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The objective of this randomized controlled clinical trial (RCT) with a double-blind technique and longitudinal chronology, is to evaluate and compare the effectiveness of High intensity laser therapy (HILT) in static mode versus scanning mode in the reduction of pain associated with plantar fasciitis.
The main questions it seeks to answer are:
Participants in this study will perform the following tasks:
The investigators will compare the group this differents laser to evaluate whether there are significant differences in pain reduction effects.
This randomized controlled clinical trial, titled 'Effect of Different Laser Applications on Plantar Fasciitis', aims to specifically address the effectiveness of static mode versus scanning mode (HILT) in the treatment of pain associated with plantar fasciitis. Using a rigorous methodology that includes double-blind masking and a longitudinal chronology, the study focuses on comparing two modes of laser application.
The main objective is to evaluate and compare the pain reduction between these two modes of application of LLLT. To achieve this, key questions are asked, such as the relative effectiveness of each mode and the identification of optimal therapeutic parameters, including session duration, frequency and power, that maximize benefits in patients with plantar fasciitis.
Participants in this study will undergo low-level laser therapy sessions, following the protocols established for each mode of application. Additionally, they will be asked to record their pain levels before and after each session, providing valuable information about the effectiveness of the therapy.
In the case of a comparison group, a detailed evaluation will be carried out comparing the results obtained between the group treated with static in local spot mode and the group treated in scanning mode. This approach will allow researchers to determine if there are significant differences in the pain reduction effects between the two modes of laser application.
With a solid experimental design and specific objectives, this study seeks to contribute significantly to the understanding of laser applications in the treatment of plantar fasciitis, providing valuable information for the optimization of therapy and thus improving the quality of life of patients. . affected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HILT Static mode | Other | Hilt Scanning mode |
|
| Shower laser application | Active Comparator | laser application in shower or sweep mode |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Static therapy | Other | The intervention involves the precise and focused application of HILT on specific areas related to plantar fasciitis. The static mode technique is characterized by directing the laser directly to the painful point, seeking optimal stimulation in the affected region.The Scanning Mode technique is characterized by applying the HILT through a continuous, sweeping movement of the handpiece over the target area |
| Measure | Description | Time Frame |
|---|---|---|
| Visual pain analogic scale | Visual pain scale from 0 minimum (best) to 10 maximum (worse) | 1,2 and 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasound image of thickness | fascia thickness measured by ultrasound from minumum of 3 (Best) to maximum of 6 mm (Worse) | 1,2 and 4 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aurora Castro Mendez, PhD | University of Seville | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Área Clínica de Podología | Seville | Andalusia | 41004 | Spain | ||
| Fasciitis |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34847470 | Result | Guimaraes JS, Arcanjo FL, Leporace G, Metsavaht LF, Sena C, Moreno MVMG, Marcal Vieira TE, Gomes Neto M. Effect of low-level laser therapy on pain and disability in patients with plantar fasciitis: A systematic review and meta-analysis. Musculoskelet Sci Pract. 2022 Feb;57:102478. doi: 10.1016/j.msksp.2021.102478. Epub 2021 Nov 16. | |
| 30194553 |
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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 |
|---|---|
| D055909 | Magnetic Field Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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Randomized Pilot Study with Two Parallel Groups. Participants were randomly assigned to one of two experimental groups (High-Intensity Laser Therapy in Static Mode or High-Intensity Laser Therapy in Scanning Mode) to receive 12 treatment sessions over a 40-day period. This is a single-blind design, where participants were blinded to the type of laser application received.
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|
| Static Mode | Other | The Scanning Mode technique is characterized by applying the HILT through a continuous, sweeping movement of the handpiece over the target area (the plantar fascia and adjacent tender regions). This application ensures a more uniform energy distribution across a larger tissue area, potentially addressing inflammation and pain in a broader region than the static mode. The total dose is distributed over the area treated with a continuous motion. |
|
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| Seville |
| 41009 |
| Spain |
| Takla MKN, Rezk SSR. Clinical effectiveness of multi-wavelength photobiomodulation therapy as an adjunct to extracorporeal shock wave therapy in the management of plantar fasciitis: a randomized controlled trial. Lasers Med Sci. 2019 Apr;34(3):583-593. doi: 10.1007/s10103-018-2632-4. Epub 2018 Sep 7. |
| 19841862 | Result | Kiritsi O, Tsitas K, Malliaropoulos N, Mikroulis G. Ultrasonographic evaluation of plantar fasciitis after low-level laser therapy: results of a double-blind, randomized, placebo-controlled trial. Lasers Med Sci. 2010 Mar;25(2):275-81. doi: 10.1007/s10103-009-0737-5. |