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Inflammation of the plantar fascia is called plantar fasciitis and is common in active or overweight individuals. It can be treated conservatively or surgically. Extracorporeal shock wave therapy has shown significant efficacy in the treatment of plantar fasciitis. Repeated chronic inflammation of the plantar fascia may lead to fibrous edema, thickening and even calcification in the fascia, resulting in thickening of the plantar fascia in patients with chronic plantar fasciitis and affecting the mechanical properties of the plantar fascia (changes in elastic modulus) ). Previous studies rarely involved changes in the elasticity of the plantar fascia before and after extracorporeal shock wave treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| focused shockwave therapy | Active Comparator | Patients will receive 6 sessions of focused shockwave therapy. |
|
| control | Active Comparator | Patients in the control group will be treated using the home therapy protocol only. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Focused shockwave | Device | Procedure: Focused shockwave therapy received shock wave therapy once a week: first locate, touch on the heel of the patient Tenderness points, take tenderness points as treatment points;Then ask the patient to take the lower limbs straight sitting or prone position, Target intensity will be within a range of 0.15-0.25 mJ/mm2 at maximum Hz, Total of 3000 pulses; rest for 20 minutes after the treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Elastic modulus and morphology of plantar fascia lesion area | Sonoelastographic changes of plantar fascia after ESWT | Up to six months |
| Reduction in pain as assessed by a 0-10 visual analogue scale (VAS) | Patients can score a minimum of 0 and a maximum of 10. Getting a high score indicates a bad situation. | Up to six months |
| Measure | Description | Time Frame |
|---|---|---|
| American Society of Foot and Ankle Surgery (AOFAS) Ankle and Hindfoot Function Score | The AOFAS assess pain, symptoms, activities of daily living, sports, and quality of life related to foot and ankle pain. This will be assessed on a scale of 0-100, where 100 indicates no problems and 0 indicates extreme problems. | Up to six months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| yonggang Dou, Master | Contact | +8615013006491 | 2206387013@qq.com | |
| qiuyu Chen, Master | Contact | +8613380057831 | 168072468@qq.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanfang Hospital ,Southern Medical University | Recruiting | Guangzhou | Guangdong | 510515 | China |
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| ID | Term |
|---|---|
| D036981 | Fasciitis, Plantar |
| ID | Term |
|---|---|
| D005208 | Fasciitis |
| D009140 | Musculoskeletal Diseases |
| D005534 | Foot Diseases |
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| ID | Term |
|---|---|
| D018718 | Home Infusion Therapy |
| ID | Term |
|---|---|
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D006699 | Home Care Services |
| D003153 | Community Health Services |
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Test group (shock wave) chronic plantar fasciitis; Control group patients with chronic plantar fasciitis;
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| Home therapy | Other | Stretching and ice massage |
|
| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |