Shockwave Phonophoresis on Calcaneal Spur Patients

Beni-Suef University60 enrolled

Overview

The Low energy shockwave has a significant effect on the permeability of tissue. Consequently, it might be used to deliver a substance such as Acetic acid. Accordingly, Shockwave might help to improve the outcomes with calcaneal spur patients. Therefore, the present study might help in the treatment of calcaneal spur patients and also might improve the quality of life in a fast and efficient way.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Calcaneal Spur

Interventions

Acetic acid shockwave phonophoresis therapyDEVICE

This group composed of subjects. They will take 6 sessions with Time between sessions 5-7 days plus exercise and dietary advice

Shock wave TherapyDEVICE

This group composed of subjects and represented the control group who will receive shock wave therapy

conventional physical therapy programOTHER

Exercise program: * Standing calf-stretching exercise * Towel stretch: stretching exercise * Ice bottle * Towel pickup exercise * Marble pickups exercise * Calf raises exercises -Static and dynamic balance exercise

Eligibility

Sex: ALLMin age: 35 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Heel pain with a calcaneal spur. * Calcaneal spur in a lateral calcaneal x-ray. * Patient's age ranged from 30 to 65 years. * Patients with a calcaneal spur. * Patients with intact sensory perception. * At least 6 weeks from last corticosteroid injection; 4 weeks from the last local anaesthetic injection, iontophoresis, ultrasound, and electrotherapy Exclusion Criteria: * History of fracture or surgery of the heel or ankle. * Presence of inflammatory joint disease. * Marked osteoporotic patient. * Presence of ankylosing spondylitis or other inflammatory joint diseases. * Heart pacemaker use. * Patient on anticoagulant and coagulation disease. * Skin wound or ulcers.

Locations (1)

Faculty of Physical Therapy, Cairo University

Giza, Egypt

Outcomes

Primary Outcomes

calcaneal spur length by X-ray (mm)

X-ray on the affected foot to measure the length of the calcaneal spur

Time frame: three months

calcaneal spur width by X-ray (mm)

X-ray on the affected foot to measure the width of the calcaneal spur

Time frame: three months

Secondary Outcomes

FPX 50 wagner Pressure pain threshold (PPT)

this device used to measure the pressure pain threshold

Time frame: three months

Activity of daily living: by Foot and Ankle Ability Measure scale

This scale formed from 29 item, the minimum score for each item is 0 and maximum score is 4 , the Higher scores represent higher levels of function for each subscale, with 100% representing no dysfunction

Time frame: three months

visual analogue scale.

this scale for pain intensity level assessment and contain minimum score is 0 and maximum score is 100 mm, the higher score indicate more pain (sever dysfunction)

Time frame: three months

Data from ClinicalTrials.gov

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