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| Name | Class |
|---|---|
| Suez University | OTHER |
| Badr University | OTHER |
| Helwan University | OTHER |
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PURPOSE: To compare the effect of Extracorporeal shock wave therapy and high-power LASER therapy for the treatment of patients with calcaneal spur Background: Calcaneal spur is a common musculoskeletal disorder of the foot that affect the quality-of-life Conservative treatment modalities include, cold application, platelet-rich plasma therapy (PRP), shoe modification, therapeutic ultrasound, extracorporeal shock wave therapy (ESWT), laser therapy (LLLT) are commonly used in the treatment of calcaneal spur.
HYPOTHESES: There will be difference between Extracorporeal shock wave therapy and High- power LASER therapy on pain intensity in patients with calcaneal spur There will be difference between Extracorporeal shock wave therapy and High- power LASER therapy on function in patients with calcaneal spur. There will be difference between Extracorporeal shock wave therapy and High- power LASER therapy on the size of calcaneal spur in patients with calcaneal spur.
RESEARCH QUESTION: Is there any difference between the effect of Extracorporeal shock wave therapy and High-power LASER on calcaneal spur?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shockwave therapy | Experimental | Shockwave therapy for calcaneal spur |
|
| High-power LASER therapy | Experimental | High-power LASER therapy for calcaneal spur |
|
| Control | Sham Comparator | cold application with receive 6 sessions of sham LASER therapy. |
|
| Platelet rich plasma | Experimental | Platelet-rich plasma injection for the heel |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Platelet rich plasma | Drug | Platelet-rich plasma for the heel |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Visual Analog Scale | It is a self reported outcome which is a 10 cm line with zero at one end indicating no pain and 10 at the other end indicating maximum pain. Patient will be asked to mark the current pain on the scale and the distance from the starting point (0) will be measured | Baseline and after one month |
| foot function index. | measure the impact of foot pathology on function in terms of pain, disability and activity restriction. it is a self-administered index | Baseline and after one month |
| calcaneal Spur length | Spur length will be measured by MRI | Baseline and after one month |
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Inclusion Criteria:
diagnosed with calcaneal spur based on clinical examination and radiological findings.
Exclusion Criteria:
were as follows: acute trauma to the foot, history of fracture or surgery, lower extremity neurological deficit, polyneuropathy, radicular pain, autoimmune diseases tumor, thrombosis, soft tissue or bone infection, or skin disorder.
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| Name | Affiliation | Role |
|---|---|---|
| Doaa Elsayed | Department of Physical therapy for Woman's Health, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt | Study Chair |
| Doha Hamed | Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo | Study Chair |
| Ahmed Zakaria | Department of orthopedic surgery, Helwan University | Study Chair |
| Omnya Samy | Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University in Cairo | Study Director |
| Fatma Zidan | Department of Physical therapy for Neuromuscular Disorders & its Surgery, Faculty of Physical Therapy, Badr University in Cairo | Study Director |
| Doaa Saeed | Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Badr University in Cairo (BUC) | Cairo | Cairo Governorate | 12311 | Egypt |
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| High power LASER |
| Other |
High power LASER sessions for the heel |
|
| Shockwave therapy | Other | Shockwave therapy sessions for the heel |
|
| Sham LASER | Other | Sham LASER for the heel |
|
| ID | Term |
|---|---|
| D036982 | Heel Spur |
| ID | Term |
|---|---|
| D005096 | Exostoses |
| D015576 | Hyperostosis |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D005534 | Foot Diseases |
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| ID | Term |
|---|---|
| D000074059 | Extracorporeal Shockwave Therapy |
| ID | Term |
|---|---|
| D014464 | Ultrasonic Therapy |
| D003972 | Diathermy |
| D006979 | Hyperthermia, Induced |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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