Gluteus Maximus Strengthening Exercises Augmented by High-Intensity Laser Therapy in Patients With Plantar Fasciopathy

NCT06677164 | Completed DMC

• 1 other identifier: physiotherapy 3
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Plantar heel pain is one of the most commonly encountered problems of the feet in adults \[1\]. It accounts for nearly 11%-15% of all foot symptoms, The purpose of this study was to investigate the effectiveness of high intensity laser therapy combined with gluteus Maximus strengthening exercise on pain, thickness of plantar fascia, and function of the foot.

Conditions

Plantar Fascia

Keywords

Plantar heel pain; obese; laser therapy

Outcome Measures

Primary Outcomes (2)

• Pain assessment

  Pressure algometry (kg/cm2). Pressure algometry will be performed on both affected and healthy feet

  3 months

• Plantar fascia thickness

  by using Ultrasonography, in a longitudinal view of the tendon in both affected and healthy feet (mm). the normal plantar fascia thickness is less than 4 mm

  3 months

Study Arms (2)

Experimental: High intensity laser therapy combined with Gluteus Maximus strengthening exercise

EXPERIMENTAL

patients will receive High intensity laser therapy combined with Gluteus Maximus strengthening exercise

Procedure: Gluteus Maximus strengthening exercise; Device: high-intensity laser therapy

Active Comparator: High intensity laser therapy

ACTIVE COMPARATOR

patients will receive High intensity laser therapy.

Device: high-intensity laser therapy

Interventions

Gluteus Maximus strengthening exercise PROCEDURE

Maximus strengthening exercise for eight weeks using weight progression tools either elastic band or sand weight by assuming two modes of exercises (clamshell exercise, prone hip extension) with stretching exercise (hamstring, gastrocnemius, soleus, and plantar fascia) 2 sessions per week for 8 weeks

Experimental: High intensity laser therapy combined with Gluteus Maximus strengthening exercise

high-intensity laser therapy DEVICE

A 3-phase treatment program will be performed in each session on the plantar fascia area. Treatment of trigger points in phase 1 and 2 by using power of 9 watts, E2C mode for 6 minute of 2 phases. The draining and vascularization-promoting application involve the whole foot sole, starting from the heel area in phase three by using power of 9 watts, CW mode with energy of 100J/cm2.

Active Comparator: High intensity laser therapy; Experimental: High intensity laser therapy combined with Gluteus Maximus strengthening exercise

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Unilateral plantar heel pain with or without calcaneal spur for more than 3 months.
• Tenderness at the insertion of the plantar fascia
• BMI index will be from 25 up to 30
• Patient will wear silicone insole .
• Diagnosis of PF based on orthopedic referral

You may not qualify if:

• Patients with presence of foot deformity,
• systemic inflammatory arthritis disease,
• foot surgery, or
• plantar heel pain due to trauma,
• wound, or infection in the foot,
• received oral corticosteroids

Sponsors & Collaborators

• Deraya University: lead

Study Sites (1)

Deraya university

Minya, 05673, Egypt

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: single
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associate professor

Study Record Dates

• First Submitted: November 5, 2024
• First Posted: November 6, 2024
• Study Start: March 10, 2024
• Primary Completion: November 22, 2024
• Study Completion: December 1, 2024
• Last Updated: March 17, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)