Clinical trial NCT06305507: Differents Laser Applications on Plantar Fasciitis
Official title: Effects of Differents Laser Applications on Plantar Fasciitis
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Fasciitis, Plantar
Keywords: Fascitis Plantar
Lower laser therapy (LLLT)
Focused laser therapy
Shower laser therapy
Randomized Clinical trial
Doubled blinded
Longitudinal
Pain reduction
Therapeutic
Session duration
Comparision group
Lead sponsor: University of Seville
Sponsor class: OTHER
First posted: 2024-03-12
Enrollment: 62
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: subjects who present plantar fasciitis and go to the podiatry clinic within the indicated period

Brief summary: The objective of this randomized controlled clinical trial (RCT) with a double-blind technique and longitudinal chronology, entitled \&#34;Effect of different laser applications on Plantar Fasciitis\&#34;, is to evaluate and compare the effectiveness of laser therapy low-level (LLLT) in local spot mode versus sweep mode in the reduction of pain associated with plantar fasciitis.

The main questions it seeks to answer are:

* What is the comparative effectiveness between low-level laser therapy in local spot mode and sweep mode in reducing pain in patients with plantar fasciitis?
* What are the optimal therapeutic parameters (session duration, frequency and power) for LLLT in both modes, maximizing pain reduction in patients with plantar fasciitis?

Participants in this study will perform the following tasks:

* Undergo low-level laser therapy sessions in local spot mode or sweep mode.
* Comply with the instructions on the duration and frequency of the sessions.
* Record the pain levels experienced before and after each session.

The investigators will compare the group undergoing local spot mode low-level laser therapy with the group undergoing sweeping mode low-level laser therapy to evaluate whether there are significant differences in pain reduction effects.

Detailed description: This randomized controlled clinical trial, titled 'Effect of Different Laser Applications on Plantar Fasciitis', aims to specifically address the effectiveness of low-level laser therapy (LLLT) in the treatment of pain associated with plantar fasciitis. Using a rigorous methodology that includes double-blind masking and a longitudinal chronology, the study focuses on comparing two modes of laser application: local spot mode and sweep mode.

The main objective is to evaluate and compare the pain reduction between these two modes of application of LLLT. To achieve this, key questions are asked, such as the relative effectiveness of each mode and the identification of optimal therapeutic parameters, including session duration, frequency and power, that maximize benefits in patients with plantar fasciitis.

Participants in this study will undergo low-level laser therapy sessions, following the protocols established for each mode of application. Additionally, they will be asked to record their pain levels before and after each session, providing valuable information about the effectiveness of the therapy.

In the case of a comparison group, a detailed evaluation will be carried out comparing the results obtained between the group treated with LLLT in local spot mode and the group treated in swept mode. This approach will allow researchers to determine if there are significant differences in the pain reduction effects between the two modes of laser application.

With a solid experimental design and specific objectives, this study seeks to contribute significantly to the understanding of laser applications in the treatment of plantar fasciitis, providing valuable information for the optimization of therapy and thus improving the quality of life of patients. . affected.

Eligibility criteria: Inclusion Criteria:

* Confirmed Diagnosis of Plantar Fasciitis

Exclusion Criteria:

* Additional Serious Medical Conditions

Primary outcomes:
measure: Visual pain analogic scale
timeFrame: 1,2 and 4 months
Secondary outcomes:
measure: Ultrasound image of thickness
timeFrame: 1,2 and 4 months
Other outcomes:
Locations:
city: Sevilla
country: Spain
facility: Área Clínica de Podología
state: Andalucía
city: Sevilla
country: Spain
facility: Fasciitis
Study officials:
affiliation: University of Seville
name: Aurora Castro Mendez, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Guimaraes JS, Arcanjo FL, Leporace G, Metsavaht LF, Sena C, Moreno MVMG, Marcal Vieira TE, Gomes Neto M. Effect of low-level laser therapy on pain and disability in patients with plantar fasciitis: A systematic review and meta-analysis. Musculoskelet Sci Pract. 2022 Feb;57:102478. doi: 10.1016/j.msksp.2021.102478. Epub 2021 Nov 16.
citation: Takla MKN, Rezk SSR. Clinical effectiveness of multi-wavelength photobiomodulation therapy as an adjunct to extracorporeal shock wave therapy in the management of plantar fasciitis: a randomized controlled trial. Lasers Med Sci. 2019 Apr;34(3):583-593. doi: 10.1007/s10103-018-2632-4. Epub 2018 Sep 7.
citation: Kiritsi O, Tsitas K, Malliaropoulos N, Mikroulis G. Ultrasonographic evaluation of plantar fasciitis after low-level laser therapy: results of a double-blind, randomized, placebo-controlled trial. Lasers Med Sci. 2010 Mar;25(2):275-81. doi: 10.1007/s10103-009-0737-5.