Comparison Of The Treatment Effects Of Different Methods In Patients With Calcaneal Spur
Condition: Heel Spur
MeSH terms: Heel Spur
Study type: Interventional

Summary: 
      Calcaneal spur (heel spur) is one of the most common disorders associated with foot pain.
      Patients may complain of pain at every step during the day, so it is important to find the
      most effective treatment method for patients. The aim of this study is to compare the
      therapeutic efficacy of extracorporeal shock wave therapy (ESWT) and kinesiology taping (KB)
      in patients with calcaneal spurs.

      Thirty patients with calcaneal spurs will be included in the study. The gender, age, body
      weight, height, body mass index, and affected side of the patients will be recorded. Patients
      will be randomly divided into three treatment groups: ESWT to the first group, KB therapy to
      the second group, and combined ESWT+KB to the third group. Each group will be treated for
      five sessions, once a week for five weeks. ESWT 15Hz frequency will be applied as 2.5 Barr
      energy and 2000 Shock/session. It will be applied with the KB I and fan method and the tape
      will not be removed for three days after the application. In the pre- and post-treatment
      evaluations of the patients, heel sensitivity and sensory perception will be evaluated with
      the Foot structure Foot Posture Index (API). Visual Analog Scale (VAS), Quality of Life Short
      Form-36 (SF-36), Foot Function Index (AFI) and Windlass Test will be used.
    

Detailed description: 
      One of the most common pathologies that causes foot pain, negatively affects the individual's
      walking and reduces the quality of life is calcaneal spur (heel spur). Calcaneal spurs are
      fibro-cartilaginous protrusions varying in size that form around the calcaneal bone, the
      strongest, most important and rearmost bone in the foot.

      Treatment aims to reduce pain, reduce inflation, and shrink and eliminate the spur.
      Conservative treatment includes exercises, massage, ultrasound, phonophoresis, laser, short
      wave diathermy, cryotherapy and extracorporeal shock wave therapy (ESWT) as physiotherapy
      applications.

      ESWT are pressure waves delivered to the body to stimulate soft tissue growth through local
      hyperemia, neovascularization, reduction of calcification, inhibition of pain receptors and
      denervation to provide pain relief and healing of chronic processes. ESWT is also used
      effectively in the treatment of calcaneal spur.

      The aim of this study is to observe the superiority, if any, of ESWT and KB in the treatment
      of each other or to show how effective the combined application of the two is in the
      treatment of calcaneal spur.

      This study will be a single-blind, randomized controlled trial to compare the effectiveness
      of BP and ESWT in patients with calcaneal spurs. All procedures used will be carried out in
      accordance with the ethical rules of the Declaration of Helsinki and were approved by the
      Amasya University Clinical Research Ethics Committee (E-30640013-050.01.04-126508). The study
      will be carried out on patients who applied to the Physical Therapy and Rehabilitation
      Polyclinic of a hospital between 10.10.2023 and 10.12.2023 with the complaint of heel pain
      and diagnosed with calcaneal spur.

      Inclusion criteria for the study were diagnosis of calcaneal spur by a physician, being in
      the age range of 30-70 years, patient complaining of pain in the heel region, appearance of
      calcaneal protrusion in the radiographic image, no other treatment or medication (NSAI). ,
      steroids, other drugs, etc.) analgesics) and the patient volunteered to participate in the
      study. Exclusion criteria were those who received injection therapy to the foot area
      (corticosteroids or corticosteroids/anesthetics), those with a history of rheumatic disease,
      coagulopathy, thrombophlebitis, neoplasia, systemic inflammatory disease, and outpatient
      surgery in the last 3 months. No other treatment or medication (NSAI, steroids, other
      analgesics) will be used during the study period.
    

Intervention name(s): Extracorporeal shock wave therapy; Kinesiology taping; Extracorporeal shock wave therapy+Kinesiology taping
Intervention type(s): Other; Other; Other
Intervention description(s): ESWT (EMS Swiss DolorClast® Classic) application will be applied to patients in groups 1 and 3 with a frequency of 15 Hz, a 2000 shock wave and an energy density of 2.5 bar. In practice, patients will be asked to lie in the prone position and keep the knee and hip joints in a neutral position. By placing a towel roll under the ankle, the heel will be stabilized to be applied. Using the ultrasound gel as an intermediate, the ESWT device will be applied to the medial part of the calcaneus.; The material used in the taping will be 5 cm wide and 0.5 mm thick Kinesio® Tape. In practice, the patients were placed in the prone position and the ankle would be dorsiflexed at 10 degrees, and the band would be divided into 4 equal parts on the metatarsals of the 1/3 of the foot from the cruis, starting from the calcaneus. Then, taping will be performed from the medial to the lateral of the calcaneus, passing over the area where the pain is intense. Patients will be asked not to remove the applied tape for 3 days.; Patients in this group will be treated with both extracorporeal shock wave therapy and kinesiotape.
Other intervention name(s): GRUP A
Allocation: Randomized
Intervention model: Crossover Assignment
Intervention model description: Crossover Assignment Factorial Assignment randomized controlled trial 3 groups
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Extracorporeal Shock Wave Therapy; Heel Spur; Kinesio Taping