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Plantar heel pain is one of the most commonly encountered problems of the feet in adults [1]. It accounts for nearly 11%-15% of all foot symptoms, The purpose of this study was to investigate the effectiveness of high intensity laser therapy combined with gluteus Maximus strengthening exercise on pain, thickness of plantar fascia, and function of the foot.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental: High intensity laser therapy combined with Gluteus Maximus strengthening exercise | Experimental | patients will receive High intensity laser therapy combined with Gluteus Maximus strengthening exercise |
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| Active Comparator: High intensity laser therapy | Active Comparator | patients will receive High intensity laser therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gluteus Maximus strengthening exercise | Procedure | Maximus strengthening exercise for eight weeks using weight progression tools either elastic band or sand weight by assuming two modes of exercises (clamshell exercise, prone hip extension) with stretching exercise (hamstring, gastrocnemius, soleus, and plantar fascia) 2 sessions per week for 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Pain assessment | Pressure algometry (kg/cm2). Pressure algometry will be performed on both affected and healthy feet | 3 months |
| Plantar fascia thickness | by using Ultrasonography, in a longitudinal view of the tendon in both affected and healthy feet (mm). the normal plantar fascia thickness is less than 4 mm | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Deraya university | Minya | 05673 | Egypt |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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single
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| high-intensity laser therapy | Device | A 3-phase treatment program will be performed in each session on the plantar fascia area. Treatment of trigger points in phase 1 and 2 by using power of 9 watts, E2C mode for 6 minute of 2 phases. The draining and vascularization-promoting application involve the whole foot sole, starting from the heel area in phase three by using power of 9 watts, CW mode with energy of 100J/cm2. |
|
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |