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IRCT20180107038257N1 IRCT 2018-09-14 Tehran University of Medical Sciences The effectiveness of dry needling and exercise therapy vs. exercise therapy alone on foot function in patients with heel pain The effectiveness of dry needling and exercise therapy vs. exercise therapy alone on pain, foot function, quality of life, thickness and echogenicity of the plantar fascia in patients with plantar fasciitis 2018-09-07 anticipated 60 Complete https://irct.ir/trial/30818 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization method: randomized block design, block size:4, ratio 1:1 Randomization tool: software. N/A plantar fasciitis. Intervention 1: Intervention group: The intervention group will receive the exercise therapy and the dry needling for six weeks. The exercise therapy consist of the stretching exercise of the plantar fascia; the soleus muscle; the gastrocnemius muscle and the big-toe flexor and stretching on the static wooden wedge. The patients do the stretching exercise two times per day; any time fifteen repetitions; each taking 30 seconds; during six weeks. Dry needling is done according to the modified-delphi protocol. According to the protocol, the muscles that are primarily responsible for the pain including: the soleus; the quadratus plantae; the flexor digitorum brevis and the abductor hallucis. The intervention group will receive the dry needling once a week; during six weeks. Intervention 2: Control group: The control group will receive the exercise therapy for six weeks. The exercise therapy consist of the stretching exercise of the plantar fascia; the soleus muscle; the gastrocnemius muscle and the big-toe flexor and stretching on the static wooden wedge . The patients do the stretching exercise two times per day; any time fifteen repetitions; each taking 30 seconds; during six weeks. Yes - There is a plan to make this available What will be shared: The original data is shared in thesis format. When: After defense of thesis, the original data is shared in thesis format. To whom: Academic researchers, physiotherapists Conditions: In order to use clinical results, the original data is shared in thesis format. Where to obtain: Library of the faculty of rehabilitation of Tehran University of Medical Sciences How to obtain: Referral to library of the faculty of rehabilitation of Tehran University of Medical Sciences Comments:
public Saman Salehi
School of rehabilitation of Tehran University of Medical Science; Piche Shemiran; Enghelab street
Tehran Iran (Islamic Republic of) 1148956111 +98 21 7752 8468 salehis@razi.tums.ac.ir Tehran University of Medical Sciences scientific Azade Shadmehr
School of rehabilitation of Tehran University of Medical Science; Piche Shemiran; Enghelab street
Tehran Iran (Islamic Republic of) 1148956111 +98 21 7752 8468 shadmehr@tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) individuals with plantar fasciitis age between 20-45 years 20 years 45 years Both History of direct trauma to the heel The presence of systemic inflammatory disorders Low back pain caused by disc herniation The presence of Tarsal tunnel syndrome(TTS) History of fracture in foot and ankle Use aid of support for walking The presence of contraindication for dryneedling Women who are pregnant Treatment for plantar heel pain in the previous 4 weeks Unwillingness to participate in the study M72.2 Plantar fascial fibromatosis Rehabilitation Rehabilitation Intervention group: The intervention group will receive the exercise therapy and the dry needling for six weeks. The exercise therapy consist of the stretching exercise of the plantar fascia; the soleus muscle; the gastrocnemius muscle and the big-toe flexor and stretching on the static wooden wedge. The patients do the stretching exercise two times per day; any time fifteen repetitions; each taking 30 seconds; during six weeks. Dry needling is done according to the modified-delphi protocol. According to the protocol, the muscles that are primarily responsible for the pain including: the soleus; the quadratus plantae; the flexor digitorum brevis and the abductor hallucis. The intervention group will receive the dry needling once a week; during six weeks. Control group: The control group will receive the exercise therapy for six weeks. The exercise therapy consist of the stretching exercise of the plantar fascia; the soleus muscle; the gastrocnemius muscle and the big-toe flexor and stretching on the static wooden wedge . The patients do the stretching exercise two times per day; any time fifteen repetitions; each taking 30 seconds; during six weeks. Pain. Timepoint: At the baseline, after three weeks of intervention, after six weeks of intervention, and after a two-week follow-up. Method of measurement: Visual analog scale. Quality of life. Timepoint: At the baseline, after three weeks of intervention, after six weeks of intervention, and after a two-week follow-up. Method of measurement: Short-form36(SF-36) questionnaire. Foot function. Timepoint: At the baseline, after three weeks of intervention, after six weeks of intervention, and after a two-week follow-up. Method of measurement: Foot and Ankle Ability Measure questionnaire (FAAM) and Foot and ankle outcome score (FAOS). Thickness of the plantar fascia. Timepoint: At the baseline, after six weeks of intervention. Method of measurement: Ultrasonography. Echogenicity of the plantar fascia. Timepoint: At the baseline, after six weeks of intervention. Method of measurement: Ultrasonography. Foot range of motion. Timepoint: At the baseline, after three weeks of intervention, after six weeks of intervention and after a two-week follow up period. Method of measurement: Goniometer. Tehran University of Medical Sciences Approved 2018-05-25 Ethics committee of Tehran University of Medical Science Department of research and technology of Tehran University of Medical Sciences; Keshavarz Blvd; Ghods St Tehran Tehran Iran (Islamic Republic of)