Estimating the Prevalence of GAstrocnemius Muscle REtraction in a Population Suffering From Plantar aPOneurositis and Describing the Effects of Lengthening

Обзор

The gastrocnemius muscles, which form the upper part of the calf, can suffer from retraction, a common but often under-diagnosed condition, which can be a risk factor for plantar fasciitis. Retraction can be treated medically, by stretching, or surgically, by lengthening the muscles. Gastrocnemius retraction is difficult to measure, but tests such as the Ankle Dorsiflexion Index (ADI) provide a more accurate assessment. Knowing the prevalence of this retraction in patients suffering from plantar fasciitis would enable us to improve diagnostic criteria and better target treatments. Surgical lengthening of the gastrocnemius, particularly by tenotomy, is effective in cases of chronic plantar fasciitis, even without apparent muscle retraction.

Вмешательства

• Диагностический тест Ankle Dorsiflexion Index (ADI) measurement
  Ankle Dorsiflexion Index (ADI) measurement at D0 and W8

Первичные конечные точки

• Prevalence of gastrocnemius muscle retraction in patients with plantar fasciitis [Срок оценки: At Day 0]

Вторичные конечные точки (12)

• correlation between ADI measurement and Manchester Oxford Foot Questionnaire (MOXFQ) [Срок оценки: At Day 0]
• correlation between ADI measurement and pain Visual Analog Scale (VAS) [Срок оценки: At Day 0]
• Evolution of Visual Analog Scale (VAS) [Срок оценки: between Day 0 and Week 8]
• Evolution of Visual Analog Scale (VAS) [Срок оценки: between Day 0 and Week 16]
• Evolution of Visual Analog Scale (VAS) [Срок оценки: between Day0 and Week 24]
• Evolution of Manchester Oxford Foot Questionnaire (MOXFQ) [Срок оценки: between Day 0 and Week 8]
• Evolution of Manchester Oxford Foot Questionnaire (MOXFQ) [Срок оценки: between Day 0 and Week 16]
• Evolution of Manchester Oxford Foot Questionnaire (MOXFQ) [Срок оценки: between Day 0 and Week 24]
• Correlation between surgical success and body mass index (BMI) [Срок оценки: At Day 0]
• Correlation between surgical success and age of patient [Срок оценки: At Day 0]
• Correlation between surgical success and tobacco consumption [Срок оценки: At Day 0]
• Correlation between surgical success and location of fasciitis [Срок оценки: At Day 0]

Критерии участия

Критерии включения

• Patient aged 70 or under
• Patient suffering from unilateral plantar fasciitis that has progressed for more than 6 months and is recalcitrant to medical treatment
• Collection of express, oral consent
• Available for follow-up visits

Критерии исключения

• Patients with neuropathic pain
• History of fracture of the lower limb, surgery on the lower limb, inflammatory rheumatism of the lower limb, injury to the Achilles tendon
• Patient with another painful orthopedic lesion of the legs/feet
• Patient with surgically treated plantar fasciitis in the year prior to inclusion
• Persons unable to give consent
• Not affiliated to a social security scheme
• Persons under court protection
• Participant in another study with an ongoing exclusion period

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Диагностика

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07060352 · REGAPOP · 2025-A00798-41

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗