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Dynamic Versus Static Night Splinting of Plantar Fasciitis

Primary Purpose

Plantar Fascitis

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Dynamic splint
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plantar Fascitis

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Demographic - Over 18 years of age and ambulatory without a gait aid with no history of narcotic use
  • Diagnosis - Unilateral or bilateral acute (< 6 months of pain) plantar fasciitis (i.e., Heel pain that increases with weightbearing, "First step pain": heel pain that occurs after a period of non-weightbearing, such as in the morning when arising from bed or when arising after prolonged sitting; the pain is improved after a few minutes walking but will worsen again with prolonged weightbearing, tenderness over the medial calcaneal tuberosity at the insertion of the plantar fasciitis)
  • Permitted - Icing, NSAIDS( ibuprofen), Custom Shoe Inserts, Diagnostic Ultrasound

Exclusion Criteria:

  • Demographic - Under 18 year of age, requires a gait aid for ambulation; if not covered by insurance,
  • Diagnosis of - Arthritis of the Ankle, Midfoot, or Forefoot; Inflammatory Arthritis; Gout; Turf Toe; Hallux Rigidus; Hallux Limitus; Sesamoiditis; Tendonitis or Tendinopathy; Prior tear or Rupture of the Plantar Fascia; Fibromyalgia, Neuralgia, or Neuropathy; Peripheral Vascular Disease; Prior Trauma to the Heel, Fracture of the Calcaneus; Infection; Corn; Callus; Ingrown Nail.
  • Patient with history of Symptoms for over 6 months
  • Refractory to prior splint-based treatments
  • Prior injection of the plantar fascia
  • Prior surgery on the plantar fascia
  • Narcotic use

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Control( static splinting)

    Experiment( dynamic splinting)

    Arm Description

    conventional static splint

    Device treats plantar fasciitis and replacing boot immobilization

    Outcomes

    Primary Outcome Measures

    NO pain at 1 month follow up
    We plan to use VAS pain scale as measurement scale ( range; 0-10, higher scores correspond to greater pain)
    NO pain at 3 months follow up
    We plan to use VAS pain scale as measurement scale ( range; 0-10, higher scores correspond to greater pain)
    NO pain at 6 months follow up
    We plan to use VAS pain scale as measurement scale ( range; 0-10, higher scores correspond to greater pain)

    Secondary Outcome Measures

    Clinically relevant change in Foot Function Index (FFI)
    Clinically relevant change in Foot Function Index (FFI) of >6.5 points (MCID
    Clinically relevant change in Foot Function Index (FFI)
    Clinically relevant change in Foot Function Index (FFI) of >6.5 points (MCID
    Clinically relevant change in Foot Function Index (FFI)
    Clinically relevant change in Foot Function Index (FFI) of >6.5 points (MCID

    Full Information

    First Posted
    May 4, 2022
    Last Updated
    June 22, 2022
    Sponsor
    Stanford University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05432895
    Brief Title
    Dynamic Versus Static Night Splinting of Plantar Fasciitis
    Official Title
    Dynamic Versus Static Night Splinting of Plantar Fasciitis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    June 18, 2022 (Anticipated)
    Primary Completion Date
    June 18, 2024 (Anticipated)
    Study Completion Date
    June 18, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Stanford University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The investigators are trying to study that there is no difference in improvement of motion between static progressive and dynamic splinting.
    Detailed Description
    A physical rehabilitation device for the treatment of a medical condition of the foot known as plantar fasciitis includes a splint which is connected to the toe and ankle of a patient. Static splint is the use of inelastic components to apply torque to a joint in order to statically position it as close to end range as possible. A dynamic splint uses a tension spring that is integrated into a brace, usually via a mechanical hinge. The tension spring can be adjusted for more or less tension to achieve range of motion goals with less pain. The investigators are trying to study that there is no difference in improvement of motion between static progressive and dynamic splinting.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Plantar Fascitis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    200 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Control( static splinting)
    Arm Type
    Active Comparator
    Arm Description
    conventional static splint
    Arm Title
    Experiment( dynamic splinting)
    Arm Type
    Experimental
    Arm Description
    Device treats plantar fasciitis and replacing boot immobilization
    Intervention Type
    Device
    Intervention Name(s)
    Dynamic splint
    Intervention Description
    Device treats plantar fasciitis and replacing boot immobilization which is quite benign
    Primary Outcome Measure Information:
    Title
    NO pain at 1 month follow up
    Description
    We plan to use VAS pain scale as measurement scale ( range; 0-10, higher scores correspond to greater pain)
    Time Frame
    1 months
    Title
    NO pain at 3 months follow up
    Description
    We plan to use VAS pain scale as measurement scale ( range; 0-10, higher scores correspond to greater pain)
    Time Frame
    3 months
    Title
    NO pain at 6 months follow up
    Description
    We plan to use VAS pain scale as measurement scale ( range; 0-10, higher scores correspond to greater pain)
    Time Frame
    6 months
    Secondary Outcome Measure Information:
    Title
    Clinically relevant change in Foot Function Index (FFI)
    Description
    Clinically relevant change in Foot Function Index (FFI) of >6.5 points (MCID
    Time Frame
    1 months
    Title
    Clinically relevant change in Foot Function Index (FFI)
    Description
    Clinically relevant change in Foot Function Index (FFI) of >6.5 points (MCID
    Time Frame
    3 months
    Title
    Clinically relevant change in Foot Function Index (FFI)
    Description
    Clinically relevant change in Foot Function Index (FFI) of >6.5 points (MCID
    Time Frame
    6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    99 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Demographic - Over 18 years of age and ambulatory without a gait aid with no history of narcotic use Diagnosis - Unilateral or bilateral acute (< 6 months of pain) plantar fasciitis (i.e., Heel pain that increases with weightbearing, "First step pain": heel pain that occurs after a period of non-weightbearing, such as in the morning when arising from bed or when arising after prolonged sitting; the pain is improved after a few minutes walking but will worsen again with prolonged weightbearing, tenderness over the medial calcaneal tuberosity at the insertion of the plantar fasciitis) Permitted - Icing, NSAIDS( ibuprofen), Custom Shoe Inserts, Diagnostic Ultrasound Exclusion Criteria: Demographic - Under 18 year of age, requires a gait aid for ambulation; if not covered by insurance, Diagnosis of - Arthritis of the Ankle, Midfoot, or Forefoot; Inflammatory Arthritis; Gout; Turf Toe; Hallux Rigidus; Hallux Limitus; Sesamoiditis; Tendonitis or Tendinopathy; Prior tear or Rupture of the Plantar Fascia; Fibromyalgia, Neuralgia, or Neuropathy; Peripheral Vascular Disease; Prior Trauma to the Heel, Fracture of the Calcaneus; Infection; Corn; Callus; Ingrown Nail. Patient with history of Symptoms for over 6 months Refractory to prior splint-based treatments Prior injection of the plantar fascia Prior surgery on the plantar fascia Narcotic use

    12. IPD Sharing Statement

    Learn more about this trial

    Dynamic Versus Static Night Splinting of Plantar Fasciitis

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