Clinical trial NCT05867888: Shock Wave Therapy Versus Low Level Laser Therapy in Patients With Plantar Fasciitis
Official title: Effect of Shock Wave Therapy Versus Low Level Laser Therapy in Patients With Plantar Fasciitis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Plantar Fascitis
Keywords: low level laser therapy
shock wave therapy
stretching exercises
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2023-05-22
Enrollment: 75
Sex: ALL
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Both shock wave therapy and low level laser therapy in plantar fasciitis are effective in improvement of such cases without any side effects but there are no previously published studies on the use of shock wave therapy versus low level laser therapy in plantar fasciitis and, hence, evidence of its acceptability and effectiveness compared with each other remains to be established.

Detailed description: Plantar fasciitis is a result of degenerative irritation of the plantar fascia origin at the medial calcaneal tuberosity of the heel as well as the surrounding perifascial structures, it is a common problem accounting for approximately one million patient visits per year, it is often an overuse injury. As a result tight gastrocnemius, soleus, and/or other posterior leg muscles have also been commonly found in patients with this condition.

Shock wave therapy is thought to provide long lasting analgesia and stimulate the healing process, Low level laser therapy has been used to relieve pain caused by plantar fasciitis, also stretching of the shortened and contracted plantar flexors may positively influence an individual's functional activities of daily living and decrease the risk of injury.

Eligibility criteria: Inclusion Criteria:

1. Age ranges from 40-60 years old.
2. Both genders will be included.
3. Unilateral plantar fasciitis.
4. Duration of symptoms more than 4 weeks.
5. Positive Windlass test and negative Tinel and calcaneus squeeze tests.
6. Patients will be classified according to their BMI (18.5 - 24.9) kg/m2

Exclusion Criteria:

1. Open wound, infection in plantar surface of foot.
2. History of foot surgery.
3. History of trauma or fracture in foot or ankle.
4. Neuropathic pain as diabetes mellitus.
5. Peripheral vascular disease.
6. Calcaneal stress fracture or show evidence of a foreign body or tumor of the affected heel.
7. Previously suffered a rupture or surgery of the plantar fascia. Existing or prior osteomyelitis of the involved calcaneus.

Primary outcomes:
measure: Assess the change in pain intensity level
timeFrame: Before treatment and after 6 weeks treatment
measure: Assess the change in pain pressure threshold
timeFrame: Before treatment and after 6 weeks treatment
measure: Assess the change in range of ankle motion
timeFrame: Before treatment and after 6 weeks treatment
measure: Assess the change in foot functional disability
timeFrame: Before treatment and after 6 weeks treatment
measure: Assess the change in ankle stability
timeFrame: Before treatment and after 6 weeks treatment
Secondary outcomes:
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: Reham
Study officials:
affiliation: Cairo University
name: Fatma S Amin, Professor
role: STUDY_CHAIR
affiliation: Cairo University
name: Rania N Karkousha, Ass.prof
role: STUDY_DIRECTOR
affiliation: Cairo University
name: Mohamed I Abd Elhay, Lecturer
role: STUDY_DIRECTOR
affiliation: Cairo University
name: Ashraf N Moharram, Professor
role: STUDY_DIRECTOR
References: