Comparison of Treatment Efficacy of Extracorporeal Shockwave Therapy (ESWT) and Myofascial Release Techniques in Patients With Plantar Fasciitis

Обзор

Various treatment methods are employed for patients diagnosed with plantar fasciitis. However, many of these approaches involve high-cost interventions, such as extracorporeal shock wave therapy (ESWT) and platelet-rich plasma (PRP) applications. The present study aims to compare the treatment effectiveness of myofascial release-considered a cost-effective intervention-with ESWT, which is among the most commonly preferred treatment modalities.

Подробное описание

The present study aims to compare the effectiveness of extracorporeal shock wave therapy (ESWT), a frequently used treatment for patients with plantar fasciitis and heel pain, with specific myofascial release techniques. The paucity of studies in the literature and the lack of definitive evidence on this topic served as the basis for initiating this research. A total of 114 patients diagnosed with plantar fasciitis, deemed appropriate for ESWT and myofascial release therapy and meeting the inclusion criteria, are planned to participate in the study. These 114 patients will be randomly divided into three groups of 38 each. Before and after treatment, each patient will complete a demographic data form, the Visual Analog Scale (VAS), the Foot Function Index (FFI), the Roles and Maudsley pain scores, and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot clinical assessment scales. Participants will be randomly selected from among individuals who applied to Kayseri City Hospital with complaints of plantar fasciitis within the Kayseri province. The three groups will consist of a myofascial release treatment group, an ESWT treatment group, and a control group. The ESWT group will receive 2,000 pulses per session at 2.0 bar intensity, 14 Hz frequency, and a dose of 0.2 mJ/mm². Specific myofascial release techniques will be administered to the myofascial release group once per week for 16 minutes, over a total period of 5 weeks. No treatment will be administered to the control group. An evaluation appointment will be scheduled 5 weeks after baseline data collection using the designated assessment tools. Pre-treatment and post-treatment data for all three groups will be recorded using the SPSS software. After data collection is completed, appropriate statistical analyses will be conducted.

Вмешательства

• Устройство extracorporeal shockwave therapy
  Extracorporeal shockwave therapy (ESWT) is a treatment using powerful acoustic pulses which is mostly used to treat kidney stones and in physical therapy and orthopedics. Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow, shoulder rotator cuff pain, Achilles tendinitis, plantar fasciitis, and greater trochanteric pain syndrome. The lithotripter attempts to break up the stone with minimal collateral damage by using an externally applied, focused, high-intensi
• Другое myofascial release technique
  Myofascial release (MFR, self-myofascial release) is an alternative medicine therapy claimed to be useful for treating skeletal muscle immobility and pain by relaxing contracted muscles, improving blood and lymphatic circulation and stimulating the stretch reflex in muscles. Writing for Science-Based Medicine, Harriet Hall described myofascial release as an umbrella term for several types of physical manipulation, which might more simply be described as a kind of massage based on vaguely defined
• Другое Placebo Control
  Participants were not given any interventions that had proven effective for treatment. An appointment was made for 5 weeks later.

Первичные конечные точки

• American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AHFS) [Срок оценки: pre-treatment, 1st week post-treatment and 6th week post-treatment]
• Foot Function İndex (FFİ) [Срок оценки: pre-treatment, 1st week post-treatment and 6th week post-treatment]
• Visual Analog Scale (VAS) [Срок оценки: pre-treatment, 1st week post-treatment and 6th week post-treatment]

Вторичные конечные точки (1)

• Roles and Maudsley pain score [Срок оценки: pre-treatment, 1st week post-treatment and 6th week post-treatment]

Критерии участия

Критерии включения

• Being over 18 years old
• Being able to communicate in Turkish
• Being able to read and write
• Voluntarily agreeing to participate in the study
• Having been diagnosed with plantar fasciitis

Критерии исключения

• Obvious major foot trauma
• Pregnancy
• Presence of tumor
• Coagulation disorder
• Presence of open wounds and extreme sensitivity in the foot area
• Having had any surgical operation on the foot and ankle
• Partial amputation of the foot
• Application of one and/or more physical medicine modalities and corticosteroid injections within the last 6 weeks

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Kayseri City Hospital — Kayseri

Идентификаторы

NCT: NCT07204210 · IRU-FTR-BY-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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