komparator: CNC-Milled EVA Insole
Participants assigned to this active-comparator arm received a custom-made ethylene-vinyl acetate (EVA) insole manufactured using computer numerical control (CNC) milling and were instructed to use the assigned orthosis for 12 weeks.
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A custom-made insole was individually manufactured from ethylene-vinyl acetate (EVA) using computer numerical control (CNC) milling.
Participants used the assigned insole for 12 weeks.
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Eksperimentel: FDM 3D-Printed TPU Insole
Participants assigned to this experimental arm received a custom-made thermoplastic polyurethane (TPU) insole manufactured using fused deposition modelling (FDM) three-dimensional printing and were instructed to use the assigned orthosis for 12 weeks.
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A custom-made insole was individually manufactured from thermoplastic polyurethane (TPU) using fused deposition modelling (FDM) three-dimensional printing.
Participants used the assigned insole for 12 weeks.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in Gastrocnemius Muscle Activation During a Standardized 10-Metre Walking Task
Tidsramme: Baseline and Week 12
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Surface electromyography was recorded bilaterally from the gastrocnemius medialis and gastrocnemius lateralis muscles during a standardized 10-metre walking task.
The processed parameters included maximum EMG envelope amplitude and mean-maximum, minimum-peak and maximum-peak activation values normalized to maximum voluntary contraction (%MVC).
MVC recordings were obtained during standardized plantar-flexion and dorsiflexion tasks.
Higher %MVC values indicate greater muscle activation relative to MVC.
The 10-metre walk was used solely as the standardized task for EMG recording and was not evaluated as a walking-performance outcome.
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Baseline and Week 12
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in Affected Foot Loading Assessed by Static Pedobarography
Tidsramme: Baseline and Week 12
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Static pedobarography was performed during quiet standing to quantify plantar load distribution.
Rearfoot loading of the affected foot was expressed as a percentage of the total plantar load for that foot, ranging from 0% to 100%, with higher values indicating greater relative rearfoot loading.
Affected and unaffected feet were coded before analysis.
Because forefoot and rearfoot loading percentages are mathematically complementary, forefoot loading was not treated as a separate independent endpoint.
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Baseline and Week 12
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Change From Baseline in Foot-Related Function Assessed by the Foot Function Index
Tidsramme: Baseline and Week 12
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Foot-related function was evaluated using the 23-item Foot Function Index, comprising pain, disability and activity-limitation subscales.
Subscale and total scores are expressed on a scale from 0 to 100, with higher scores indicating greater pain, disability or activity limitation.
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Baseline and Week 12
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Change From Baseline in Pain Intensity Assessed by the Visual Analogue Scale
Tidsramme: Baseline and Week 12
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Pain intensity was assessed using a 10-cm Visual Analogue Scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
First-step morning pain, pain during palpation of the plantar heel and pain associated with prolonged standing were recorded and analyzed as separate pain scores.
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Baseline and Week 12
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Change From Baseline in Plantar Heel Pressure Pain Threshold
Tidsramme: Baseline and Week 12
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Pressure pain threshold at the plantar heel was measured using a pressure algometer and expressed in kg/cm².
Higher values indicate a greater pressure pain threshold and lower pressure sensitivity.
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Baseline and Week 12
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Participant Satisfaction With the Assigned Insoles Assessed by Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST-2.0).
Tidsramme: Week 12
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Participant satisfaction was assessed at Week 12 using the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0).
The 12-item instrument comprises eight items evaluating satisfaction with the assistive device and four items evaluating satisfaction with related services.
Each item is scored from 1 (not satisfied at all) to 5 (very satisfied).
Device, service and total QUEST scores are calculated by averaging the applicable item scores, with higher scores indicating greater satisfaction.
Participants also identify the three satisfaction items they consider most important; these responses were summarized descriptively.
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Week 12
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HYAZICI
Plan for individuelle deltagerdata (IPD)
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IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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