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This study evaluates the effectiveness of an electrostimulation treatment with TENS using a needle and a surface electrode combined with an exercise program to fasciitis plantar. Half participants will receive invasive electrostimulation (TENS using a needle) and exercises while the other half will receive electrostimulation placebo and exercises.
There are a lot of treatments to fasciitis plantar. Exercises are the treatments more recommended to fasciitis plantar but not all patients improve only with exercises. Dry needling is recommended to relieve the pain in the heel. TENS is used to decrease the pain in the fasciitis plantar. Investigators will apply to half participants a treatment that combines TENS + Dry needling (invasive electrostimulation ) with exercises while the other half receive electrostimulation placebo (TENS using surface electrodes with non-therapeutic intensity) + exercises.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Invasive electrostimulation combined with exercises. | Experimental | Dry needling + TENS ( 4 Hz 200 microseconds during 30 minutes to therapeutic intensity) combined with exercises program. |
|
| Placebo electrostimulation and exercises. | Active Comparator | Sham dry needling + TENS ( 4 Hz 200 microseconds during 30 minutes to non-therapeutic intensity) with surface electrodes combined with exercises program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Invasive electrostimulation combined with exercises | Procedure | Procedure for producing analgesia by introducing the TENS current through a needle combined with a exercises program. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in pain scores on the visual analogue scale at 6 weeks in patients with plantar fasciitis. | It will evaluate the pain with Visual Analogue Scale in the first step in the first and tenth session. At 6 weeks, a new measurement will be made. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in strength scores at 6 weeks from first session in patients with plantar fasciitis. | It will evaluate the strength using dynamometer in the first and tenth session. At 6 weeks, a new measurement will be made. | 6 weeks |
| Change in the pain in the Trigger points at 6 weeks from first session in patients with plantar fasciitis. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundacion Hospital Ramón y Cajal | Madrid | 28834 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27526703 | Background | Thiagarajah AG. How effective is acupuncture for reducing pain due to plantar fasciitis? Singapore Med J. 2017 Feb;58(2):92-97. doi: 10.11622/smedj.2016143. Epub 2016 Aug 16. | |
| 27683642 | Result | Eftekharsadat B, Babaei-Ghazani A, Zeinolabedinzadeh V. Dry needling in patients with chronic heel pain due to plantar fasciitis: A single-blinded randomized clinical trial. Med J Islam Repub Iran. 2016 Jul 23;30:401. eCollection 2016. |
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|
| Placebo electrostimulation and exercises | Procedure | First: Sham dry needling. After: electrostimulation using surfaces electrodes. Finally a exercises program. |
|
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It will evaluate the pain with algometer in the first and tenth session in the plantar muscle. It will measure the change of pain in the Trigger points in the plantar muscle. At 6 weeks, a new measurement will be made .Three measurements will be made and the average data will be recorded. |
| 6 weeks |
| Change in the functionality of foot and ankle at 6 weeks from first session in patients with plantar fasciitis. | It will evaluate the functionality using Foot and Ankle Ability Measure questionnaire (FAAM) in the first and tenth session. At 6 weeks, a new measurement will be made. | 6 weeks |
| Change in the functionality and quality of life of foot and ankle at 6 weeks from first session in patients with plantar fasciitis. | It will evaluate the functionality and quality of life using Foot Health Status Questionnaire (FHSQ) in the first and tenth session. At 6 weeks, a new measurement will be made. | 6 weeks |
| ID | Term |
|---|---|
| D036981 | Fasciitis, Plantar |
| ID | Term |
|---|---|
| D005208 | Fasciitis |
| D009140 | Musculoskeletal Diseases |
| D005534 | Foot Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D000079245 | Dry Needling |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D004599 | Electric Stimulation Therapy |
| D012046 | Rehabilitation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
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