Plantar Fasciitis Treated With Dynamic Splinting

NCT ID: NCT00650884

Last Updated: 2012-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2009-01-31

Brief Summary

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The purpose of this study is to determine if the Ankle Dorsiflexion Dynasplint System (DS) is effective in reducing pain from Plantar Fasciitis (Fasciopathy).

Detailed Description

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To determine the efficacy of Ankle Dorsiflexion Dynasplint System (DS) in treating patients with plantar fasciopathy, in a multi-centered, randomized, controlled, cross-over study.

Conditions

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Plantar Fasciitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

ALL PATIENTS WILL BE TREATED WITH STANDARD OF CARE (Orthoses, NSAIDs, Home therapy instructions). CONTROL PATIENTS will only be treated with Standard of Care during this 12 week trial, but will also be treated with the Ankle Dorsiflexion Dynasplint System which delivers a low-load, prolonged-duration stretch after completion of this study.

Group Type NO_INTERVENTION

Ankle Dorsiflexion Dynasplint System

Intervention Type DEVICE

Dynamic Splinting utilizes the protocols of Low-Load, Prolonged-Duration Stretch (LLPS) with calibrated, adjustable tension to increase the Total End Range Time (TERT) to reduce contracture. This unit is worn at night while sleeping (6-8 hours) and, this does not affect activities of daily living.

2

ALL PATIENTS WILL BE TREATED WITH STANDARD OF CARE (Orthoses, NSAIDs, Home therapy instructions). EXPERIMENTAL PATIENTS will also be treated with the Ankle Dorsiflexion Dynasplint System which delivers a low-load, prolonged-duration stretch while sleeping.

Group Type EXPERIMENTAL

Ankle Dorsiflexion Dynasplint System

Intervention Type DEVICE

Dynamic Splinting utilizes the protocols of Low-Load, Prolonged-Duration Stretch (LLPS) with calibrated, adjustable tension to increase the Total End Range Time (TERT) to reduce contracture. This unit is worn at night while sleeping (6-8 hours) and, this does not affect activities of daily living.

3

ALL PATIENTS WILL BE TREATED WITH STANDARD OF CARE (Orthoses, NSAIDs, Home therapy instructions). CROSS-OVER patients will be initially treated only with Standard of Care, and after six weeks, they will be Crossed-Over and fit with the Ankle Dorsiflexion Dynasplint System which delivers a low-load, prolonged-duration stretch while sleeping.

Group Type OTHER

Ankle Dorsiflexion Dynasplint System

Intervention Type DEVICE

Dynamic Splinting utilizes the protocols of Low-Load, Prolonged-Duration Stretch (LLPS) with calibrated, adjustable tension to increase the Total End Range Time (TERT) to reduce contracture. This unit is worn at night while sleeping (6-8 hours) and, this does not affect activities of daily living.

Interventions

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Ankle Dorsiflexion Dynasplint System

Dynamic Splinting utilizes the protocols of Low-Load, Prolonged-Duration Stretch (LLPS) with calibrated, adjustable tension to increase the Total End Range Time (TERT) to reduce contracture. This unit is worn at night while sleeping (6-8 hours) and, this does not affect activities of daily living.

Intervention Type DEVICE

Other Intervention Names

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Cross-Over

Eligibility Criteria

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Inclusion Criteria

Patients enrolled will have been DIAGNOSED with Plantar Fasciitis which is associated with significant pain and includes the following:

* Pain on the bottom of the heel
* Pain that is usually worse upon arising or after long periods of non weight bearing
* Pain that increases over a period of months
* Pain is worsened by walking barefoot on hard surfaces or by walking up stairs
* Morning mobility limitations
* Preference of patients to "walk on their toes"
* Paresthesias after non weight bearing (while sitting or lying down or both)
* Nocturnal pain
* Patients must be willing and able to sign the informed consent

Exclusion Criteria

* Achilles tendon injury
* Acute traumatic rupture of the plantar fascia
* Calcaneal bursitis
* Calcaneal neuritis
* Calcaneal stress fracture
* Lumbosacral radiculopathy of S1 nerve root
* Retrocalcaneal bursitis
* Tarsal tunnel syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dynasplint Systems, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Dynasplint Systems, Inc.

Principal Investigators

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Dr Mathew M John, DPM

Role: STUDY_CHAIR

Ankle & Foot Centers, PC

Buck Willis, PhD

Role: STUDY_DIRECTOR

Dynasplint Systems, Inc.

Locations

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Kaiser Permanente

Sacramento, California, United States

Site Status

Orlando Foot & Ankle Center

Orlando, Florida, United States

Site Status

Ankle & Foot Centers, PC

Marietta, Georgia, United States

Site Status

Lopez Foot Ankle Clinic

Fort Worth, Texas, United States

Site Status

Countries

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United States

References

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Guldemond NA, Leffers P, Sanders AP, Emmen H, Schaper NC, Walenkamp GH. Casting methods and plantar pressure: effects of custom-made foot orthoses on dynamic plantar pressure distribution. J Am Podiatr Med Assoc. 2006 Jan-Feb;96(1):9-18. doi: 10.7547/0960009.

Reference Type BACKGROUND
PMID: 16415278 (View on PubMed)

Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for Plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. 2003 May;85(5):872-7. doi: 10.2106/00004623-200305000-00015.

Reference Type BACKGROUND
PMID: 12728038 (View on PubMed)

Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int. 2004 May;25(5):303-10. doi: 10.1177/107110070402500505.

Reference Type BACKGROUND
PMID: 15134610 (View on PubMed)

Dmitri Luke BS. Plantar fasciitis: a new experimental approach to treatment. Med Hypotheses. 2002 Jul;59(1):95-7. doi: 10.1016/s0306-9877(02)00120-2.

Reference Type BACKGROUND
PMID: 12160690 (View on PubMed)

Ross M. Use of the tissue stress model as a paradigm for developing an examination and management plan for a patient with plantar fasciitis. J Am Podiatr Med Assoc. 2002 Oct;92(9):499-506. doi: 10.7547/87507315-92-9-499.

Reference Type BACKGROUND
PMID: 12381799 (View on PubMed)

MacKay-Lyons M. Low-load, prolonged stretch in treatment of elbow flexion contractures secondary to head trauma: a case report. Phys Ther. 1989 Apr;69(4):292-6. doi: 10.1093/ptj/69.4.292.

Reference Type BACKGROUND
PMID: 2928396 (View on PubMed)

Willis B, John M. Dynamic Splinting Increases Flexion for Hallux Rigidus. BioMechanics, 2007 Sept;14(9), pg49-53

Reference Type BACKGROUND

Willis B. Post-TBI Gait Rehabilitation. Applied Neurol. 2007 Jul;3(7):25-26

Reference Type BACKGROUND

Lemont H, Ammirati KM, Usen N. Plantar fasciitis: a degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003 May-Jun;93(3):234-7. doi: 10.7547/87507315-93-3-234.

Reference Type BACKGROUND
PMID: 12756315 (View on PubMed)

Martin JE, Hosch JC, Goforth WP, Murff RT, Lynch DM, Odom RD. Mechanical treatment of plantar fasciitis. A prospective study. J Am Podiatr Med Assoc. 2001 Feb;91(2):55-62. doi: 10.7547/87507315-91-2-55.

Reference Type BACKGROUND
PMID: 11266478 (View on PubMed)

Ng A, Beegle T, Rockett AK. Atypical presentation of plantar fasciitis secondary to soft-tissue mass infiltration. J Am Podiatr Med Assoc. 2001 Feb;91(2):89-92. doi: 10.7547/87507315-91-2-89.

Reference Type BACKGROUND
PMID: 11266484 (View on PubMed)

Hart LE. Exercise and soft tissue injury. Baillieres Clin Rheumatol. 1994 Feb;8(1):137-48. doi: 10.1016/s0950-3579(05)80228-6.

Reference Type BACKGROUND
PMID: 8149440 (View on PubMed)

Intenzo CM, Wapner KL, Park CH, Kim SM. Evaluation of plantar fasciitis by three-phase bone scintigraphy. Clin Nucl Med. 1991 May;16(5):325-8. doi: 10.1097/00003072-199105000-00006.

Reference Type BACKGROUND
PMID: 2054987 (View on PubMed)

Hepburn, G. Contracture and Stiff Joint Management with Dynasplint®. J Ortho Sports Phys Ther. 1987;8(10): 498-504

Reference Type BACKGROUND

Related Links

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Other Identifiers

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Dynasplint, DYN1-08-022

Identifier Type: -

Identifier Source: org_study_id

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