The Effect of Barefoot Walking Plantar Chronic Heel Pain

NCT ID: NCT03677167

Last Updated: 2020-09-03

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

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-29

Study Completion Date

2020-08-31

Brief Summary

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Many patients suffer from chronic heel pain, and studies have not yet found the most appropriate treatment. There are some researchers who claim that the pain is caused by weakness in the muscles of the foot, which causes increased pressure in the heel. In walking, the muscles of the foot are activated and strengthened. No research has yet been done on whether walking (barefoot or with shoes) on a treadmill reduces pain in the heel and improves function.

Detailed Description

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A bare foot functions differently than a foot in a shoe while walking, as there are differences in movement, muscle tone, pressure and sensation. Wearing shoes over the years can cause changes in walking and pain. In the examination of the feet of patients suffering from chronic pain in the heel was found a smaller volume of muscle, and calcification in the heel area that could be caused by increased pressure. Although the trend of physiotherapy treatments has changed in recent years from passive to active treatments, the overwhelming majority of studies are testing passive therapies only as a treatment option for chronic heel pain. Barefoot walking has not been tested as an option for treating chronic pain in the heel, although there are studies indicating that bare feet lead to reduced heel pressure, increased muscle work, and better proprioception.The purpose of this study is to examine the effect of barefoot walking on the level of pain, function and pain threshold for stress in patients with chronic heel pain.

Conditions

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Plantar Fascitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study will include 52 subjects with heel pain for more than 12 weeks. The subjects will be randomly assigned to one of two groups: a barefoot walking group on a treadmill and a walking group in shoes on a treadmill. The subjects will receive treatment twice a week at the Meuhedet Health Fund Institute for 4 weeks. All subjects will be instructed to walk on the treadmill until they reach level 6 on the Short Borg Scale. In addition, all subjects will receive an ultrasound treatment for 5 minutes each session. Before and after the intervention, the subjects will complete the SF-36 questionnaire, and will assess the level of pain they experience on the heel during initial treading down from the bed in the morning. In addition, the minimum pain threshold and pain tolerance will be checked with an algometer at relevant points in the heel and the speed and walking time will be documented.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The physiotherapist who examines patients before and after the intervention does not know which group the patient belongs to

Study Groups

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walking on a treadmill barefoot group

26 Patients in this group will walk barefoot on the treadmill and will be asked to walk barefoot at home and report the time of barefoot walking at home

Group Type EXPERIMENTAL

walking on a treadmill

Intervention Type OTHER

Patients will go on the treadmill (barefoot or with shoes) twice a week for a month, up to a medium-high level effort, and will receive ultrasound treatment for the painful heel spot

Walking on a treadmill with shoes group

26 Patients in this group will walk with shoes on the treadmill

Group Type ACTIVE_COMPARATOR

walking on a treadmill

Intervention Type OTHER

Patients will go on the treadmill (barefoot or with shoes) twice a week for a month, up to a medium-high level effort, and will receive ultrasound treatment for the painful heel spot

Interventions

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walking on a treadmill

Patients will go on the treadmill (barefoot or with shoes) twice a week for a month, up to a medium-high level effort, and will receive ultrasound treatment for the painful heel spot

Intervention Type OTHER

Other Intervention Names

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Ultrasound wave therapy

Eligibility Criteria

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Inclusion Criteria

* Local pain in the heel that lasts more than 12 weeks,
* pain in the first steps in the morning
* Pain that disappears in situations of weightlessness
* Ability to walk on a moving track.

Exclusion Criteria

* Pain in proximal areas along the leg or lower back pain that can radiate to the heel
* Sensory disorders for various reasons
* Tumors, fractures, previous operations in the lower extremities
* Irritable cardiovascular problems
* Balance problems and dizziness.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meuhedet. Healthcare Organization

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rael Strous, MD,MHA

Role: PRINCIPAL_INVESTIGATOR

Meuhedet Health Care

Locations

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Meuhedet Health Care Phisiotherapy Clinic

Jerusalem, , Israel

Site Status

Countries

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Israel

Other Identifiers

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MeuhedetHCO

Identifier Type: -

Identifier Source: org_study_id

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