Shockwave therapy and exercise for plantar heel pain: A pilot study

2019 ◽  
Author(s):  
Kay Cooper
Keyword(s):  
Pilot Study ◽  
Heel Pain ◽  
Shockwave Therapy ◽  
Plantar Heel Pain

scholarly journals Shockwave therapy for plantar heel pain (plantar fasciitis)

2019 ◽  
Author(s):  
Rebecca L Jessup ◽  
Matthew J Oates ◽  
Renea V Johnston ◽  
Rachelle Buchbinder
Keyword(s):  
Plantar Fasciitis ◽  
Heel Pain ◽  
Shockwave Therapy ◽  
Plantar Heel Pain

scholarly journals Autoregulated Heavy Slow Resistance Training Combined with Radial Shockwave Therapy for Plantar Heel Pain: Protocol for a Mixed Methods Pilot Randomised Controlled Trial

2020 ◽  
Author(s):  
Ian Burton
Keyword(s):  
Mixed Methods ◽  
Randomised Controlled Trial ◽  
Resistance Training ◽  
Controlled Trial ◽  
Treatment Protocol ◽  
Heel Pain ◽  
Shockwave Therapy ◽  
Plantar Heel Pain ◽  
Pilot Rct ◽  
Randomised Controlled

Background: Plantar heel pain (PHP) is considered a tendinopathy and it affects up to 10% of the population. Both heavy slow resistance training (HSRT) and extracorporeal shockwave therapy (ESWT) have shown effectiveness for treating PHP in isolation. However more comprehensive exercise protocols and progression methods are needed due to poor long-term outcomes, and better standardization of ESWT protocols are required. Autoregulation of resistance training involves self-selecting exercise dosage based on individual factors. Although autoregulation has proven effective for strength gains in athletes, it has not been investigated in tendinopathy. It is recommended that PHP not be treated by one treatment in isolation, with there being a need to investigate feasibility and effectiveness of combined treatments in PHP. Currently, no studies have investigated autoregulated HSRT combined with ESWT, despite their individual efficacy. The optimal treatment protocol for PHP is unknown, and there is a need to ascertain whether the addition of ESWT to autoregulated HSRT leads to better outcomes compared to either alone. Methods: A three-arm randomised controlled trial (RCT) comparing these groups would be the ideal way to investigate this question, with a pilot RCT testing trial procedures and process evaluation required prior to a definitive RCT. Patients expectations, feasibility and acceptability of combined ESWT and exercise for PHP also remain unknown. Therefore, the addition of qualitative interviews in a mixed methods pilot RCT would help ascertain acceptability and help explain the intervention outcomes.

scholarly journals Plantar fasciitis

2012 ◽  
Vol 94 (8) ◽  
pp. 539-542 ◽  
Author(s):  
S Cutts ◽  
N Obi ◽  
C Pasapula ◽  
W Chan
Keyword(s):  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Heel Pain ◽  
Management Options ◽  
Heel Spur ◽  
New Techniques ◽  
Extracorporeal Shockwave Therapy ◽  
Shockwave Therapy ◽  
Plantar Heel Pain ◽  
History Of

INTRODUCTION In this article we look at the aetiology of plantar fasciitis, the other common differentials for heel pain and the evidence available to support each of the major management options. We also review the literature and discuss the condition. METHODS A literature search was performed using PubMed and MEDLINE®. The following keywords were used, singly or in combination: ‘plantar fasciitis’, ‘plantar heel pain’, ‘heel spur’. To maximise the search, backward chaining of reference lists from retrieved papers was also undertaken. FINDINGS Plantar fasciitis is a common and often disabling condition. Because the natural history of plantar fasciitis is not understood, it is difficult to distinguish between those patients who recover spontaneously and those who respond to formal treatment. Surgical release of the plantar fascia is effective in the small proportion of patients who do not respond to conservative measures. New techniques such as endoscopic plantar release and extracorporeal shockwave therapy may have a role but the limited availability of equipment and skills means that most patients will continue to be treated by more traditional techniques.

Instrument-Assisted Soft-Tissue Mobilization for the Management of Chronic Plantar Heel Pain: A Pilot Study

2019 ◽  
Vol 109 (3) ◽  
pp. 193-200
Author(s):  
Edward R. Jones ◽  
Margaret A. Finley ◽  
Stacie J. Fruth ◽  
Thomas G. McPoil
Keyword(s):  
Pilot Study ◽  
Soft Tissue ◽  
Sample Size ◽  
Heel Pain ◽  
Effect Sizes ◽  
Graston Technique ◽  
Plantar Heel Pain ◽  
Final Treatment ◽  
And Function ◽  
Soft Tissue Mobilization

Background: The purpose of this study was to determine feasibility of further investigation of treatment with instrument-assisted soft-tissue mobilization (IASTM), using the Graston technique, compared with conservative care for treatment of chronic plantar heel pain (CPHP). Methods: Eleven participants with plantar heel pain lasting 6 weeks to 1 year were randomly assigned to one of two groups, with each group receiving up to eight physical therapy visits. Both groups received the same stretching, exercise, and home program, but the experimental group also received IASTM using the Graston technique. Outcome measures of pain and function were recorded at baseline, after final treatment, and 90 days later. Feasibility of a larger study was determined considering recruitment and retention rates, compliance, successful application of the protocol and estimates of the treatment effect. Results: Both groups demonstrated improvements in current pain (pain at time of survey), pain with the first step in the morning, and function after final treatment and at 90-day follow up. Medium-to-large effect sizes between groups were noted, and sample size estimates demonstrated a need for at least 42 participants to realize a group difference. A larger-scale study was determined to be feasible with modifications including a larger sample size and higher recruitment rate. Conclusions: This pilot study demonstrates that inclusion of IASTM using the Graston technique for CPHP lasting longer than 6 weeks is a feasible intervention warranting further study. Clinically important changes in the IASTM group and moderate-to-large between-group effect sizes suggest that further research is warranted to determine whether these trends are meaningful.

scholarly journals The effectiveness of combined shockwave therapy and plantar fascia stretching interventions in treating plantar heel pain

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ian Burton ◽  
Kay Cooper ◽  
Lyndsay Alexander ◽  
Paul Alan Swinton
Keyword(s):  
Plantar Fascia ◽  
Heel Pain ◽  
Shockwave Therapy ◽  
Plantar Heel Pain

scholarly journals The Effectiveness of Combined Shockwave Therapy and Exercise for Plantar Heel Pain: A Systematic Review Protocol

2020 ◽  
Author(s):  
Ian Burton
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Heel Pain ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Systematic Review Methodology ◽  
Treatment Protocols ◽  
Shockwave Therapy ◽  
Plantar Heel Pain ◽  
Wide Range

Review Objective: To synthesize the best available evidence on the effectiveness of interventions that have used a combination of extracorporeal shockwave therapy and any type of exercise to treat plantar heel pain compared to any other treatment intervention. Introduction: Recent evidence suggests combining shockwave therapy and exercise may be more effective than other treatments for plantar heel pain. However, no systematic reviews have been conducted on the topic and optimal treatment protocols and clinical recommendations are lacking.Inclusion criteria: Randomised controlled trials assessing the effectiveness of combined shockwave therapy and exercise for plantar heel pain in adults will be included. Methods: The authors will search for a wide range of sources to find both published and unpublished studies via EBSCOhost, including, but not limited to, MEDLINE, SPORTDiscus, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), and Allied and Complementary Medicine Database (AMED). Studies published in a language other than English will only be considered if a translation is available. The JBI systematic review methodology will be followed when conducting the review. Data synthesis will be conducted using meta-analysis or narrative synthesis, where appropriate. Systematic review registration number: CRD42020213286

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