Plantar Fasciitis Management on Postural Control

NCT06172517 | Completed

• 1 other identifier: 2020-404
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Foot pain is common in the general population. Plantar fasciopathy may affect 7% of the population at some time in their lives, but the incidence increases with age. This plantar problem is characterized by severe pain under the foot (at plantar level), which can be very incapacitating and disabling. This can lead to absenteeism from work, particularly for employees working in a standing posture. Various therapeutic avenues can be used to reduce pain and improve functionality, such as physiotherapy, infiltrations and surgery. In this research project, the propose the use of a conservative approach through the use of foot orthoses, which appears to be effective in reducing pain. The aim of the study is thus to better understand the effect of foot orthoses on postural balance and walking in workers with plantar fasciopathy. Participants will be assessed at baseline and eight weeks later to observe measured changes and clinical improvements following orthotic wear. Balance and gait pattern will be assessed using technological tools that have been validated in this respect. Participants will also be asked about their pain intensity. The hypothesis is that wearing the orthosis will improve the participants' balance and walking abilities, as well as reduce the level or intensity of their pain. In addition, this study could have an impact on the rate of absenteeism from work from current context of labour shortages.

Conditions

Rehabilitation; Aging Problems; Foot Diseases; Mobility Limitation

Keywords

Postural control; plantar orthoses; plantar fasciopathy; Biomechanics; Gait; Pain

Outcome Measures

Primary Outcomes (2)

• Postural control measures

  The participants will perform two 30-second trials on a strength platform (model BIOMEC400), the following tasks: without muscular vibration, with bilateral Achilles tendon vibration (Techno® concept VibrasensTM, France) in bipodal posture, and a balance task in semi-tandem posture with eyes open and closed. The vibration frequency chosen for the regions (sural triceps) will be 80 Hz. Center of Pressure (CoP) metrics will be used as main outcome such as sway CoP velocity variable (cm/s).

  baseline,immediate only for experimental group), and after 8 weeks.

• Gait measures

  The participants will be asked to walk at normal, slow and fast speeds on a GaitRite treadmill (GAI-TRite® Platinum Plus System 16' - 4.876 m, SN: Q209, CIR Systems Inc., Franklin, NJ, USA). Participants will perform each task twice.Main gait parameters will be used as main outcomes such as velocity in m/s.

  baseline,immediate only for experimental group), and after 8 weeks.

Secondary Outcomes (4)

• Ankle mobility and foot position measure

  baseline and after 8 weeks.

• Lower Extremity Functional measure

  baseline and after 8 weeks.

• Pain measure by Foot function index

  baseline and after 8 weeks.

• Pain duration

  baseline and after 8 weeks.

Study Arms (2)

Othesis intervention

EXPERIMENTAL

This group with custom-made foot orthotics prescribed by podiatrists (foot impression, polypropylene orthotics and covering at podiatrists' discretion).

Other: Orthosis intervention

Control group

NO INTERVENTION

Without orthesis prescriptions by podiatrists.

Interventions

Orthosis intervention OTHER

Clinical feasibility trial with one group using a custom-made foot orthotics prescribed by podiatrists (foot impression, polypropylene orthotics and covering at podiatrists' discretion).

Othesis intervention

Eligibility Criteria

• Age: 20 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Present a history of pain under the heels for more than 3 months
• Have a diagnosis of plantar fasciopathy
• Pain of at least 3/10 under the heel
• Have post-static dyskinesia
• To be in the job market (adults between 20 and 65 years)

You may not qualify if:

• Severe systemic diseases
• Red flags (e.g. tumors),
• Musculoskeletal deformities affecting the lower limbs
• Musculoskeletal surgery

Sponsors & Collaborators

• Université du Québec à Chicoutimi: lead

Study Sites (1)

Rubens da Silva

Saguenay, Quebec, G7H 2B1, Canada

Location

Related Publications (13)

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  PMID: 3866618 BACKGROUND

• Richer L, Fortin E, Gagnon G, Ngomo S, Fernandes KBP, Cortis C, Sobczak S, da Silva RA. Impact of plantar fasciitis on postural control and walking in young middle-aged adults. Foot (Edinb). 2022 Dec;53:101951. doi: 10.1016/j.foot.2022.101951. Epub 2022 Nov 4.

  PMID: 36463613 BACKGROUND

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  PMID: 20091508 BACKGROUND

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  PMID: 26343763 BACKGROUND

• Kadri MA, Chevalier G, Mecheri H, Ngomo S, Lavalliere M, da Silva RA, Beaulieu LD. Time course and variability of tendinous vibration-induced postural reactions in forward and backward directions. J Electromyogr Kinesiol. 2020 Apr;51:102386. doi: 10.1016/j.jelekin.2020.102386. Epub 2020 Jan 20.

  PMID: 32014802 BACKGROUND

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MeSH Terms

Conditions

Foot Diseases; Mobility Limitation; Pain

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Skin Diseases; Skin and Connective Tissue Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations

Study Officials

• Rubens da Silva, PhD

  Université du Québec à Chicoutimi

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director and professor

Model Details: Clinical intervention by orthoses

Study Record Dates

• First Submitted: November 29, 2023
• First Posted: December 15, 2023
• Study Start: January 8, 2024
• Primary Completion: December 28, 2024
• Study Completion: December 28, 2024
• Last Updated: April 23, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)